Adenoid facies at age 13 is usually correctable, but it is more often than not difficult to return to normal levels. This face is mainly caused by adenoid hypertrophy resulting in abnormal bone development, and should be seen for treatment of adenoid hypertrophy and correction of the deformity according to its etiology. Enlarged adenoids may be associated with rhinitis, sinusitis, pharyngitis, tonsillitis and other diseases. Adenoids, also known as pharyngeal tonsils, are enlarged and hypertrophied, and those that cause corresponding symptoms are called adenoid hypertrophy. Adenoid hypertrophy is characterized by respiratory symptoms. Long-term open-mouth breathing can affect the development of facial bones, appearing maxillary bone lengthening, palatal bone high arch, dental alignment, upper incisors protruding, lip thick, lack of expression, appear the so-called “adenoid face”. For children with enlarged adenoids, appropriate treatment should be carried out first, including medication and surgery. Commonly used medications include nasal spray hormone drugs such as mometasone furoate; leukotriene antagonists such as cetirizine; and antibiotics such as penicillin, which can treat the primary disease. The disease can be cured by adenoidectomy. Some adenoid facies may also be caused by abnormal bone development, in which case orthodontic treatment of the jaw and face is needed to correct the abnormal bone development according to the specific condition. A series of treatments can gradually relieve adenoid facies and improve its symptoms. Adenoid facies should be detected and treated as early as possible, and if similar symptoms occur, it is necessary to consult a doctor in time for regular treatment. All medications should be used under the supervision of a doctor.