Adenoidectomy
What Is an Adenoidectomy
Adenoidectomy is the surgical removal of the adenoids, a gland located at the back of the nose, behind the soft palate. The adenoids play a role in the immune system by producing antibodies to help fight infections. However, these glands can become problematic if they become enlarged due to frequent infections or inflammation.
While adenoidectomy is most common in children, adults rarely require it as their adenoids typically shrink or disappear over time.
Why Are Adenoids Removed?
Adenoid removal may be necessary if:
- Impaired breathing through the nose due to enlarged adenoids.
- Chronic throat infections or recurrent ear infections (often due to blocked Eustachian tubes).
- Obstructive sleep apnea, which involves interruptions in breathing during sleep.
- Difficulty swallowing or habitual mouth breathing.
Symptoms of Enlarged Adenoids
Enlarged adenoids can block airways and lead to symptoms such as:
- Frequent ear infections.
- Sore throat.
- Difficulty swallowing.
- Difficulty breathing through the nose.
- Habitual mouth breathing.
- Obstructive sleep apnea.
When Is Adenoidectomy Recommended?
Adenoidectomy is typically recommended if:
- Throat infections occur more than 5–6 times a year and don’t respond to antibiotics.
- Repeated ear infections are causing hearing issues and speech problems.
- Chronic issues lead to frequent absences from school or other disruptions in daily life.
The procedure is generally not recommended for children younger than 1 year because the adenoids play a significant role in the immune system at this age.
Our Specialties
Preparing for Adenoidectomy
Pre-surgery preparation may include:
- Blood tests to check for any clotting issues.
- Discontinuation of blood-thinning medications (e.g., ibuprofen, aspirin) a few days before the surgery.
- Fasting: The child should not eat or drink anything after midnight before the surgery.
- Follow all specific instructions from the surgeon regarding medication or other preparations.
How Is Adenoidectomy Performed?
Adenoidectomy is typically done under general anesthesia and is usually an outpatient procedure. The surgery involves:
- Accessing the adenoids through the mouth.
- Removal of the adenoids using either a small incision or a cauterizing technique (sealing the tissue with a heated device).
- Control of bleeding with absorbent material like gauze.
- No stitches are usually required, and the recovery process is generally quick.
After an Adenoidectomy
- Post-operative care:
- Sore throat for up to two to three weeks is normal.
- Drinking plenty of fluids helps alleviate pain and reduce the risk of dehydration.
- Avoid spicy, hot, hard, or crunchy foods during recovery.
- Cold liquids like juice, water, and ice cream are soothing.
- Ice packs on the neck may help reduce swelling.
- Rest and Activity:
- Avoid strenuous activity for up to one week post-surgery.
- Return to school is possible after 3-5 days, depending on the child’s recovery and the surgeon’s approval.
Risks of an Adenoidectomy
While the procedure is generally safe, some risks include:
- Bleeding at the surgical site.
- Infection of the surgery area.
- Risks related to anesthesia, such as allergic reactions or breathing issues.
- Swelling or discomfort post-surgery, which typically resolves with proper care.
Long-Term Outlook
The vast majority of children who undergo an adenoidectomy experience:
- Fewer throat and ear infections.
- Improved breathing through the nose.
- Better sleep quality due to the elimination of sleep apnea or breathing difficulties.
Adenoidectomy is a highly effective procedure for improving respiratory health and preventing chronic infections in children, offering long-lasting benefits and a good recovery prognosis.
For a safe and effective adenoidectomy procedure, consult our expert ENT specialists at Sahaj Hospital, Indore. We provide personalized care and cutting-edge techniques to ensure the best outcomes for your child’s health.