Understanding Adenoidectomy
If your child (or even you as an adult) is suffering from multiple ear infections, blocked nose or heavy snoring, a doctor might advise you for a procedure known as adenoidectomy. This small but important procedure removes the adenoids (small glands at the back of the nose) if they become enlarged or infected. While adenoidectomy is most common in children, it may also be needed in adults. Here at Chase Lodge Hospital, we aim to support you at each stage of this process with as much information and compassion as possible.
What Is Adenoidectomy?
When patients know what an adenoidectomy is, they are better prepared for the procedure. Adenoidectomy is the surgical removal of adenoid glands, which are part of the immune system and help the body fight infections, particularly in early childhood. These glands typically shrink and decrease in activity over time, yet some patients retain them and face complications. (If problems exist with both sets of tissues, they may even be removed together, though that’s not always the case, Dr. Barlow said.)
Adenoidectomy Symptoms: When Is Surgery Needed?
Timely detection of adenoidectomy symptoms can help prevent serious complications. Swollen or infected adenoids can obstruct airflow and cause a host of problems, including:
- Persistent nasal congestion lasting more than a week, or constantly breathing through the mouth.
- Regular sinus or ear infections
- Snoring or sleep apnoea that interrupts sleep
These symptoms can have a major impact on quality of life and can be especially hard for children, as disturbed sleep can affect growth, behaviour and concentration. If these problems are persistent and do not resolve with medication, an ENT (ear, nose, and throat) specialist may recommend adenoidectomy.
Adenoidectomy Surgery: What to Expect
The adenoidectomy is a quick and straightforward procedure, and recovery is also very brief. It’s usually carried out under general anaesthetic and takes about 30 to 45 minutes. The surgeon removes the adenoids through the mouth, typically with a curette or suction cautery, so there is no incision on the outside of the body. After a brief recovery in the hospital, most patients go home the same day. There is a very small chance of complications, so this is a very standard and safe procedure.
Adenoidectomy in Adults: Special Considerations
Chronic symptoms or scar tissue from years of recurrent problems may necessitate further assessment before proceeding with adenoidectomy. However, adults can still have symptomatic disease, though it’s less common, and the symptoms can be troublesome enough to justify the procedure. Unlike children, who recover quite quickly, adults may experience a longer recovery process and more discomfort after the operation. Having a complete assessment with an ear, nose and throat specialist is vital to determine whether surgery is appropriate.
Adenoidectomy Procedure: Step-by-Step
Adenoidectomy is a simple procedure performed by an ENT specialist. It involves:
- Patient preparation: Several hours of fasting and anaesthesia consultation are required prior to the procedure.
- What happens during surgery: The adenoids are removed through the mouth using a special instrument.
- Post-operative care: After the procedure, patients are monitored for a few hours before being discharged.
It is a routine they have all practised so that from start to finish, the experience goes smoothly.
Recovering from Adenoidectomy: Post-Op Care
Appropriate care usually entails a recovery time of 1–2 weeks for adenoidectomy. Patients might have a sore throat, a vague ache in their ears or bad breath for a day or two—this is normal and should improve each day. Some good tips for recovery are:
- Taking paracetamol for pain relief (do not take ibuprofen or aspirin unless advised)
- Eating soft foods like soups and yoghurts
- Maintaining good hydration and avoiding fizzy drinks
- Taking it easy and avoiding anything strenuous for at least a week
Now, while post-operative instructions exist for a reason—you should follow them closely to avoid complications and heal properly—everyone’s needs are different, and pain and discomfort are subjective.
When Can You Resume Regular Activities After an Adenoidectomy?
Recovery from adenoidectomy is rapid, but follow-up with your doctor is crucial. A general recovery timeline is as follows:
- Days 1-2: Rest, hydrate, and manage pain
- Days 3-7: Gradual reintroduction of normal foods and light activities
- Week 2: Most patients resume full activities, such as school or work
Though infrequent, complications like bleeding or infection may occur and require that you speak with a healthcare provider.
Conclusion
Adenoidectomy is a common and effective procedure; it can dramatically improve breathing, sleep, and quality of life—particularly in children. Chase Lodge Hospital specialises in care, with our ENT specialists qualified to deliver a professional and compassionate standard throughout diagnosis and recovery. If you or your child has ongoing symptoms, this simple surgical solution may be worthwhile.
