Main etiology: mostly due to acute sinusitis (symptoms within 12 weeks) not timely or effective treatment, or repeated episodes due to adenoid hypertrophy or infection: nasal obstruction leading to abnormal function of the nasal sinus mucosa (see the topic of adenoid hypertrophy for more information) Allergic factors: 65% of children with sinusitis are associated with allergic reactions. Main manifestations: 1, nasal congestion and purulent nasal discharge; 2, face or headache: younger children usually can not be accurately described, often manifested as irritability, irritability or crying; 3, chronic cough; 4, behavioral changes: depression, poor memory, inactivity, etc.; 5, hearing loss: mostly adenoid hypertrophy, pharyngeal edema caused by secretory otitis media; 6, the examination method: similar to the adult, usually performed Sinus CT or nasal endoscopy. Treatment: Children with chronic sinusitis can have a tendency to heal spontaneously after puberty, so it can generally be controlled by medication, routinely using a combination of antibiotics, local glucocorticoids, mucus promoters, and nasal rinsing (for children who can cooperate) for more than 3 months. At this point, a systematic evaluation is needed, including: symptom scores, CT scan of the paranasal sinuses, etc., and if the results suggest that the treatment is not effective, then endoscopic surgery can be considered. To summarize, “drugs” and “surgery” are the same as “chronic sinusitis” treatment means, complement each other, only a reasonable choice of surgery, with a combination of drug treatment to achieve the best The best therapeutic effect can only be achieved by rational choice of surgery and comprehensive medication. Fear of surgery, resistance to surgery Some people think: surgery is invasive, as long as the surgery will inevitably cause some harm to the body, hear the word “surgery” will instinctively produce resistance. Everything has its two sides, there are also disadvantages, drug therapy only to reach the lesion site to play a role in the effect, for severe “chronic sinusitis” long-term drug treatment is ineffective patients, nasal mucosa is highly edematous, or accompanied by nasal polyps in the nasal cavity obstruction of the state, only a reasonable choice of surgical treatment in order to timely removal of the nasal cavity lesions, to provide a drug delivery pathway for drug therapy, to achieve the goal of “chronic sinusitis”, and to provide the best possible treatment for the patient. Surgery is the only reasonable choice to remove nasal lesions in a timely manner, provide a route for medication to be administered, achieve the best therapeutic effect, and substantially improve the quality of life. Excessive reliance on surgery Contrary to the “fear of surgery”, some patients are anxious to have surgery because they have been suffering from chronic sinusitis for a long time and have not been treated with comprehensive medication, believing that surgery can solve all the problems and improve the quality of life. Some patients are eager to have surgery because they have been suffering from chronic sinusitis for a long time and have not been treated with comprehensive medication, thinking that “surgery” can solve all the problems and improve the symptoms quickly. First of all, we must get out of the “surgery is better than drugs to get rid of the root” of the misunderstanding, not all patients with chronic sinusitis must be surgical treatment, and even in a sense, a considerable part of the chronic sinusitis patients can be through the systematic treatment of drugs to achieve the purpose of improving the symptoms. Especially for patients with chronic sinusitis without nasal polyps, surgery without medication may be an overkill, and may even lead to empty nose, strong nasal irritation, and other uncomfortable symptoms. Therefore, the choice of surgical treatment should be timely as well as cautious. Only the correct choice of treatment plan, surgical removal of lesions, with comprehensive drug treatment can maximize the therapeutic effect, and better maintain your health and high quality of life.