Adenoidectomy

Also known as: adenoid removal

What is adenoidectomy?

The adenoids are a mass of lymphoid tissue located in the upper airway behind the nose. While their exact function is not fully understood, they may play a minor role in the immune system during early childhood. The size of the adenoids typically decreases with age, and they usually regress by adulthood. Removal of the adenoids does not adversely impact immune function. However, when the adenoids become enlarged, they can obstruct the airway, and when infected, they may negatively affect a child's quality of life. In such cases, an adenoidectomy (surgical removal of the adenoids) can be beneficial. In some instances, a tonsillectomy (removal of the tonsils) may be performed simultaneously, though this is not always necessary.

What happens during the procedure?

Adenoidectomy is performed under general anesthesia, ensuring that the patient remains unconscious and pain-free during the surgery. The adenoids are removed through the mouth using one of several techniques, including:

• Curettage: Surgical removal with a curette
• Microdebrider: Shaving of the tissue
• Electrocautery: Tissue vaporization using heat
• Coblation: Tissue removal using radiofrequency energy

This procedure is typically performed on an outpatient basis, allowing the child to return home within a few hours after surgery.

Is any special preparation needed?

Patients may be required to refrain from eating, drinking, or taking certain medications before the procedure. It is essential to follow all preoperative instructions provided by the healthcare provider to ensure a safe and successful surgery.

What are the risk factors?

Adenoidectomy is a common and generally well-tolerated procedure with a short recovery period. However, as with any surgical intervention, there are potential risks, including:

• Bleeding
• Infection
• Breathing difficulties
• Adverse reactions to anesthesia

Most patients recover quickly with no long-term complications. Parents and caregivers should monitor for any unusual symptoms and follow postoperative care instructions to promote healing.

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Reviewed by: Sandeep P Dave, MD

This page was last updated on: September 16, 2025 12:54 PM