There is a difference between adenoid hyperplasia and adenoid hypertrophy. Adenoid hyperplasia belongs to the normal physiological response, adenoid hypertrophy belongs to pathological changes, mainly in the nature of different, different symptoms, different treatment methods. 1. Different nature: adenoid hyperplasia is more common in children, generally associated with viral and bacterial infections and other pathogens can also be a manifestation of hyperimmunity. And adenoid hypertrophy generally refers to the adenoid lymphoid tissue is stimulated by the pathological hypertrophy, often on the local structure of the pathological impact, and close relationship with the surrounding tissues. 2. Symptoms are different: adenoid hyperplasia can have clinical symptoms, such as nasal congestion, runny nose, open-mouth breathing, etc., or can cause recurrent otitis media, sinusitis and other complications, that is, adenoid hypertrophy. When there is no such symptom, it is physiological adenoid hyperplasia, not adenoid hypertrophy. 3. Different treatments: For adenoid hyperplasia, it usually disappears gradually with age and usually requires no special treatment intervention. For patients with adenoid hypertrophy, they can be treated by treating the primary disease, taking montelukast sodium chewable tablets or using mometasone furoate nasal spray, etc.; those who are not well treated with conservative treatment can have their pathologically enlarged adenoids surgically removed. When adenoid hyperplasia and adenoid hypertrophy occurs, it is recommended to consult a doctor in time for a clear diagnosis by a specialist.