omplications of acute sinusitis in children are not uncommon and some are managed surgically. The authors of this paper reviewed their experience of subsequent chronic rhinosinusitis (CRS). Nine of 86 patients required surgery in the 12 months after their initial presentation for symptoms and signs of CRS. There was no difference between the initially surgically or medically managed groups but they were young (mean and median age <5 years). The authors, not unreasonably, suggest reviewing patients up to 12 months following an orbital or intracranial complication of sinusitis as a significant percentage (10% here) may require further intervention.