Allergic rhinitis is indeed a difficult disease to cure. This is because it is an allergic disease caused by a disorder of the immune system. In other words, it is a systemic disease, not just a problem of the nose. Therefore, theoretically speaking, local surgery is not possible to guarantee the solution. Current treatment: 1. Drug treatment generally with oral drugs: loratadine (keratan), cetirizine, imipramine (Petristine), montelukast sodium (Shunerin) and other drugs; nasal spray: beclomethasone (Burkner), budesonide (Renolcort), mometasone furoate (Nesuna), fluticasone (Coquelia), azelastine (Minch) and so on. There are many medications to choose from. There are always patients who ask us which drug works well, and there are always many people who complain that so-and-so drug is not effective. From experience, all of these drugs have therapeutic effects, but their effectiveness varies from person to person (the medical term is “individual differences”), so which one is best for you? You will have to answer this question after you have used them yourself. From a statistical point of view, the effects of these drugs are similar. The principle of medication: oral and nasal spray can be used when the symptoms are severe, and nasal spray alone can be used when the symptoms are satisfactorily controlled. Should pay attention to the continuity of medication, do not fish for three days, otherwise what drug effect will not be too good. No symptoms should also continue to use for a period of time. There is also a drug therapy: long-acting hormone intramuscular injection. Commonly used are Coninextrone (tretinoin), Depo Pine (betamethasone), recently many people want to come to play this injection, some are previously played feel very good, but also to listen to the introduction of others. This is a glucocorticoid, after the injection is really effective, but can not play this long-term, now is not the first choice of drugs. 2, immunotherapy, also known as desensitization therapy. Commonly known as “vaccination”. Is a low concentration of allergen preparations, regular and continuous injection into the body, and finally your body’s antibodies are consumed (antibody closure). This therapy is theoretically very effective, but in practice it is difficult to accept for various reasons (e.g. the course of treatment is too long, frequent injections are inconvenient, patients cannot tolerate injections, etc.). In this regard, the Department of Allergic Reaction of the Union Hospital has been working on this earlier, so you can go for consultation if you are interested. 3.Surgical treatment: Surgical treatment completely for allergic rhinitis is not the first clinical choice. There are several surgical methods as follows: 1. Partial excision (or ablation) of the mucosa of the inferior turbinate, middle turbinate and nasal mound. The main idea of this one is to destroy part of the peripheral nerves and reduce sensitivity. Nowadays, laser, microwave, plasma and other methods are generally used. 2. Destructive surgery such as sieve anterior nerve cautery and pterygoid canal neurectomy. This surgery can destroy the parasympathetic nerve and reduce the various symptoms caused by allergic reactions. At present, it is also done with plasma. This kind of destructive surgery is now increasingly not advocated by doctors because it can cause a lot of side effects and the efficacy is not guaranteed to be 100% effective. There is also a group of surgical methods that are not specific to the treatment of allergic rhinitis. For example, patients with deviated nasal septum and sinusitis with nasal polyps have found that their allergic symptoms have also been reduced or even disappeared after the corresponding surgery. The disorder of nasal anatomy itself is an important cause of various nasal diseases, and some problems can be solved after surgery to restore the normal structure. In my personal opinion, if simple allergic rhinitis is not accompanied by nasal polyps, sinusitis, deviated nasal septum and inferior turbinate hypertrophy (bony hypertrophy), medication (medication, nasal spray) is preferred. Medication is safe, convenient, economical, and repeatable and reversible. It is generally effective in 80% of patients. In addition to the fact that a small number of people are really insensitive to drugs, most of them do not actively seek drugs that really work for them or do not adhere well to them. On the contrary, if you have nasal polyps, sinusitis, deviated nasal septum, and inferior turbinate hypertrophy (bony hypertrophy), you should consider comprehensive treatment (surgery + medication), which can sometimes have unexpectedly good results.