Rhinosinusitis in children

During a common cold a child has secretions in the nasal meatuses and in the maxillary sinuses, in which case the term rhinosinusitis is used.Rhinosinusitis often resolves without treatment.Acute maxillary sinusitis can be suspected if a child still has purulent rhinitis, headache and a cough 10–14 days after a viral respiratory infection, especially if the symptoms worsen after an initial phase of recovery .The diagnosis of maxillary sinusitis is clinical.The drug of choice is amoxicillin. Saline nasal drops can be safely used. Sinusitis leads to complications more often in children than in adults. Swelling of the eyelids or cheek is a warning sign.