Adenoidectomy

An adenoidectomy is a procedure to remove the adenoid glands, which are located above the roof of the mouth, behind the nose.
Boy-touching-his-ear-in-pain-and-needing-adenoidectomy

Symptoms of Enlarged Adenoids

An adenoidectomy may be necessary if the adenoids have become swollen or enlarged due to an infection or allergy. Some children are born with enlarged adenoids. In young children, the adenoids play an important role in the body’s immune system, helping protect the child from viruses and bacteria. The adenoids start to shrink between the ages of five and seven, and are nearly gone by adolescence. Enlarged adenoids can partially block the airway, causing breathing problems, ear infections or other complications which can cause snoring or breathing-related disorders such as sleep apnea. Other symptoms caused by enlarged adenoids include chronic nasal drainage, congestion, sinus infections, difficulty swallowing, sore throat, habitual mouth breathing, and chronic fluid in the ear, which can cause temporary hearing loss.

Who is a Candidate?

An adenoidecomy is typically done for children between the ages of one and seven years. To determine if a child is a candidate for an adenoidectomy, the child’s pediatrician will examine the child’s adenoids, either with an endoscopy or an x-ray. The child’s adenoids may need to be removed if the child has chronic ear or throat infections that:

      • Have not responded to antibiotic treatments
      • Occur more than five to six times per year
      • Hinder the child’s education by causing frequent absences
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Nurse-discussing-adenoidectomy-procedure-with-little-girl-and-her-mother-at-the-doctor's-office

Before the Procedure

The doctor may request a blood test to check white and red blood cell count. This is done to make sure the child’s blood clots correctly and to ensure there won’t be excessive bleeding in the mouth during and after the adenoidectomy.

One week before surgery, parents should avoid giving their child any medication that can affect blood clotting, such as aspirin or ibuprofen. Children should not eat or drink anything after midnight the day of the surgery.

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The child will be placed under general anesthesia and the surgeon will begin by widely opening the child’s mouth with a retractor. The adenoids will be removed through the mouth by making a small incision or by cauterizing, which involves sealing the area with a heated instrument. The surgeon will pack the area with absorbent material, such as gauze, to control bleeding during and after the procedure. Once the operation is complete, they will be moved to a recovery room where they will wake up. They will be given medication to reduce pain and swelling and will be discharged on the same day. Patients will completely recover within one to two weeks.

The child may have a sore throat for two to three weeks after the procedure. They should drink plenty of fluids to avoid dehydration and alleviate pain.

Parents should avoid feeding them spicy, hot, hard, or crunchy foods. Good diet and food options include water, fruit juice, yogurt, pudding, apple sauce, warm chicken or beef broth, mashed potatoes and soft-cooked meats and vegetables.

For one week after surgery, the child should avoid strenuous physical activity. They may return to school three to five days after the procedure.

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