We found that in the process of treatment, not only patients, but also some doctors have misconceptions about modern medicine, which often lead to communication barriers. We now list several typical misconceptions to draw attention to: 1. Light examination, heavy treatment: Some doctors do not seriously conduct careful clinical examination and condition analysis, while patients also resent auxiliary examination, refuse to do some necessary tests and request direct treatment, which often results in misdiagnosis and misdiagnosis, delaying the best time for treatment. In fact, the field of otorhinolaryngology-head and neck surgery is known for its deep anatomy and many cavities and orifices, and the occurrence and development of each part of the disease are interrelated. For example, nasopharyngeal cancer often has neck mass and nasal bleeding as early symptoms. If we only focus on neck or nasal cavity examination and ignore nasopharyngeal examination, it is impossible to achieve early detection and early treatment. For example, deafness is broadly divided into two categories: conductive deafness and sensorineural deafness, and their treatment plans are very different. In some cases, nasal obstruction caused by adenoid hypertrophy in children is treated as chronic rhinitis for a long time, leading to developmental disorders in the affected children. Therefore, if we do not have a global view of three-dimensional thinking, and lack the necessary diagnostic basis such as imaging, audiology, endoscopy and other auxiliary examinations, and make a diagnosis based only on experience, it is difficult to detect the real source of the disease in a timely and accurate manner and then develop a correct treatment plan in today’s era of evidence-based medicine. At the same time, treatment activities without sufficient basis also lay the groundwork for medical errors, accidents and the ensuing medical disputes. According to the survey statistics of outpatients, it is conservative to say that at least 1/3 of the patients have been systematically examined but no organic lesion has been detected, although they complain of obvious symptoms such as dizziness, headache, foreign body sensation in the throat, tinnitus, etc. These patients can also be called “subclinical disease” patients. This group of patients can also be called “subclinical disease” patients. They are often associated with poor rest, high psychological stress, sensitivity, suspiciousness, hostile personality and poor working environment. Their treatment should be based on psychotherapy, supplemented by symptomatic treatment. There are also 1/3 of patients whose onset is obviously related to certain bad habits or environment, for example, chronic laryngitis represented by vocal nodules due to long-term voice abuse, etc. It is important to take a proper break from voice and change bad pronunciation habits, and then with appropriate local treatment, most of them can get satisfactory results. In recent years, the incidence of allergic diseases has been increasing year by year. In the field of otorhinolaryngology, head and neck surgery, allergic rhinitis, allergic pharyngitis and airway allergy are the most common ones. In fact, the first treatment for allergic diseases is to stay away from allergens, and if we can do this, we do not need to carry out other treatments to cure ourselves. However, we can often see that we know where the source of the disease is, but we do not accept the correct treatment and counseling, refuse to correct bad habits, refuse to avoid allergens and require drugs or even surgery, which naturally leads to treatment difficulties and excessive medical problems. 3, emphasis on surgical treatment, light long-term follow-up: Some patients during the inpatient surgery to the treatment very seriously, the doctor’s will obeyed, but the post-operative follow-up is not taken seriously, once discharged from the hospital will not return. In fact, this is very unscientific and even dangerous. After all, one-time cure is the ideal pursued by both doctors and patients, but recurrence or complications in the process of disease regression and recovery also exist objectively, the significance of follow-up is to find out the problems as early as possible and solve them in time, to ensure the effect of surgery in an economic and simple way, to avoid delaying the treatment time and causing serious consequences. serious consequences. For example, the treatment of nasal polyps, although it is difficult to ensure that no recurrence, but as long as you adhere to the follow-up, you can remove the recurrent lesions in the outpatient nasal endoscopy review, otherwise, when the recurrence can not be dealt with and then visit the hospital again, it is difficult to escape the big problem of hospitalization surgery, which is naturally better or worse. 4, not in accordance with the principles or methods of medication: abuse or resistance to hormones, antibiotics, decongestants, think that Chinese medicine side effects are small, does not contain hormones. Typical abuses of antibiotics include heavy use of antibiotics during general viral colds, closed trauma such as closed nasal bone fractures, sterile surgery and after very minimally invasive surgery or disposal such as thyroid surgery, laryngeal microsurgery and other non-bacterial infections possible. In contrast, when heavy bacterial infections there are concerns about using sensitive antibiotics, thinking that they have never applied advanced antibiotics before and worrying that if they use good drugs, they will have no drugs to treat when they get sick again in the future, etc. In fact, bacterial resistance is mostly generated in others or outside, into the patient’s body may already be drug-resistant strains, and the patient’s previous experience with drugs is not related to the use of antibiotics should be used sensitive and effective drugs, and should do the whole process, the full amount, according to the pharmacokinetic use, so as to effectively kill the pathogenic bacteria at the same time to prevent the generation of drug-resistant strains. As for the use of hormones, this refers specifically to corticosteroids. Many people are resistant to hormones because their first reaction is to gain weight and other side effects. It is true that long-term and massive abuse of hormones can produce side effects, but for many inflammatory diseases, especially allergic inflammation, hormones are very effective and even necessary for the treatment of inflammatory diseases. For example, since the use of hormone shock therapy for pediatric acute laryngitis, the mortality rate of children and the rate of emergency tracheotomy surgery have been significantly reduced. In fact, only hormones, antipyretics and analgesics are true anti-inflammatory drugs, and it is a classic mistake for people to commonly refer to antibiotics as anti-inflammatory drugs. With the continuous introduction and updating of local hormone formulations, the clinical application of safe and efficient nasal spray hormone and inhalation hormone has become very common at home and abroad, and their side effects have been ten times or even hundreds of times smaller than those of systemic application, which are widely used in the treatment of allergic rhinitis, pharyngitis, airway allergy, acute laryngitis, secretory otitis media and rhinosinusitis, and can be applied for a long time or even for life under the guidance of doctors use. It is worth noting that in order to minimize the side effects of hormones, the dosing method should be adapted to the hormone secretion pattern of the human body by administering the medicine in the morning to morning. Some people think that herbal medicines have fewer side effects and do not contain hormones, but this is not necessarily true because many herbal medicines derive their therapeutic effects from hormones or hormone-like ingredients, and some herbal medicines contain biotoxins and are contraindicated in many combinations. As for the so-called decongestants, they are a class of nasal drops or nasal sprays with vasoconstrictive effect, which are used to reduce nasal congestion and swelling and relieve nasal obstruction. Nasal drops (naphthazoline hydrochloride) and ephedrine were typical representatives. These drugs should only be used in appropriate amounts and at the right time in strict accordance with the instructions for use; prolonged abuse can lead to addiction, rebound and dependence, and cardiovascular system side effects. Drug rhinitis is the evil of uncontrolled long-term use of decongestants, treatment is very tricky. 5, superstition unrealistic advertising terms: due to a variety of social factors, many patients nowadays buy drugs without looking at the efficacy of advertising. Some advertisements with “to the root”, “a cure, never relapse”, “no incision, no surgery, no bleeding” and other attractive banners, and even some medical institutions employ fake experts, fake patients and doctors through various channels. Some medical institutions employ fake experts, fake patients and medical trustees to make illegal advertisements through various channels, exaggerating or abnormal propaganda of certain treatments or drugs, specifically to deceive those patients who lack medical common sense and are eager for success, as well as patients with treatment difficulties or incurable diseases. These patients have illusions when they go to regular hospitals and make some unrealistic demands compared to the advertisements, and once such demands are not met, they cannot accept the truth and waste precious treatment time and money in a futile pursuit. In fact, it is not difficult to understand the anti-scientific falsity of those attractive advertisements if you think about it calmly. The so-called “root”, “once cured, never relapse”, in fact, with the current level of medical science, only a few infectious diseases that produce lifelong immunity after the disease generally do not relapse, while for other diseases can be clinically cured, but under the action of certain causative factors, theoretically Theoretically, it is possible for the disease to recur under the action of certain causative factors, but it can be cured again with regular treatment. Some diseases are delayed in “removing the root cause” precisely because they are not treated properly and delayed. It is a fact that some diseases can only be controlled but not eradicated at the current medical level, and blindly asking for “eradication” of these diseases is only unrealistic wishful thinking. In the case of chronic rhinitis and allergic rhinitis, because of the many causative factors, there are many chances to suffer from them, and it is completely impossible to ask for “root removal” or “one time cure”. Furthermore, in terms of “no incision, no surgery, no bleeding”, whether or not surgical treatment should be performed is entirely dependent on the condition, and it is not uncommon for patients with otitis media to believe that medication can cure the condition and resist the necessary surgical treatment, resulting in delaying the condition, losing the time for surgery or developing the condition, and having to undergo surgery to expand it. A typical case is when a lesion originally confined to the middle ear spreads to the skull and develops into an otogenic brain abscess, necessitating craniotomy, which is a real costly experience. As for “no incision, no bleeding”, it is not the key to treatment. Although the cutting and attraction reamer, laser beam, plasma knife, etc. do not have the form of traditional scalpel, their roles in surgery are similar, and they can be called special scalpels, so there is no need to blindly worship a particular form.