Adenoidectomy Surgery in Delhi, India

A patient needs adenoidectomy surgery when their adenoid gland becomes enlarged, which can partially or completely block the airway. Patients with enlarged adenoids can have breathing problems, infections, and other complications, which may lead to snoring problems or conditions such as sleep apnea.

It can cause complications such as chronic nasal drainage, sinus infections, frequent ear infections, or fluid in the ear which can lead to temporary hearing loss. A patient with enlarged adenoids who is not responding to medical treatment needs immediate attention to remove adenoids through surgery and prevent complications that can have long-term effects.

A patient needs adenoidectomy surgery when:

• Antibiotics do not clear ear infections
• Buildup in fluid in the ear due to adenoid swelling
• When dentition and oral hygiene start getting affected
• Sleep apnea or snoring

A patient with enlarged adenoid glands can have breathing problems, ear infections, and recurring sinusitis. A doctor will check the symptoms and patient's health history and examine the adenoids by placing a small camera in the patient's nose. The doctor may also recommend imaging tests such as an X-ray to examine the adenoids.

Based on symptoms and physical examination of the ears, nose and throat, doctors may recommend adenoidectomy.

Adenoidectomy is a short surgical procedure performed by an ENT surgeon (ear, nose, throat specialist). The procedure takes about 20 to 30 minutes on average.

General anaesthesia is given to the patient before the surgery. The anesthesiologist combines a mixture of gas and intravenous medication for general anaesthesia. This is given through the mouth, and it keeps the patient asleep during the surgery.

The process of adenoidectomy:

• The surgeon places a small tool inside the mouth to keep it open
• Adenoids glands are removed using a debrider/coblator under endoscopic guidance

After surgery, the patient is taken into the recovery room until he or she awakens from the anaesthesia. There are no scars or stitches involved in this surgery.

Patients who have recurrent nose infections, mouth breathing or obstructive sleep apnea and suffer from airway blockage causing breathing problems are best candidates for adenoidectomy.

Adenoidectomy can cause complications and have long-term side effects. Complications due to anaesthesia include:

• Breathing problems
• Reaction to medicine

Complications- during procedure such as:

• Excessive bleeding
• Infection
• Nasal regurgitation
• Breathing problems, ear infections, or sinus remains unsolved after the surgery
• Swallowing difficulty
• Extreme sore throat

The patient may experience an upset stomach and vomiting for the first 24 hours after surgery. Contact a doctor immediately if the child experiences nausea or bleeding through the nose or mouth.

After an adenoidectomy, a patient experiences mild pain and discomfort, including sore throat, bad breath, and a running nose. Taking proper care can prevent complications.

• Giving prescribed pain medicines on time
• Offering plenty of water and other fluids to drink to stay hydrated
• Giving soft foods such as pudding, soup, or mashed vegetables to soothe the sore throat
• Avoiding hot and hard food and only give a light and soft diet during recovery
• Avoiding nose-blowing, or any other rough activity and sports
• Applying an ice pack on the neck to reduce swelling
• Have the child rest for the first few days

After adenoid removal, with care and medicines, children recover within 4-5 days.