The following clinical analysis of adenoid hypertrophy in children: 1. Children with adenoid hypertrophy are mild to moderate hypertrophy, with intermittent nasal congestion, mild snoring, with symptoms of open-mouth breathing, can be treated by nasal spray with mometasone furoate under the guidance of a clinician to reduce inflammatory reactions on the surface of the nasal cavity and adenoids. 2. If patients often have nasal discharge or secretions flowing backwards into the throat, they can also 3. Some patients who are suspected of having allergic reactions involved, often have sneezing, itchy nose and changes such as pale and edematous adenoids surface during clinical examination, can also take oral montelukast sodium tablets for short-term anti-allergic treatment. Some patients with recent fever and obvious congestion and swelling of the adenoid surface, accompanied by headache and large amount of purulent discharge from the nasopharynx, can also receive short-term oral antibiotics for symptomatic treatment and management. Clinical examination reveals adenoid hypertrophy, the patient’s nasal congestion is very serious, showing persistent snoring, open-mouth breathing, breath-holding and wakefulness symptoms are very obvious, the effect of drug treatment in this case is not ideal. If the patient is qualified, we can consider doing general anesthesia nasal endoscopic plasma adenoid ablation surgery, which can achieve better results and is useless with medication.