Adenoid hypertrophy and rhinitis certainly have their differences. The adenoid is a lymphoepithelial tissue located in the nasopharynx, and its enlargement can block the posterior nasal aperture, leading to nasal congestion. Rhinitis refers to the inflammation of the nasal mucosa, where the mucosa becomes congested and swollen, leading to narrowing and obstruction of the nasal cavity. There are fundamental differences between them. The clinical treatment for rhinitis primarily involves medication, while the treatment for adenoid hypertrophy mainly involves surgical removal. In the early stages of adenoid hypertrophy, some medications can be used, but the effectiveness of medical treatment is often relatively poor and rarely controls the progression of the condition, so surgery is primarily used. Clinically, it is often seen that rhinitis and adenoid hypertrophy coexist, which requires doctors to differentiate and determine whether the nasal congestion is caused by adenoid hypertrophy or rhinitis.