these sinuses cannot be appreciated on examination and cause no symptoms. Inflammatory states, in particular those caused by allergy or infection, produce symptoms and findings that may be detected during examination. Symptoms associated with sinusitis include: nasal congestion, nasal discharge, facial pain, fever, and pain on palpation of the maxillary teeth. The frontal and maxillary sinuses are the two that can be indirectly examined. Examination for sinusitis should include the following: