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Adenoid removal

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Adenoid removal

Definition:

Adenoid 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).

Alternative Names:
Adenoidectomy; Removal of adenoid glands

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Description:

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.

Indications:

Adenoidectomy may be recommended when:

• Enlarged adenoids are blocking the airway, which may be suspected if the child:
  • Snores excessively
  • Has trouble breathing through the nose (nasal obstruction)
  • Has episodes of not breathing during sleep (sleep apnea)
• The child has chronic ear infections that:
  • Interfere with child's education
  • Persist despite antibiotic treatment
  • Recur 5 or more times in a year
  • Recur 3 or more times a year during a 2-year period

Adenoidectomy may be recommended if the child has chronic or repeated bouts of tonsillitis.

The adenoids normally shrink as the child reaches adolescence, and adults rarely need adenoidectomy.

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