Munson Health
 
Adenoidectomy

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by McCarthy AA
 

What to Expect

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.
 

RESOURCES

American Academy of Otolaryngology
http://www.entnet.org

American Society of Pediatric Otolaryngology
http://www.aspo.us

 

CANADIAN RESOURCES

Canadian Society of Otolaryngology
http://www.entcanada.org

Health Canada
http://www.hc-sc.gc.ca

 

References


Adenoidectomy. Canadian Society of Otolaryngology—Head and Neck Surgery website. Available at: http://www.entcanada.org/public2/patient8.asp. Accessed June 25, 2013.


Adenoidectomy patient information. Duke University Health System. DukeHealth.org website. Available at: http://www.dukehealth.org/services/otolaryngology/care%5Fguides/adenoidectomy%5Fpatient%5Finformation. Updated October 5, 2010. Accessed June 25, 2013.


All about adenoids. Kids Health.org website. Available at: http://kidshealth.org/kid/ill%5Finjure/sick/adenoids.html#. Updated May 2013. Accessed June 25, 2013.


Gigante J. Tonsillectomy and adenoidectomy. Pediatr Rev. 2005;26(6):199-203.


Paradise JL, Bernard BS, Colborn DK, Janosky JE. Assessment of adenoidal obstruction in children: clinical signs versus roentgenographic findings. Pediatrics. 1998;101(6):979-986.


Shehata EM, Ragab SM, Behiry ABS, Erfan FA, Gamea AM. Telescopic-assisted radiofrequency adenoidectomy: a prospective randomized controlled trial. Laryngoscope. 2005;115(1):162-166.


Tonsils and adenoids. American Academy of Otolaryngology website. Available at: http://www.entnet.org/HealthInformation/tonsilsAdenoids.cfm. Updated April 6, 2012. Accessed June 25, 2013.


6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

 

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