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Am J Dis Child. 1922;24(6):520-525. doi:10.1001/archpedi.1922.04120120071004.
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The accessory nasal sinuses in children vary in their relative size and development. Schaeffer's1 measurements in a series of cases show that the antrum is by far the largest cavity at birth and that it retains this relative size in regard to the other nasal sinuses. In my experience it has been the seat of infection much more frequently than have the other nasal sinuses.

Attention has been drawn to infection of the nasal sinuses in children by one or several of the following symptoms: Profuse nasal or postnasal discharge, cough, persistent mouth breathing after tonsil and adenoid removal (Case 1), pale face and lips, running ear, otitis externa, mastoiditis2 poor appetite, recurring bronchitis,3 pneumonia and asthma, (Case 5), pleuritis, headaches, loss of appetite, mental hebitude, chorea and nervousness, arthritis4 chronic pharyngitis, facial acne, conjunctivitis, both phlyctenular and interstitial keratitis5 swelling of the cervical lymph


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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