Abstract: Objective:To explore the causes of misdiagnosis of sinusitis in children, in order to improve the ability of diagnosis and differential diagnosis and to reduce the errors.
Methods:Totally 92 cases of children with sinusitis were misdiagnosed as other diseases, who were from the Department of Pediatrics, the Red Cross Hospital of Wuhan, and the Department of Otolaryngology, Hankou Hospital of Wuhan, between January 2013 to October 2015.The cases data were analyzed.
Results:Totally 72 cases(78.3%) were confirmed as sinusitis by endoscopy or electronic nasopharyngoscope examination among which 12 cases were complicated with adenoid hypertrophy,7 cases with allergic rhinitis and 9 cases with secretory otitis media and 2 cases with tonsil hypertrophy. The remained 20 cases(21.7%) were diagnosed as sinusitis by sinus CT examination.
Conclusion：Sinusitis in children is often misdiagnosed, because of children's lack of cooperation, which Results: in a lack of comprehensive and systemic examination, and the lack of the comprehensive analysis of the condition, and the reasons of the failed treatment were not investigated, either. Clinicians should make a detailed inquiry of the medical history, carefully check the body, improve the nasal endoscopic or CT examination and expand the diagnostic thinking, so as to avoid misdiagnosis and wrong treatment.

Key words: Sinusitis, Misdiagnosis, Children