Whereas most clinicians would easily accept that a chronic sinus condition exists when a single process persists for more than several months, there is little evidence to suggest that this occurs in young children at a rate beyond rarely. By contrast, the pediatric sinus is frequently, and sometimes continually, assailed by the multitude of respiratory pathogens typical of the day-care flora. It appears that a number of clinicians have extrapolated certain diagnostic and therapeutic approaches from otitis media to the assessment and management of pediatric sinusitis. At first glance, the rationale appears sound—the same organisms, similar respiratory epithelium, closed-space infections, and the like. The two major inconsistencies relate to the
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