Adenoid removal is surgery to take out the adenoid glands. The adenoid glands sit behind your nose above the roof of your mouth. Air passes over these glands when you take a breath.
The adenoids are often taken out at the same time as the tonsils (tonsillectomy).
Adenoid removal is also called adenoidectomy. The procedure is most often done in children.
Adenoidectomy; Removal of adenoid glands
Your child will be given general anesthesia before surgery. This means your child will be asleep and unable to feel pain.
The surgeon places a small tool into your child's mouth to keep it open.
The surgeon removes the adenoid glands using a spoon-shaped tool (curette). Or another tool that helps cut away soft tissue is used.
Some surgeons use electricity to heat the tissue, remove it, and stop bleeding. This is called electrocautery. Another method uses radiofrequency (RF) energy to do the same thing. This is called coblation. A cutting tool called debrider can also be used to remove the adenoid tissue.
Absorbent material, called packing material may also be used to control bleeding.
Your child will stay in the recovery room after surgery. You will be allowed to take your child home when your child is awake and can breathe easily, cough, and swallow. In most cases, this will be a few hours after surgery.
Why the Procedure Is Performed
A doctor may recommend this procedure if:
Enlarged adenoids are blocking your child's airway. Symptoms in your child can include heavy snoring, problems breathing through the nose, and episodes of not breathing during sleep.
Your child has chronic ear infections that occur often, continue despite use of antibiotics, cause hearing loss, or cause the child to miss a lot of school days.
Adenoidectomy may also be recommended if your child has tonsillitis that keeps coming back.
The adenoids normally shrink as children grow older. Adults rarely need to have them removed.
Ashutosh Kacker, MD, BS, Associate Professor of Otolaryngology, Weill Cornell Medical College, and Associate Attending Otolaryngologist, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.