Adenoidectomy

Prior to Procedure –

Your doctor will likely do the following:

• Physical exam of the tonsils, throat, and neck, at minimum
• Blood test
• Review of medications; some may need to be stopped or adjusted for the procedure

In the days leading up to your procedure:

• Do not take aspirin, aspirin-containing medications, or other nonsteroidal anti-inflammatory medications (NSAIDs).
• Do not eat or drink anything six hours prior to surgery time, including mouthwash, toothpaste, lozenges, chewing gum, and water.

X-ray films will be taken to assess the size of the adenoids.

Anesthesia –

General anesthesia is used.

Description of the Procedure –

After the anesthetic takes effect, the adenoids are surgically removed through the mouth or they are cauterized (scarred with an electrical current). Occasionally, the adenoids are removed or cauterized through the nose. Gauze packs are placed at the site of surgery to prevent bleeding. Radiofrequency ablation has been used as a way to atraumatically reduce the volume and size of adenoids. This technique affords less bleeding, and seems to cause less pain.

After Procedure –

Recovery will take 7-14 days. Postoperative symptoms include, but are not limited to:

• Light bleeding
• Nasal stuffiness or drainage
• Sore throat
• Bad breath
• Difficulty swallowing
• Ear or throat pain
• Occasionally, stiff or sore neck
• “Nasal” speech

How Long Will It Take?

Less than 45 minutes

Will It Hurt?

Anesthesia prevents pain during the procedure, but pain after the procedure is not uncommon. Your doctor may prescribe pain medication or recommend over-the-counter pain drugs. Some reports suggest that radiofrequency ablation causes less pain.

Possible Complications –

Complications following adenoidectomy are rare but may include:

• Failure to cure the ear or sinus infections, or relieve nasal blockage or drainage
• A permanent change in voice (rarely)
• Infection
• Failure to treat snoring, disturbed sleep, or mouth breathing
• Adenoid tissue can sometimes re-grow
• Postoperative bleeding (rarely)

Average Hospital Stay –

Adenoidectomy is usually done on an outpatient basis.

Postoperative Care –

• Eat light meals of soft foods for the first several days.
• Avoid hot liquids.
• Take prescribed antibiotics to prevent infection after surgery.
• Take pain medications as needed.
• Avoid swimming and rough or vigorous exercise or play, as recommended by your doctor.
• Avoid forceful nose blowing.