Adenoid enlargement and Adenoid removal surgery

Adenoids are soft tissues located behind the nose, made up off lymph tissue. Usually adenoids shrink during adolescence and may disappear by Adulthood. In few cases Enlarged Adenoids can block Nasal breathing and contribute to Middle Ear fluid ear and Sinus infections. Adenoid removal and tonsillectomy often performed together.

Symptoms

Snoring
Mouth breathing
Ear infection and fluid in ears
Sore throat
Frequent colds and cough
Growth issues

Surgery

Adenoidectomy is usually permormed by Endoscopic guidance under general anesthesia. Patient will be discharged on the same day itself or the next day. Adenoids are ablated with help coblation technology. The plasma formed according to coblation process breaks down molecular bonds in tissue. Tissue ablated at relatively low temperature i.e 40°c – 70°c. Unique coblation method is zero blood loss, high precision in removal. Isolated Adenoidectomy will not give rise to post operative pain. Patient will immediately experience relief from snoring completely.

Post Operative Instructions

Taking large amount of fluids may help to avoid dehydration and to get recovered faster.
Slowly semi-fluids may be taken and child/spicy/crunchy foods have to be avoided completely during these recovery period.
No strenuous activity to be performed up to 1-2 weeks.
Patient may return to his regular activities with in one week after surgery and after consulting doctor.

F.A.Q.

How can I know my child’s adenoids are enlarged and problematic?

It’s very common for children to have adenoid enlargement. Adenoids are basically lymphoid tissue and are enlarged in response to various bacterial, virus infections. Another most common reason for adenoid enlargement is allergy usually mild to moderate enlargement of adenoid won’t cause much issue other than persistent cold, cough etc. When they enlarge to severe grade give rise to breathing difficulties like snoring, mouth breathing, runny nose, sleep apnea etc. Enlargement of adenoids are assessed by simple nasal endoscopy and x Ray nasopharynx.

What are treatment available for adenoid enlargement?

Mild to moderate hypertrophy of adenoids are treated by antibiotics course, antiallergic medication and intranasal steroid sprays. Severe enlarged adenoids when causing breathing difficulty needs surgical removal. Surgery to remove adenoids is called adenoidectomy.

Is long term use of intranasal steroids cause any issue?

Intranasal steroids can be safely used up to 3-6 months depending on severity of adenoid enlargement and child’s allergic status. Growth related complications are very rare in children secondary to intranasal steroid use.

Is adenoid infections cause deafness in children?

Adenoid infections and adenoid enlargement cause Eustachian tube dysfunction and middle ear fluid accumulation. Fluid in middle ear called serous otitis media , and if neglected give rise to deafness