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Chronic Sinusitis The Disease of All Ages

Am J Dis Child. 1989;143(8):886-888. doi:10.1001/archpedi.1989.02150200030013.
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Sinusitis is one of the most frequently overlooked and poorly understood diseases of childhood. There is a lack of information regarding criteria for diagnosis and the most effective method of management of sinusiSee also p 938. tis in children. Controversy exists regarding whether a sinus cavity is infected, how to diagnose sinusitis, and what the best treatment choice and duration is. The article by Tinkelman and Silk1 in this issue of AJDC has prompted this editorial to bring the pediatrician up to date regarding these issues. I will limit my remarks to chronic sinusitis, that is, compatible symptoms that have been present for at least 3 weeks. (Some experts in the field would shorten this time to 10 days.2,3)

The nasal sinuses are four paired structures: the maxillary, ethmoidal, sphenoidal, and frontal sinuses that develop as evaginations of the mucous membranes of the nasal meatuses. The origin of


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