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Adenoids	Adenoid removal - series

Adenoid removal

Definition

Adenoid removal is surgery to take out the adenoid glands, which are located between the nasal airway and the back of the throat (nasopharynx). The procedure is also called an adenoidectomy. It is frequently done at the same time as a tonsillectomy.

Alternative Names

Adenoidectomy; Removal of adenoid glands

Description

While the patient is under general anesthesia, the ear-nose-throat (ENT) surgeon inserts a small instrument into the mouth to prop it open. The adenoid tissue can be removed with an instrument such as a curette or a microdebrider. Some surgeons may opt to cauterize the adenoids instead of removing the tissue. Bleeding is controlled with packing and cauterization.

The patient will remain in the recovery room after surgery until he is awake and able to breathe easily, cough, and swallow. Most patients are allowed to go home several hours later.

Why the Procedure is Performed

Adenoidectomy may be recommended when:

• Enlarged adenoids are blocking the airway, which may be suspected if the child:
  • Snores excessively
  • Has trouble breathing through the nose (nasal obstruction)
  • Has episodes of not breathing during sleep (sleep apnea)
• The child has chronic ear infections that:
  • Interfere with child's education
  • Persist despite antibiotic treatment
  • Recur 5 or more times in a year
  • Recur 3 or more times a year during a 2-year period

Adenoidectomy may be recommended if the child has chronic or repeated bouts of tonsillitis.

The adenoids normally shrink as the child reaches adolescence, and adults rarely need adenoidectomy.

Recovery

Complete recovery takes about 1 week. While healing, the child may have a stuffy nose, nasal drainage, and a sore throat. Soft foods and cool drinks may help relieve throat discomfort.

Outlook (Prognosis)

Most children have less trouble breathing through the nose and fewer and milder sore throats and ear infections after adenoidectomy.

In rare cases, adenoid tissue that has been removed may grow back, but this usually does not cause a problem.

Risks

Risks for any anesthesia are:

• Reactions to medications
• Breathing problems

Risks for any surgery are:

• Bleeding
• Infection

Review Date: 10/20/2006
Reviewed By: Alden J. Pearl, M.D., Clinical Assistant Professor, Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, Brooklyn, NY. Review provided by VeriMed Healthcare Network.