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Sivi Bakthavachalam, MD; John McClay, MD
University of Texas Southwestern Medical Center at Dallas, Children's Medical Center, Dallas

Arch Otolaryngol Head Neck Surg. 2007;133(1):90.

	Since this article does not have an abstract, we have provided the first 117 words of the full text and any section headings.

A healthy, normal-appearing 4-month-old white boy presented with a 2-month history of significant nasal congestion that interfered with feeding and caused obstructive breathing during sleep. A computed tomographic (CT) scan of his paranasal sinuses revealed bilateral maxillary opacification and medial bulging of the lateral nasal walls (Figure 1). An ophthalmologic evaluation ruled out any abnormalities of the nasal lacrimal duct apparatus. Administration of topical nasal saline, steroid sprays, a proton pump inhibitor, and antibiotics did not improve the patient's symptoms. He was subsequently taken to the operating room for bilateral maxillary antrostomies (Figure 2 and Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITORS: R. NICK BRYAN, MD; PATRICIA A. HUDGINS, MD

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Arch Otolaryngol Head Neck Surg. 2007;133(1):92.
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