Intranasal glucocorticoids are preferred 
Oral glucocorticoids should only be used in severe or refractory cases
Consider treatment of underlying allergies, antileukotriene agents, and daily saline lavage of the sinuses
Individuals who fail medical therapy should be considered for surgery
Surgery may only offer temporary relief as<unk> s tend to recur after surgery alone
Continued medical therapy should follow surgery 
Surgery may only offer temporary relief as<unk> s tend to recur after surgery alone
Continued medical therapy should follow surgery
Nasal polyp
Choanal atresia
Nasal foreign body
Mucocele
Ear foreign body
Deviated or dislocated nasal septum
Trachoma
Hematoma