Adenoidectomy

Overview

Adenoidectomy is a surgical procedure to remove the adenoids, which are located just beyond the back of the nasal cavity where the nose connects to the throat. This common procedure is performed to treat nasal obstruction, chronic ear infections, recurrent sinusitis, sleep-disordered breathing, and other conditions affecting the upper airway. While often performed alongside other procedures such as tonsillectomy, adenoidectomy alone can significantly improve breathing, reduce infections, and enhance quality of life, particularly for children.

What is an Adenoidectomy?

Adenoidectomy is a surgical procedure to remove the adenoids and is performed under general anesthesia.  The adenoids are often reached by going through the mouth.  In this case, a small dental mirror is used to visualize the adenoids where they are located above the tonsils.   The adenoids can also be visualized using a small scope that enters the nostrils and reaches the back of the nose.   Removal can be accomplished with various techniques, including use of a small specialized curette, suction cautery, radiofrequency ablation, and powered instrumentation (using a shaver or microbrider). The choice of technique depends on the patient's specific condition and the surgeon's expertise.

Who is a Candidate for Nasal Lesion Biopsy or Removal?

Adenoidectomy is recommended for individuals who experience:

• Recurrent middle ear infections (otitis media)
• Enlarged adenoids (adenoid hypertrophy)
• Chronic nasal obstruction and mouth breathing
• Sleep-disordered breathing, snoring or sleep apnea
• Recurrent sinusitis related to adenoid enlargement

Adenoidectomy is most commonly performed on young children; however, it can also be a helpful procedure for adolescents and even adults.

Benefits

 Adenoidectomy offers several benefits, including:

Reduced Ear Infections: Significantly decreases the frequency of middle ear infections

Improved Nasal Breathing: Increases airflow through the nasal passages

Better Sleep Quality: Can improve sleep-disordered breathing and reduce snoring

Fewer Sinus Infections: May reduce the frequency of sinusitis

Long-term Relief: Provides a durable solution to problems caused by enlarged adenoids

Procedure Details

How is Adenoidectomy Performed?

Adenoidectomy is performed under general anesthesia. The steps of the procedure include:

• Anesthesia Administration: The patient receives general anesthesia.  In younger children, the IV is placed while the child is asleep.
• Examination: The surgeon assesses the adenoids through the mouth and/or nose using the endoscope
• Adenoid Removal: The adenoids are removed using one of several techniques,  including curette, suction cautery, radiofrequency ablation or powered instrumentation
• Bleeding Control: Bleeding is controlled using various methods
• Recovery: The patient is moved to the recovery area for monitoring

Recovery & Outlook

Adenoidectomy Recovery Time

Recovery time can vary, but generally:

• Initial Recovery: Most patients can return to normal activities within 7-10 days
• Complete Healing: Internal healing may take 2-3 weeks for full resolution

Patients and parents should follow their ENT doctor’s instructions for post-operative care and avoid strenuous activities during this time.

What to Expect During Adenoidectomy Recovery

• Sore Throat: Mild to moderate throat pain for several days
• Ear Pain: Some patients experience referred ear pain
• Bad Breath: Temporary bad breath due to healing tissues
• Nasal Voice: Voice may sound nasal for a short period
• Dietary Adjustments: Soft foods and increased fluid intake
• Follow-up: Attend all scheduled follow-up appointments with your doctor. The follow-up may be in the form of a phone call or in office visit.

Long-term Outlook After Adenoidectomy

Most patients experience significant improvement in their symptoms after adenoidectomy. They typically have better nasal breathing, less mouth breathing, fewer middle ear infections, improved sleep quality, and better overall quality of life.

Frequently Asked Questions