What is an adenoidectomy?

An adenoidectomy is a surgical procedure that involves the removal of the adenoids, which are small masses of tissue located at the back of the nasal passage, near the throat. The adenoids, along with the tonsils, are part of the lymphatic system and help the body fight infections, particularly in children. However, when the adenoids become enlarged or infected, they can lead to various health problems, including breathing difficulties and recurrent infections. An adenoidectomy is performed to address these issues.

Here's an overview of the adenoidectomy procedure and its purposes:

Procedure:

Anaesthesia: An adenoidectomy is typically performed under general anesthesia, which means the patient is unconscious and pain-free during the surgery.

Adenoid Removal: The surgeon uses specialized instruments to access and remove the adenoids through the mouth, without the need for external incisions. The adenoid tissue is carefully excised.

Hemostasis: Hemostasis is achieved to control bleeding and ensure there is no significant bleeding after the procedure.

Purposes: An adenoidectomy may be recommended in the following situations:

Adenoid Hypertrophy: Enlarged adenoids can obstruct the airway, leading to breathing problems, such as snoring or sleep apnea.

Recurrent Infections: When adenoids become infected frequently, leading to conditions like chronic sinusitis or ear infections, an adenoidectomy may be considered as a treatment.

Hearing Problems: Enlarged adenoids can sometimes cause fluid buildup in the middle ear, leading to hearing difficulties.

Infections with Other Complications: In some cases, adenoid infection or enlargement may be associated with other health issues, such as chronic respiratory problems or recurrent tonsillitis.

What are the risks of adenoidectomy?

Adenoidectomy is generally considered a safe and well-tolerated procedure. However, like any surgical intervention, it carries potential risks and complications. It's important to be aware of these risks and discuss them with your healthcare provider before undergoing the procedure. Some of the potential risks and complications of adenoidectomy include:

Bleeding: Bleeding during or after the surgery is a potential risk, but significant bleeding is rare. Your surgeon will take measures to minimize this risk during the procedure.

Infection: Although the surgery is performed to address adenoid infections, there is a small risk of postoperative infection. Your surgeon may prescribe antibiotics to help prevent or treat any infections that might occur.

Pain and Discomfort: Postoperative pain and discomfort are common after an adenoidectomy, especially in the first few days. Pain can usually be managed with over-the-counter or prescribed pain medications.

Change in Voice or Nasal Sound: Some individuals may notice temporary changes in their voice or the sound of their speech after the surgery, but this typically resolves within a short time.

Nasal Regurgitation: After an adenoidectomy, some individuals may experience mild nasal regurgitation, which is the unintended flow of fluids or food into the nasal passages when swallowing.

Nasal Obstruction or Congestion: In rare cases, individuals may experience temporary nasal congestion or obstruction, but this is typically short-lived.

Unsatisfactory Results: While adenoidectomy is typically effective in relieving symptoms associated with enlarged or infected adenoids, it may not always provide the desired or long-lasting results for everyone.

How long after adenoidectomy can I return to work or school?

Mr Farnan does adenoidectomy almost exclusively in children and he recommends that they return to school 1 week after surgery.