As would be naturally inferred from the title, this article deals almost exclusively with the acute scarlatinal sinus suppuration of childhood. If the rhinologist of to-day is to do his whole duty he must be alive to the fact that the exanthematous diseases of childhood, and particularly scarlet fever, often present certain complications in the line of acute sinus infections that are quite as important, as concerns the immediate and future welfare of the child, as the well-understood acute ear infections.
Grünwald1 contributes the valuable experience of a careful observer in tracing cases of chronic suppuration back to the primary cause. He includes pneumonia, typhoid fever, diphtheria, and particularly scarlet fever, as causes of the initial infections. Most of the authorities in pediatrics mention sinus suppuration (maxillary chiefly) as a complication of scarlet fever, but none of them emphasizes its importance in a manner sufficient to stimulate a proper