Children presenting with unilateral opacification of one or more of the paranasal sinuses must be considered at risk for serious disease. If an expansile lesion is noted, the most likely diagnosis is that of mucocele. Six children are presented with such findings and the diagnosis and treatment discussed. In five polyps were noted, indicating a probable allergic origin. Radiographic evaluation of the lesion is stressed with emphasis on the value of tomograms.

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