Adenoidectomy

Removal of adenoids is called adenoidectomy. This procedure is most often performed in kids. Removal of adenoids does not affect the immune system but may actually reduce the frequency of illnesses in some kids. The surgery is an out-patient setting performed under general anesthesia by an ENT surgeon. It takes around 30 minutes. Post surgery, your kid will be moved to the recovery ward for an hour, until the anesthesia has worn off.

PRE-OPERATIVE CARE: ENT surgeon performs blood tests, physical exam and checks kid's medical history to make sure the patient is in fine to go for the surgery. kid should stop taking aspirin, ibuprofen, naproxen, or other medications that increase the risk of bleeding. Several hours before the surgery, your kid will need to stop eating and drinking.

INTRA-PROCEDURE: Your kid will be given anesthesia to sedate him or her for the procedure, which typically lasts for 30 to 45 minutes. The kid's mouth will be propped open and once the adenoids are located, the surgeon will remove them by scraping them away with an instrument called a curette or by applying heat using a diathermy instrument which produces high-frequency electrical currents that burn the adenoids. Once the adenoids have been removed, the diathermy instrument may be used to stop the bleeding (cauterisation). There are no cuts to the skin and no visible scars. Once the procedure is over, your kid will be taken to a recovery room for close monitoring for the next few hours.

POST-OPERATIVE CARE: It is an outpatient procedure and your kid can go home, the same day. Your kid may experience a sore throat, and dehydration for two to three weeks after the surgery. To prevent dehydration your kid should drink excessive fluids. Do not eat or drink spicy, hot food or hot beverages. Ice creams, fruit juices, yogurt and soft cooked meals are most suggested.

ADENOIDS

Adenoids is a mass of lymphoid tissue positioned in the roof of the mouth, behind the nose in the nasopharynx. They form a part of immune system and serve as body's first line defense system in young kids. Due to a viral or a bacterial infection adenoids gets swollen or enlarged in size. Swollen adenoids may not cause any discomfort in many of the kids, but in some cases, they cause severe discomfort and interfere with daily life.

Your pediatrician may recommend adenoid removal in case your kid has, sore throat, chronic ear or throat infections that are resistant to antibiotic treatment. Depending on the examination of endoscopic findings, your doctor may advise throat X-ray if necessary. In some cases the patient may need to go for sleep study to check for sleep apnea (breathing problem while sleeping).

Adenoidectomy - Risk factors

Adenoidectomy is a low-risk procedure and complications following surgery are rare. However, as with all other types of surgery, there are some risks associated with the surgery.

• Sore throat
• Earache
• Stiff jaw
• Blocked nose or nasal discharge
• Bad breath (halitosis)
• A change in voice (your kid may sound like they're speaking through their nose)
• Infection
• Bleeding

You should seek medical advice if your kid experiences any of the following symptoms shortly after surgery:

• Bright red bleeding from their mouth (for more than two minutes)
• Fever
• Intense pain, not responding to painkillers

Risk Factors Causing Adenoidectomy

• Aging: Degeneration of delicate inner ear structures with aging starting from 55 and above.
• Loud noise: Long term exposure to loud sounds, or short blast of noise can damage the cells of your inner ear.
• Heredity: You could be genetically prone to hear loss with age or damage from sound.
• Occupational Noises: Loud noise as a regular part of the working environment can damage the inner ear.
• Recreational Noises: Exposure to explosive noises like high decibel music can cause immediate and permanent hearing loss.
• Medications: Some medications such as antibiotics and chemotherapy drugs, can damage the inner ear.
• Illnesses: High fever or illnesses from diseases may damage the cochlea (inner ear)

Recovery

It's normal to have a sore throat after adenoidectomy. Your kid will usually be given painkillers to help ease discomfort. Your kid may also feel sleepy after having an anaesthetic. After the operation, they'll be observed for several hours to make sure they're recovering normally. Once the doctor is satisfied, kid can be taken home. The kid will need to rest for few days after the surgery and should be kept off school for a week to reduce the risk of getting infections. You kid should stay away from people with coughs or colds, smoky environments and also avoid swimming for three weeks post the surgery.

Why BSR Hospital?

BSR ENT Hospital is one of the renowned Hospitals in Secunderabad and Hyderabad with a high success rate of surgeries and clinical outcomes since the past 40 years. The team of expert and experienced surgeons with a proven track record of successful surgeries is skilled to provide best treatment solutions to the patients.

The latest technologies and the equipment further support the vision of BSR to provide the best in class treatment facilities to patients. The diagnosis and treatment offered is quick as the hospital is equipped with in-house laboratory for tests. At BSR, we believe in patient-centric approach to treatment and care and ensure that every patient receives quality treatment at affordable price.