Up to a million children are trapped in areas under siege in Syria, more than twice as many as 12 months ago, according to a Unicef report.
A boy holding empty bullet casings The charity is highlighting the huge damage caused to the more than five million children now affected by the conflict and calls for an immediate end to the violence and increased support for.
The report - called Under Siege, the devastating impact on children of three years of conflict in Syria - tells the story of children whose lives have been devastated by the three-year-old war.
One of these children is four-year old Adnan, who suffered facial scarring when his home was bombed and fled with his family to Lebanon - he still suffers from emotional distress.
"He cries all night," his mother is quoted as saying. "He is scared of everything and is afraid when we leave him, even for a second."
Unicef estimates there are two million children like Adnan in need of psychological support or treatment.
Khadija, aged 10, is attending catch-up classes in Lebanon "For Syria's children, the past three years have been the longest of their lives. Must they endure another year of suffering?" said Unicef executive director Anthony Lake.
The report warns that the future of those children inside Syria and living as refugees in neighbouring countries hangs in the balance as violence, the collapse of health and education services, severe psychological distress and the worsening economic impact on families take their toll.
Hana, whose sister died, says she feels lucky to go to school The charity is calling on the global community to find a way to end the violence so that immediate access can be gained to the trapped children and they can be given help to overcome the trauma they have suffered and help them to rebuild their lives.
"This war has to end so that children can return to their homes to rebuild their lives in safety with their family and friends. This third devastating year for Syrian children must be the last," said Mr Lake.
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