adenoidectomy surgery steps

Before adenoidectomy surgery

During adenoidectomy surgery

How long does adenoid surgery take?

What are the side effects of having your adenoids removed?

Is it painful to remove adenoids?

Before adenoidectomy surgery

Tell your ENT surgeon if your child has had a cold or sore throat in the week before the operation.

If your child has a high temperature and cough, the operation may have to be postponed for a few weeks to ensure they’ve fully recovered and to reduce their risk of developing complications as a result of the surgery.

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During adenoidectomy surgery

An adenoidectomy is done under general anaesthetic, so your child will be asleep during the operation and will not feel any pain.

The adenoids are removed through the mouth.

• The surgeon places a small tool into your child’s mouth to keep it open.
• The surgeon removes the adenoid glands using a spoon-shaped tool (curette). Or, another tool that helps cut away soft tissue is used.
• Some surgeons use electricity to heat the tissue, remove it, and stop bleeding. This is called electrocautery. Another method uses radiofrequency (RF) energy to do the same thing. This is called coblation. A cutting tool called a debrider can also be used to remove the adenoid tissue.
• Absorbent material called packing material may also be used to control bleeding.

Your child will stay in the recovery room after surgery. You will be allowed to take your child home when your child is awake and can breathe easily, cough, and swallow. In most cases, this will be a few hours after surgery.

Removal of the tonsils

If your child has large tonsils, or has had severe or frequent bouts of tonsillitis, the doctor may suggest removing the tonsils and adenoids at the same time. This is called an adenotonsillectomy.

Removing the adenoids and tonsils at the same time reduces the chance of complications. However, adenoidectomies, tonsillectomies and adenotonsillectomies are quick and straightforward procedures with few complications.

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How long does adenoid surgery take?

The procedure itself usually takes 20 to 30 minutes, Your child will wake up in the recovery room after surgery this may take 45 minutes to an hour.

What are the side effects of having your adenoids removed?

An adenoidectomy is a very safe operation and complications are rare. However, as with any type of surgery, there is still a chance of complications and side effects:

There’s a small chance of:

• bleeding
• a tooth being knocked or chipped during the operation
• infection your child may be given antibiotics to help prevent this
• a reaction to the anaesthetic

After an adenoidectomy, some children have some minor health problems. However, most of these are temporary and rarely require further treatment. They can include:

• sore throat
• earache
• stiff jaw
• blocked nose or nasal discharge
• bad breath
• a change in voice (your child may sound like they’re speaking through their nose)
• finding it hard to swallow
• finding it hard to brush their teeth

Most of these symptoms will pass within a few weeks.

Is it painful to remove adenoids?

It is normal for your child to have bad breath for about one to two weeks after surgery. Your child also may have some pain in the ear that is actually from the site where the adenoids were removed. This pain typically resolves within a week. If just the adenoid is removed (not the tonsils too) your child’s throat will be mildly sore for a day or two after surgery. Most children are able to eat and drink normally within a few hours after surgery, even if their throat hurts a little. It is very important that your child drink plenty of fluids after surgery.

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After Adenoidectomy surgery

It’s normal to have a sore throat after an adenoidectomy. Your child will usually be given painkillers while in hospital to help ease discomfort.

Your child may also feel groggy and sleepy after having an anaesthetic. After the operation, they’ll be checked for several hours to make sure they’re recovering normally. Once the doctor is satisfied, you’ll be able to take your child home.

After this procedure, most children:

• Breathe better through the nose
• Have fewer and milder sore throats
• Have fewer ear infections

In rare cases, adenoid tissue may grow back. This does not cause problems most of the time. However, it can be removed again if necessary.

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