Wednesday, September 1, 2010


What are Adenoids?
Adenoids are like tonsils but are present behind your nose and functions like tonsils. They help in fighting infections and sometimes gets enlarged in response to infection. They usually starts increasing by age of 2 and keep increasing up to 7 year of age and regressed thereafter.

If they are our fighters then how do they trouble us?
Yes, they are fighters but if they are unable to fight, they start increasing their size . This increase in size compromises the air passage behind the nose of the child, causing a difficulty in breathing especially while sleeping.

What are the symptoms of Adenoid enlargement?
Child may present with mouth breathing, snoring at night, ear pain, tiredness, malocclusion of teeth, recurrent chest infections, typical facial appearance in which nostril are visible from inside, depressed cheek and pursed like lips known as Adenoid facies.

Is Adenoid removal is bad for child’s Immunity?
No, in fact this is small fighter in comparison to overall immunity of body. The child needs good breathing for proper oxygenation which is much more important.

What is Adenoidectomy?
Adenoid removal is a surgery to shave off the adenoid glands. These glands are located behind your nose and when enlarged cause difficulty in breathing especially during the night. Often, adenoid removal is done at the same time during removal of tonsils. Adenoid removal is also called adenoidectomy. Most adenoidectomies are done on children.

How the Adenoidectomy is done? Whether any external incision will be given to baby?
Your child will not be given any external incision for the surgery and he wouldn’t feel the pain either.
Your child will be given general anesthesia before surgery. This means they will be unconscious and unable to feel pain.
The surgeon will insert a small instrument into your child’s mouth to prop it open.
The surgeon will remove the adenoid glands with a curette (a spoon-shaped medical device) or a microdebrider (a medical device used to cut away soft tissue).
Bleeding will be controlled with packing material, which will absorb blood, and with cauterization.
Your child will stay in the recovery room after surgery until they are awake and can breathe easily, cough, and swallow. Most patients can go home several hours after this surgery.

Is my child not very young for a surgery?
Though Adenoids peak at 7 years of age and regresses thereafter but enlarged symptomatic adenoids can be seen as young as 2 years and even in adults. It’s not the age but the severity of symptoms which dictates the indication of surgery.

What are the risks involved in surgery?
Risks for any anesthesia are: Reactions to medicines, breathing problems
Risks for any surgery are:
Bleeding: This is the main risk and occurs very rarely. The bleeding is likely to occur in first few hours of surgery and if it is significant enough, the child may again be taken to operation theatre and bleeding point may be cauterized. Child may require packing of the operated area and blood transfusion

What Precautions are required after Surgery?

If the surgery is only adenoidectomy, then your child can be discharged on the same day or after an overnight stay in the hospital. They require nasal drops, antibiotics, anti allergic and a pain killer in the first week. Diet is as the child likes.

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