Sinusitis - Rhinosinusitis (Paediatrics)

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It is an inflammation of the mucous membrane that lines the inside of the paranasal sinuses.

The most common cause in children is a viral infection, coinciding with a cold.

It manifests with nasal discharge and coughing, a blocked nose with continuous dense greenish mucous being expelled, pain in the nose area and/or headache in the frontal region.

Diagnosis is reached through the clinical history and a physical examination.

If the cause is a viral infection, no specific treatment is required; if it is a bacterial infection the treatment of choice is antibiotic.

Bibliographic references
  1. Ellen R Wald. Acute bacterial rhinosinusitis in children: Clinical features and diagnosis. UpToDate. Abril 2016
  2. Wald ER. Effectiveness of amoxicillin/clavulanate potassium in the treatment of acute bacterial sinusitis in children. Pediatrics 2009; 124:9.
  3. Cherry JD. Rhinosinusitis. In: Feigin and Cherry’s Textbook of Pediatric Infectious Diseases, 7th ed, Cherry JD, Harrison GJ, Kaplan SL, et al (Eds), Elsevier Saunders, Philadelphia 2014. p.193.
  4. Wolf G. Development of the paranasal sinuses in children: implications for paranasal sinus surgery. Ann Otol Rhinol Laryngol 1993; 102:705.
  5. Wald ER. Rhinitis and acute and chronic sinusitis. In: Pediatric Otolaryngology, 2nd ed, Bluestone CD, Stool SE, Sheetz MD (Eds), Saunders, Philadelphia 1990. p.729.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    The sinuses are very sensitive to the touch


    Sinus pain


    Green mucus in the nose


    Headache in the forehead area


    Nose blocked with mucus

Symptoms to watch out for

Fever that doesn't subside with antipyretics (paracetamol, ibuprofen)
Sudden and severe pain in the face/head
Double vision
Difficulty thinking clearly
Neck stiffness
Swelling or reddening around one or both eyes.

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
If nasal congestion and a runny nose is present, use nasal inhalers containing antihistamines and/or decongestants.
Do not take antibiotics without medical advice.
Inhale steam to keep the throat moist twice a day.