[Sinusitis]

Most frequently sinusitis in children is ethmoidal and maxillary in location by developmental reasons. Local symptoms include nasal obstruction and discharge, local pain and headache. Diagnosis is based on due consideration to signs and symptoms, microscopy, transillumination and x Ray examination. Treatment must be conservative, based on bed rest, analgesics, antibacterials, juditions use of local vasoconstrictor drugs and heat. Chronic forms may need surgical management. Frontoethmoidal mucocele and frontal osteomyelitis are frequent subjects of pitfalls and acute maxillary osteomyelitis is an important complication.