Patient: description of the disease (onset time, main symptoms, hospital, etc.): boys, 10 years old, film adenoid hypertrophy, a little blocking the airway about 2CM, childhood colds and fevers tonsil inflammation, treatment is not complete, resulting in tonsil enlargement, can not get down, and now the performance is: nighttime congestion in the nose before going to bed, sleep in the love to turn over, wake up in the morning a dry cough. Last Friday to Tangshan Workers Hospital: rhinitis; film adenoid hypertrophy, a little blocking the airway about 2CM, with drugs “fusidic acid dry suspension” two boxes, budesonide nasal spray. Four days later, the nasal congestion at bedtime was reduced, and the dry cough was reduced. But it’s still there. Do I need surgery? What kind of surgery? Low temperature plasma method? ExpertResponse： Adenoid hypertrophy occurs in children aged 6-7 years old. After puberty, the adenoids gradually shrink and disappear in adults. The most important clinical manifestation of adenoid hypertrophy in children is snoring, children often turn over in their sleep, like to sleep on their stomachs, and in serious cases, there is “adenoid face”, i.e., the maxillary bone becomes long, zygomatic bone is high arching, the teeth are not aligned, the upper incisors protrudes, the lips are thick, and the lack of expression. And easy to suffer from “hyperactivity disorder”. Therefore, 10-year-old children adenoids have not begun to degenerate, it is recommended to carry out regular drug treatment before considering surgery, one month after the treatment is not ideal can ask the doctor to change the treatment program or a different hospital to seek medical attention, the effect of regular treatment for three months is not obvious and then surgical removal. The fact that your child’s symptoms have been reduced after 4 days of treatment indicates that the current treatment program is effective for him and he should continue the medication.