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December 1958

Les Sinusites de l'enfance.

AMA Arch Otolaryngol. 1958;68(6):786. doi:10.1001/archotol.1958.00730020810020

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This monograph presents a detailed and meticulous discussion of the problem of sinusitis in children. It begins with an embryologic and anatomic description of the various sinuses. The etiologic factors are presented, indicating that the usual causes are infection and allergy. The commonest sinuses involved are the maxillary and ethmoid sinuses. Other factors may be heredity, lymphatic and neuroarthritic diatheses, endocrine deficiencies, and metabolic disorders.

The symptomatology of sinusitis in infancy differs from that in adults. Acute sinusitis is evidenced by (1) acute osteomyelitis of the superior maxilla, a rare condition; (2) acute ethmoiditis of either the anterior or the posterior cells; (3) acute maxillary sinusitis. Chronic sinusitis may involve the frontal, maxillary, or ethmoid sinuses.

Complications may be orbital, cranial, or intracranial, thrombophlebitis, meningitis, respiratory involvement, circulatory and digestive disturbances.

Treatment of the acute stages is usually medical—to maintain the ventilation of the nose and permit proper drainage. Various

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