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Adenoidectomy
Adenoidectomy
The adenoids are lymphatic tissue in the back of the nose similar to tonsils. They are high in the throat behind the nose and roof of the mouth and are not visible without using special instruments or x-rays. They act as a filter to the particles we inhale. They are part of the immune system, but they do not serve a critical function. Removal does not cause any immune deficiency. However, occasionally adenoids become more of a liability than an asset. When adenoids become enlarged, they may cause mouth breathing, snoring, bad breath, and runny nose. They may also obstruct the eustachian tube which drains the ear, leading to ear infections or fluid in the ear. Sinus infections in young children are often due to adenoids, and adenoidectomy will resolve sinus issues in approximately two-thirds of children.
Adenoidectomy Video
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Indications for adenoidectomy
Adenoids are removed for several reasons. These include the following: nasal obstruction and mouth breathing, snoring and sleep apnea, recurrent or chronic sinus infections, or recurrent ear infections or fluid.
Preparing your child for surgery
- Talk to your child about his/her feelings and provide reassurance.
- Encourage the idea that the procedure will make him/her healthier.
- Reassure your child that the operation does not remove any important parts of the body, and he/she will not look any different afterwards, and there will not be a scar.
- No food or drink is allowed after midnight prior to the surgery, including chewing gum, mouthwash, lozenges, toothpaste, or water.
HOME CARE INSTRUCTIONS
- You may give acetaminophen (Tylenol®) as needed for pain and inflammation (soreness).
- Be sure your child gets proper rest. Your child may feel worn out and tired for a while.
- Because of the sore throat and swelling, your child's appetite may be poor. Soft and cold foods such as ice cream, popsicles, and cold drinks are usually tolerated the best. There are no specific dietary restrictions.
- Avoid mouthwashes and gargles.
- Avoid exposing your child to people with upper respiratory infections, such as colds and sore throats.
What to expect after adenoidectomy and complications
- Slight voice change is very common, but significant permanent voice change or changes to the shape of the throat are very rare (less than 1 in 2,000).
- Mild bloody drainage from the nose is common, but significant bleeding is very rare.
- Serious anesthetic complications are very rare (1 in 20,000).
- Very rarely, a child will not get maximal benefit from the surgery, and some symptoms will persist, usually in a milder fashion.
Learn more about pediatric conditions...
SERVICE HIGHLIGHTS
Coastal Ear, Nose and Throat offers specialized care including board certified/fellowship-trained physicians/surgeons treating adult and pediatric ear, nose and throat disorders. Our state-of-the-art equipment and facilities in Neptune, NJ allow us to expertly plan your medical and/or surgical care. Services include sinus surgery, Balloon Sinuplasty, minimally invasive skull base surgery, tonsillectomy and adenoidectomy, ear tubes, tracheal reconstruction, mastoidectomy, stapedectomy, thyroidectomy, parathyroid exploration, head and neck cancer surgery, parotidectomy, sleep apnea surgery, hearing tests, hearing aids, and VNG (videonystagmography).
COASTAL EAR, NOSE AND THROAT, LLC , 3700 Route 33 Suite 101, Neptune, NJ 07753 * Phone (732) 280-7855 * Fax (732) 280-7815