In the clinic, we often encounter such a scene: sad parents come to the clinic with a frowning high school student, whose main complaint is headache, and the more the child works hard before the exam, the worse the headache becomes. Of course, most doctors are very sympathetic when they meet such a small patient, and they are very careful in their examination and questioning, such as: where the headache is, when it is, the degree of pain, whether it is on one side or both, whether the nose is running, whether they have seen a neurologist, how effective the treatment is, and so on. If the patient complains of headache on one side, and has a cold, and it is obviously aggravated when studying, and in severe cases, it causes a significant drop in academic performance or even suspension, then the patient should be carefully examined after astringent nasal cavity with ephedrine, and it is better to do nasal endoscopy or take nasal CT film to see if there are obvious problems such as deviation of nasal septum and pneumatization of middle turbinate, if there are above problems, it is easy to cause bony contact between nasal septum and middle turbinate or inferior turbinate. This can cause a more pronounced headache on one side (migraine), which can affect the child’s academic performance and daily life. Most of these small patients have seen neurology and the treatment is not effective, so they should actively consider correcting the deviated nasal septum (with simultaneous surgery for pneumatization of the middle turbinate), and most of them can achieve immediate results. Some doctors and parents are still more concerned about the age of the child, and believe that the child must be 16 or even 18 years of age or older before surgical treatment. This is actually a misconception, and the only reason for this concern is the fear of affecting the development of the child’s nose. In fact, for the correction of deviated septum in children, the scope of surgery should be as small as possible, and the cartilage and bone of the septum should be preserved as much as possible to ensure the normal development of the nose, which is generally not difficult to do. If the deviation is too heavy and more bone or cartilage needs to be removed to solve the problem, it is also necessary to make a choice between the two, if the child’s headache can not go to school, that means the future is ruined, you say which is more important? The real encounter with this situation is still very few and far between. Then again, many parents of children repeatedly ask: Doctor, can you guarantee that after the surgery the child’s headache will be good? If the so-called migraine and vascular headache of neurology are ruled out, or if the medication has no effect, then it is better to actively solve the only problem found. Therefore, children who encounter similar headaches should think about the possibility of nasal septal deviation, seek timely medical consultation, and have surgery promptly if the problem is found, so as not to delay the child’s studies and future.