Adenoidectomy is the surgical removal of the adenoids. Adenoids are made of tissue located in the back of the nose near the throat. They are thought to be involved in developing immunity against infections in children.
Anatomy of the Adenoids
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Adenoidectomy is usually done to remove enlarged adenoids that are causing a blockage in the nasal passage. It may also be used to treat long-term sinus infections and recurrent ear infections.
Complications are rare, but no procedure is completely free of risk. If you are planning to have an adenoidectomy, your doctor will review a list of possible complications, which may include: InfectionRe-growth of adenoid tissueBleedingA permanent change in voiceReaction to anesthesia
Factors that may increase the risk of complications include: SmokingPrevious adverse reaction to anesthesiaBleeding disorders
Your doctor will likely do the following: Physical exam of the tonsils, throat, and neckBlood test
Review your medicines—You may be asked to stop taking some medicines up to one week before the procedure, such as:
Anti-inflammatory medications, such as ibuprofenBlood thinnersAnti-platelet medication
—to assess the size of the adenoids
Do not eat or drink anything six hours prior to the procedure.
is used. It will block any pain and keep you asleep through the procedure.
The adenoids will be surgically removed through the mouth. A scalpel or another type of tool will be used to remove the adenoid tissue. An electrical current can also be used. Sometimes, the adenoids are removed through the nose. Gauze packs will be placed at the site of the procedure to prevent bleeding.
is a type of procedure that uses heat to destroy tissue. It may be used to reduce the volume and size of the adenoids. This method often has less bleeding. It also seems to cause less pain.
You will be monitored in a recovery room until the anesthesia wears off.
Anesthesia prevents pain during the procedure. Pain after the procedure is not uncommon. Your doctor may prescribe pain medicine.
It may be possible to leave on the same day as the procedure. Your doctor may choose to keep you overnight if there are complications.
Recovery will take 7-14 days. After the procedure, you may have: Light bleedingNasal stuffiness or drainageSore throatBad breathDifficulty swallowingEar or throat painStiff or sore neckNasal speech
To help relieve some discomfort and speed recovery: Eat light meals of soft foods for the first several days.Avoid hot liquids.Take prescribed antibiotics to prevent infection.Take pain medicine as needed.Avoid swimming and rough or intense exercise.Avoid forceful nose blowing.
Follow your doctor’s
After you leave the hospital, contact your doctor if any of the following occurs: A sudden increase in the amount of bleeding from the mouth or nose; If your child is swallowing a lot, check the back of their throat with a flashlight to look for bloodRedness, swelling, increasing pain, or any discharge from the nose or mouthIncreased swelling or redness of the eyesSigns of infection, including fever and chillsPain that cannot be controlled with the medicines you have been givenUncontrolled nausea or vomitingNoisy or difficulty breathing
In case of an emergency, call for medical help right away.
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Shehata EM, Ragab SM, Behiry ABS, Erfan FA, Gamea AM. Telescopic-assisted radiofrequency adenoidectomy: a prospective randomized controlled trial.
6/3/2011 DynaMed's Systematic Literature Surveillance
DynaMed's Systematic Literature Surveillance
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Last reviewed June 2013 by Marcin Chwistek, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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