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Alternative namesAdenoidectomy; Removal of adenoid glands
DefinitionAdenoid removal, also called adenoidectomy, is the surgical removal of the adenoid glands from the area between the nasal airway and the back of the throat (nasopharynx). Adenoidectomy is frequently done in conjunction with surgical removal of tonsils ( tonsillectomy ).
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.
Adenoidectomy may be recommended when:
Adenoidectomy may be recommended if the child has chronic or repeated bouts of tonsillitis .
Risks for any anesthesia are:
Risks for any surgery are:
Expectations after surgery
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.
ConvalescenceAdenoidectomy is usually done as an outpatient procedure. Complete recovery takes 1 to 2 weeks. While healing, the child may have a stuffy nose , nasal drainage , and a sore throat . Soft, cool foods and drinks may help relieve throat discomfort.
Update Date: 2/5/2003Edward Chang, MD, DDS, Facial Reconstructive Surgical and Medical Center, Palo Alto California. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT