Adenoidectomy - Diagnosis, Surgery & Recovery

Adenoidectomy is the surgical removal of swollen, inflamed, or infected adenoids for the treatment of adenoiditis to improve a patient’s breathing and prevent complications like sleep apnea, sinusitis, tonsillitis, etc. Connect with us to know about minimally invasive adenoidectomy in India.

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What is adenoidectomy?

Adenoid surgery entails the removal of adenoid glands if they are infected, inflamed, or enlarged. Adenoid glands are small pads of immune tissues next to the palate that are an important part of the immune system in kids. However, as a child grow, their functionality decreases, and eventually, they start degenerating. 

However, in some cases, instead of degenerating, they can get infected and start causing problems such as difficulty in breathing, obstructive sleep apnea, snoring, postnasal drip, sore throat, etc. Normally, such problems can be managed medically, but in severe cases, surgical intervention is necessary. Often, adenoidectomy is combined with a tonsillectomy to treat sore throat and other throat infections.

Diagnosis After Adenoidectomy?

For adenoiditis diagnosis, the ENT doctor will first collect your medical history and perform a physical examination to discern the cause, extent, and severity of the condition. During the physical examination, the doctor will look at the throat tissues using a speculum and palpate the lymph nodes present in the throat region to check for inflammation.

Once that is done, they will collect throat swabs for tissue culture and lab examination. In severe cases, they may also prescribe endoscopy and other imaging tests like CT scans, MRI, etc., to determine the full extent of the infection.

What Happens During Adenoidectomy Procedure?

Your doctor will carefully study the results of the diagnostic tests and discuss your treatment and surgery options with you. If you need additional surgical procedures like a tonsillectomy, FESS, septoplasty, etc., in addition to adenoidectomy, then they will be planned and integrated into the treatment plan at the same time.

Once you are anesthetized, the doctor will hold your mouth open using a retractor and remove the adenoids using a curette or laser. Then, he will either place sutures to close the surgical incision or use a cauterizer. The entire procedure will take less than 30 minutes and you will be moved to a recovery room for postsurgical observation afterward. Most patients are discharged on the same day.

When is an adenoidectomy required?

Adenoidectomy is often required when the symptoms of adenoiditis, such as sleep apnea, throat pain, sore throat, etc., become too severe to be managed by medicines alone. They can even lead to complications and other health problems such as chronic sinusitis, ear infections, snoring, loud/mouth breathing, etc.

It is mostly done in children between the ages of 1 and 7, as the adenoids begin to shrink after that, but they may be performed in adults if their adenoids have not shrunk.

Benefits of Adenoidectomy Surgery For nasal airway obstruction

Adenoidectomy is a minimally invasive surgery that is often performed without any sutures. If you (or your child) have frequent adenoid infections, then adenoidectomy can improve your quality of life by:

  • reducing your chances of future throat infections;
  • Improving your breathing and airway, and reducing mouth breathing in children;
  • reducing/treating ear infections; and
  • improving your vocal quality.

How to prepare for an adenoidectomy Surgery?

Give your ENT surgeon access to your entire medical history. Make sure they are aware of all the medicines and supplements you are taking, and if you are allergic to any medicine. If you have any bleeding or clotting disorders, then you need to make sure they are aware of it and can plan the surgery accordingly. You may need to stop taking your blood thinners or increase the dosage of your blood clotters for a couple of days before the surgery.

Do not self-medicate before or after the surgery. Medicines like aspirin and ibuprofen can negatively affect your blood clotting and lead to hemorrhage during or after the surgery. If your surgery is being performed under general anesthesia, make sure you know all the dietary precautions you need to take before the surgery.

If you smoke or consume tobacco regularly, then make sure to stop at least 2-3 weeks before the surgery, as tobacco usage can slow down the recovery. Also, do not wear any perfume, jewelry, or makeup when you arrive at the hospital for surgery.

Recovery tips after an adenoidectomy

Once you are discharged from the hospital after adenoidectomy surgery, you should follow the given at-home care tips to improve your recovery:

  • Do not perform any strenuous activities, including gym, swimming, running, etc., for at least 1-2 weeks after the surgery.
  • Eat only a bland/soft or liquid diet during the first couple of days. You should also avoid eating fried, spicy, or crunchy foods as they may irritate the wound and delay your healing.
  • Take your medicines as prescribed, and do not self or over-medicate.
  • Visit your ENT surgeon for follow-up consultations for at least 3-4 weeks after the surgery to make sure you are healing appropriately.

What can you expect after an adenoidectomy Surgery?

You will have a little pain and discomfort in your throat. Some discharge from the incision is ok immediately after the surgery. Most patients, especially kids, have a mild fever with an upset stomach and vomiting for 24-48 hours after the surgery. However, if these get too bad, you need to consult your surgeon immediately.

You (or your child) will experience a mild sore throat for 1 week and it may be difficult to eat or drink during this time, but you need to hydrate yourself properly as dehydration can delay recovery. Also, avoid spicy, crispy, or fried foods for the first couple of weeks as they can irritate the wound and delay recovery.

Immediately after the surgery, a throat massage using an ice pack will help alleviate the surgical swelling. You should avoid exercise and strenuous activities for at least 1-2 weeks, depending on your recovery rate; however, you may be able to return to work/school within 3-5 days of the surgery.

What is cost of Adenoidectomy in India?

The Average Adenoidectomy surgery cost in India is Rs. 48,000 overall. However, this cost often changes from patient to patient, especially since most patients need additional surgery treatments, like tonsillectomy, FESS, etc. for complete relief from the infection.

Some factors that affect the cost of adenoidectomy are:

  • Choice of treatment city and hospital
  • Type of treatment
  • Additional surgeries required
  • Post-surgical care and management of complications
  • Surgeon fees
  • Cost of diagnostic tests
  • Insurance coverage

Consult with the best ENT surgeon at HeptaCare Health and get the cost estimate of Adenoidectomy surgery.

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