Sinusitis caused by upper respiratory tract infection in children is very common and can generally be cured with systematic and regular drug treatment.

Acute otitis media in children is mostly caused by upper respiratory tract infection, especially acute rhinitis. .Therefore, the key to treatment should be to treat acute rhinitis.

After the sinusitis improved, otitis media still did not improve (acoustic impedance + tympanic membrane examination). The lateral cranial radiograph confirmed that it was indeed adenoidal hypertrophy, so it can be considered Surgery.

Recommendations:

1) Instilling 0.5%--1% ephedrine into the nose is very important;

2) It is recommended to use nasal corticosteroids, Nasal spray; 3) It is recommended to take oral cephalosporin antibiotics (short-term); and use clarithromycin, 1/2 of the conventional dose, for at least one month;

4) It is recommended to take oral mucus thinners, for at least one month;

5) Review: The absence of ear pain does not mean that the condition is completely relieved. The doctor’s examination (acoustic impedance + tympanic membrane examination) should prevail.

3) It is recommended to take cephalosporins orally. Antibiotics (short-term); and use clarithromycin, 1/2 of the regular dose, for at least one month;

4) Oral mucus thinners are recommended, for at least one month;

5 )Reexamination: The absence of ear pain does not mean that the condition is completely relieved. The doctor’s examination (acoustic impedance + tympanic membrane examination) should prevail.

(Dr. Cai Xiaolan solemnly reminds: Because the patient cannot be seen face-to-face, it is impossible to To fully understand the condition, the above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor)

Cai Xiaolan, Qilu Hospital of Shandong University/