Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Persistent headache for over a year. Difficult to sleep, full of pimples, even on the neck and back. When I sleep better, everything is relieved a bit. When the headache is severe, mainly the two temples tendons are violent, and I hear a boinging sound, as my son said. My eyesight was 1.5 in the first semester of my second year, but in the second semester of my second year, my eyesight dropped so much that I became 175 nearsighted. The vision is still declining, but it gets better when you sleep better and when the weather is good. I took Cipro for 7 days + 3 days. During the period of taking Cipro, I love to sleep, and when I sleep better, my headache will be relieved. On February 3, MRI diagnosis: 1. no obvious intracranial occupancy. 2. chronic inflammation of bilateral septal sinus and pterygoid sinus. I want to confirm the diagnosis and treatment! Patient: Dr. Lin, my son he is now going to winter camp and will not be back until the 12th. I’m going to see you in the morning of February 18, okay? What should I take in the meantime? Quanzhou First Hospital Department of Otolaryngology Lin Jinchao: Hello! Thank you for your trust in me! Comprehensive medical history and symptoms, MRI results, can be a preliminary diagnosis: chronic rhinosinusitis – sinusitis (double). Treatment are 1. conservative treatment: systemic treatment and local treatment. Specifically, the following: strengthen physical exercise. Antibiotic application for two weeks to exclude allergic etiology. Positive and negative pressure replacement therapy, sinus puncture and irrigation, 2. Surgical treatment (your child is too young to be considered). Medication of choice: Reynocort, nasal spray, once daily. Cefpodoxime capsules: 2 capsules, twice daily. Keratan, 1 tablet, once daily. Genoton, 1 capsule, 1-2 times a day! Etiological considerations are: 1. acute rhinitis resulting in 2. infection of adjacent lesions such as adenoids. 3. anatomical malformations of the nasal cavity 4. allergic 5. swimming 6. pneumatic etiology, etc.