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The case report by Papadopoulos et al.1 is a description of complicated frontal sinusitis. This occurs when the infection extends beyond the confines of the bony walls of the sinus involved, and is always the result of an obstructed sinus. It is incorrect to believe that ‘prompt drainage of the [resultant] haematoma and a course of antibiotics should lead to complete recovery’, unless a drainage pathway to the nose is established, in this case through the frontal recess and anterior ethmoid sinus. Currently a transnasal endoscopic approach is used for this, but an external frontoethmoid approach is also safe. Without such a drainage pathway, further complications are very likely to arise from sinusitis sometime in the patient's lifetime.