Patient: Description of condition (onset, main symptoms, hospital visited, etc.): The child had a cold a month ago and had symptoms of a blocked nose. However, he was not completely well. He snores at night. In the early hours of this morning (March 9, 2012), the child’s snoring increased significantly and his breathing was not good, and after CT examination, he had the following impressions: 1. 2. Significant thickening of the posterior pharyngeal wall considered: adenoid hypertrophy, please combine with clinical. 3, disappearance of the right mastoid airspace consider: otitis media. Do you want to confirm whether the current situation requires adenoidal hypertrophy removal surgery? A: Snoring combined with right-sided otitis media, adenoidectomy can be performed. Patient: In the current situation, can we first carry out conservative treatment, that is, first use a combination of medications? Patient: Since I couldn’t take one photo, I divided one film into three parts. Sorry Patient: Hello doctor, the child has a fever, is it caused by inflammation? Will the inflammation aggravate the otitis media if it is delayed for a long time? Urgent! A: Acute inflammation is not suitable for immediate surgery. The right otitis media can be observed for 1-6 months. If the otitis media cannot be relieved, adenoidectomy + right tympanic tube placement can be considered.