The main symptoms of pediatric adenoid hypertrophy : chronic nasal congestion, runny nose, snoring (snoring), open-mouth breathing, occlusive rhinorrhea, recurrent otitis media, secretory otitis media, pharyngeal discomfort, coughing, recurrent bronchitis and so on. Whether a child needs surgery for snoring is a major concern for parents, and I generally decide this based on the child’s symptoms, the duration of the disease, the results of nasopharyngeal CT or nasal endoscopy, and whether there are any other complications. Nasal endoscopy or nasopharyngeal CT can usually determine the size of the adenoids and the presence of sinusitis. If the child sleeps very poorly at night, has breath-holding, and has been for a long time (medication has no effect), or has repeatedly appeared this way, nasal endoscopy or film suggests that adenoid hypertrophy is very obvious, it is recommended to operate as soon as possible; however, if the child only because of the recent cold after the emergence of such a situation, which has not happened before, or only snoring, without obvious breath-holding, it is recommended to observe, do not recommend immediate surgery (generally) However, if the child only snores because of the recent cold, which has not happened before, or only has the sound of snoring without obvious breath-holding, it is recommended to observe first, and surgery is not recommended immediately (usually the child can be relieved in 20 days or so). Surgery is also recommended. If your child has frequent episodes of otitis media, which are not well treated with medication, and is accompanied by hearing loss, surgery is also recommended, even though adenoid hypertrophy is not very serious. To make a brief summary: the indications for surgery to remove adenoids, if your child meets any of the following points of conservative treatment has not been effective, you can consider surgery. 1, obstructive symptoms (1) adenoid hyperplasia caused by chronic nasal congestion and habitual open-mouth breathing (2) sleep disorders (must be diagnosed through sleep apnea monitoring, our hospital is currently the only one in Tangshan can do for children) (3) adenoid hypertrophy caused by abnormal development of the maxillofacial or dental development, growth and development abnormalities 2, infectious factors (1) repeated episodes of adenoiditis (2) adenoid hypertrophy induced by recurrent attacks Otitis media (3) Repeatedly induced sinusitis or bronchitis