Abstract
This white paper proposes that impaired craniofacial lymphatic drainage is a permissive condition for chronic rhinosinusitis, recurrent otitis media, allergic ENT disease, and related pediatric congestion syndromes. It reframes persistent inflammation as a failure of clearance across the nasal, sinus, nasopharyngeal, and middle-ear drainage axis, while also examining how dental and pediatric ENT interventions may compound existing drainage burden.

