Sinai disease in children deserves more thoughtful consideration than it has been given. The current literature on the treatment of sinusitis is fairly comprehensive, yet no pediatric textbook has adequately pointed out the importance of this disease to the pediatrician and the general practitioner. In the hope of stimulating interest in the subject, this paper will present an outline of my experiences with sinusitis in children during twenty years. Many of the patients studied were private patients treated in collaboration with Dr. John J. Shea.
Sinusitis is observed in three stages: acute, subacute and chronic. The treatment, therefore, is not empirical but must be administered in accordance with the manifestations in the individual case. The proper selection of treatment is of course possible only through a familiarity with all those factors, anatomic, physiologic, etiologic and pathologic, which have a bearing on the development and course of the disease.