The management of sinus disease in children with cystic fibrosis is re
viewed, based on a literature review and clinical experience in The Ho
spital for Sick Children, Toronto. Diagnostic and treatment approaches
are discussed, with emphasis given to indications for surgical therap
ies. Great importance is given to the preservation of normal nasal ana
tomy whenever possible to minimize the possibility of iatrogenic injur
ies occurring, especially when revision surgery is required.