Patient Question:Disease:Adenoid enlargement, secretory otitis media Description:May 18, 2014, 3-year-old 8-month-old baby, reflecting the right ear can not hear, May 21 by the Tongren Hospital otolaryngologist examination for secretory otitis media, and rhinitis caused by taking 2 weeks of medication, sleep at night grunting sound no, June 3 ENT examination for adenoid enlargement, blockage of about 5/6 Beijing Chaoyang Hospital Liu Jinfeng, Department of Otolaryngology, Beijing Chaoyang Hospital Hope to provide help:Given that the baby is 3 years old and 8 months old, would the doctor please see if surgery is urgently needed? Or should I first use conservative medicine for a period of time and then review it to be sure? Is it okay to use Nesuna spray and Oronema oral medication? Is there anything I should be aware of? Department of Otolaryngology, Department of Otolaryngology, Beijing Tongren Hospital Medication: Name of medication: Dilma Nasal Drops, Nasal Abnormalities Granules, Oronema Drops, Nesuna Instructions for use: Dilma Nasal Drops: 2 times/day, used for 2 weeks, now stop; Nasal Abnormalities Granules, 3 times/day, 7.5g each time, taken for 2 weeks, Oronema Drops, 3 times/day, 2ml each time, just taken for 1 day, Nesuna, 1 time/day, 1 drop each time. The first time/day, each time 1 drop, just take 1 day Beijing Chaoyang Hospital, Department of Otolaryngology Liu Jinfeng reply: Hello Tongren Hospital ear, nose and throat in the country is one of the second, we are the Capital Medical University Academy of Otolaryngology. Adenoid hypertrophy causing otitis media is an indication for surgery. In secretory otitis media under the age of 8, adenoidectomy is already a routine treatment. The adenoids begin to hypertrophy at the age of 4, are largest at the age of 7-8, and gradually shrink after the age of 10. The timing of surgery is usually appropriate between the ages of 4 and 10. However, depending on the situation, if the treatment of secretory otitis media is ineffective and leads to severe rhinosinusitis, an appropriate earlier date may be considered. For your child, conservative treatment is recommended for a period of time, and surgical removal is feasible when it is not effective. In case of final ineffectiveness, nebulized inhalation via the nasal cavity (according to the dosage of medication for children) can be tried and may be effective.