AdenoidectomyEn Español (Spanish Version)
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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Reasons for Procedure
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:
- Adenoid tissue can sometimes re-grow
- A permanent change in voice
- Reaction to anesthesia
Factors that may increase the risk of complications include:
What to Expect
Prior to Procedure
Your doctor will likely do the following:
- Physical exam of the tonsils, throat, and neck
- Blood test
Review your medicines—You may be asked to stop taking some medicines up to one week before the procedure, like:
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- Order x-rays —to assess the size of the adenoids
Do not eat or drink anything six hours prior to the procedure.
General anesthesia is used. It will block any pain and keep you asleep through the procedure.
Description of 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.
Radiofrequency ablation is a type of procedure that uses heat to destroy tissue. It may be used to reduce the volume and size of adenoids. This method often has less bleeding. It also seems to cause less pain.
Immediately After Procedure
You will be monitored in a recovery room until the anesthesia wears off.
How Long Will It Take?
Less than 45 minutes
How Much Will It Hurt?
Anesthesia prevents pain during the procedure. Pain after the procedure is not uncommon. Your doctor may prescribe pain medicine.
Average Hospital Stay
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 bleeding
- Nasal stuffiness or drainage
- Sore throat
- Bad breath
- Difficulty swallowing
- Ear or throat pain
- Stiff or sore neck
- Nasal 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 vigorous exercise.
- Avoid forceful nose blowing.
- Be sure to follow your doctor’s instructions .
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
- A sudden increase in the amount 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 blood.)
- Redness, swelling, increasing pain, or any discharge from the nose or mouth
- Increased swelling or redness of eyes
- Signs of infection, including fever and chills
- Pain that cannot be controlled with the medicines you have been given
- Uncontrolled nausea or vomiting
- Noisy or difficult breathing
In case of an emergency, CALL 911 .
American Academy of Otolaryngology
American Society of Pediatric Otolaryngology
Canadian Society of Otolaryngology
Adenoidectomy Patient Information. Duke University Health System. Duke Health.org website. Available at: http://www.dukehealth.org/services/otolaryngology/care_guides/adenoidectomy_patient_information . Updated October 2010. Accessed November 18, 2010.
Gigante J. Tonsillectomy and adenoidectomy. Pediatr Rev . 2005;26(6):199-203.
Paradise JL, Bernard BS, Colborn DK, Janosky JE. Assessment of adenoidal obstruction in children: clinical signs versus roentgenographic findings. Pediatrics . 1998;101(6):979-986.
Shehata EM, Ragab SM, Behiry ABS, Erfan FA, Gamea AM. Telescopic-assisted radiofrequency adenoidectomy: a prospective randomized controlled trial. Laryngoscope . 2005;115(1):162-166.
Tonsillectomy & Adenoidectomy Post-Op Instructions. Tufts Medical Center website. Available at: http://www.tuftsmedicalcenter.org/OurServices/ENTOtolaryngology/Tonsillectomy_and_Adenoidectomy_PostOp_Instructions . Accessed November 18, 2010.
Tonsils and adenoids. American Academy of Otolaryngology website. Available at: http://www.entnet.org/healthinfo/throat/tonsils.cfm . Accessed September 2, 2005.
6/3/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed December 2010 by Elie Edmond Rebeiz, MD, FACS
Last updated Updated: 6/3/2011
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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