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Anatomy of the Adenoids  
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Definition  

Adenoidectomy is the surgical removal of the adenoids. Adenoids are made of tissue located in the back of the nose near the throat. They are thought to be involved in developing immunity against infections in children.

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Reasons for Procedure  

Adenoidectomy is usually done to remove enlarged adenoids that are causing a blockage in the nasal passage. It may also be used to treat long-term sinus infections and recurrent ear infections.

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Possible Complications  

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

  • Infection
  • Re-growth of adenoid tissue
  • Bleeding
  • A permanent change in voice
  • Reaction to anesthesia

Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

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What to Expect  

Prior to Procedure  

Your doctor will likely do the following:

  • Physical exam of the tonsils, throat, and neck
  • Blood test
  • Review your medications—You may be asked to stop taking some medications up to one week before the procedure, such as:
    • Anti-inflammatory drugs
    • Blood thinners
    • Antiplatelets
  • Order x-rays —to assess the size of the adenoids

Do not eat or drink anything six hours prior to the procedure.

Anesthesia  

General anesthesia is used. It will block any pain and keep you asleep through the procedure.

Description of the Procedure  

The adenoids will be surgically removed through the mouth. A scalpel or another type of tool will be used to remove the adenoid tissue. An electrical current can also be used. Sometimes, the adenoids are removed through the nose. Gauze packs will be placed at the site of the procedure to prevent bleeding.

Radiofrequency ablation is a type of procedure that uses heat to destroy tissue. It may be used to reduce the volume and size of the adenoids. This method often has less bleeding. It also seems to cause less pain.

Immediately After Procedure  

You will be monitored in a recovery room until the anesthesia wears off.

How Long Will It Take?  

Less than 45 minutes

How Much Will It Hurt?  

Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.

Average Hospital Stay  

It may be possible to leave on the same day as the procedure. Your doctor may choose to keep you overnight if there are complications.

Post-procedure Care  

At the Care Center  

During your stay, the care center staff will take steps to reduce your chance of infection, such as:

  • Washing their hands
  • Wearing gloves or masks

There are also steps you can take to reduce your chance of infection, such as:

  • Washing your hands often and reminding your healthcare providers to do the same
  • Reminding your healthcare providers to wear gloves or masks

At Home  

Recovery will take 7-14 days. After the procedure, you may have:

  • Light bleeding
  • Nasal stuffiness or drainage
  • Sore throat
  • Bad breath
  • Difficulty swallowing
  • Ear or throat pain
  • Stiff or sore neck
  • Nasal speech

To help relieve some discomfort and speed recovery:

  • Eat light meals of soft foods for the first several days.
  • Avoid hot liquids.
  • Take prescribed antibiotics to prevent infection.
  • Take pain medication as needed.
  • Avoid swimming and rough or intense exercise.
  • Avoid forceful nose blowing.
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Call Your Doctor  

Call your doctor if any of these occur:

  • A sudden increase in the amount of bleeding from the mouth or nose; If your child is swallowing a lot, check the back of their throat with a flashlight to look for blood
  • Redness, swelling, increasing pain, or any discharge from the nose or mouth
  • Increased swelling or redness of the eyes
  • Signs of infection, including fever and chills
  • Pain that cannot be controlled with the medications you have been given
  • Persistent nausea or vomiting
  • Noisy or difficulty breathing

If you think you have an emergency, call for medical help right away.