Adenoidectomy

Adenoidectomy

Adenoidectomy is a surgical procedure to remove the adenoids—small lymphoid tissues located behind the nose, above the throat. Enlarged or chronically infected adenoids can obstruct breathing and contribute to recurrent ear and nasal problems, especially in children.

Conditions Treated with Adenoidectomy

• Persistent nasal blockage
• Mouth breathing, especially during sleep
• Recurrent or chronic adenoid infections
• Frequent ear infections or fluid in the middle ear
• Hearing difficulty due to Eustachian tube dysfunction
• Snoring or obstructive sleep apnoea in children

When to Seek Medical Help

Medical evaluation is recommended if a child or adult experiences ongoing nasal obstruction, habitual mouth breathing, repeated ear or throat infections, disturbed sleep due to snoring or breathing pauses, hearing problems, or poor response to repeated medical treatment.

Who Needs an Adenoidectomy?

Adenoidectomy is commonly advised when symptoms persist despite adequate medical management or when complications develop.

How is Adenoidectomy Performed?

1. The surgery is performed under general anaesthesia. 
2. The adenoids are removed through the mouth without any external cuts. 
3. Modern techniques such as cautery or endoscopic-assisted removal allow precise removal with minimal bleeding. 
4. The procedure typically takes 20–30 minutes.

Adenoidectomy With or Without Tonsillectomy

Adenoidectomy may be performed alone or along with tonsillectomy when both enlarged adenoids and tonsils contribute to breathing difficulties, recurrent infections, or sleep-related disorders.

Benefits of Adenoidectomy

• Improved nasal breathing
• Reduced frequency of infections
• Better sleep quality and reduced snoring
• Improved hearing and speech development
• Decreased need for repeated antibiotics

Recovery After Adenoidectomy

1. Most patients are discharged on the same day after surgery
2. Mild throat pain or nasal discomfort is common for 1–2 days
3. Temporary nasal congestion or mouth breathing may occur
4. Soft, lukewarm foods are recommended for the first 24–48 hours
5. Adequate fluid intake helps soothe the throat and aids healing
6. Strenuous physical activity should be avoided for 5–7 days
7. Normal school or work activities can usually be resumed within 3–5 days
8. Mild bad breath may occur and resolves on its own within a few days
9. Prescribed medications should be taken exactly as advised

Is Adenoidectomy Safe?

Adenoidectomy is a well-established and safe ENT procedure. When performed by experienced ENT surgeons, complications are rare and long-term outcomes are excellent.