All about Adenoidectomy and its treatment
Overview
An adenoidectomy refers to a surgical procedure aimed at removing the adenoids. At the back of your nasal cavity are small lymphoid tissues known as adenoids. They are situated above the roof of your mouth. Adenoids play a crucial role in the immune system of an infant or child. Specifically, they assist your infant or child fight infection. Adenoids also protect your child’s body against the invasion by foreign bodies, such as viruses and bacteria. As the child gets older, the body develops additional mechanisms to fight infections and germs. Between the ages of 5 and 7, the adenoids begin to shrink in most children. By the time the child turns into a teenager, the adenoids will be completely gone, at least in most cases.
When adenoids get infected by allergens, viruses, and bacteria, they get inflamed and enlarged. When this happens, the resulting condition is known as adenoiditis. It mainly affects children, but a few adults also present with the condition. In case your child finds it difficult to sleep or develops breathing problems due to adenoids, they need to be removed. An enlarged adenoid can also lead to other complications such as blockage of the Eustachian tubes. It is also associated with ear infections while in other children, it affects the respiratory process.
Recurrent sinus infections or problems with ears or breathing could be an indication that your child has problems with the adenoids. Nevertheless, it is important that you receive a proper diagnosis from your doctor. Besides taking a health history of your child, the doctor will also order an X-ray to assess the nature and extent of the adenoidectomy. The procedure is conducted in the surgeon’s office under general anesthesia. Most children who have an adenoidectomy go on to have a full recovery with limited ear and breathing problems.
What causes enlarged or swollen adenoids?
Enlarged or swollen adenoids are due to an infection. Other children are born with an enlarged adenoid. Enlarged adenoids are a rare occurrence in adults.
Some of the causes of enlarged or swollen adenoids are :
- Allergic reaction
- Chronic allergens or infections in adults
- Smoking and pollution.
- Cancerous tumor, although such occurrences are very remote.
What are the signs and symptoms of adenoiditis?
The symptoms of swollen or inflamed adenoids differ, depending on the cause of the infection or other reasons. However, the child may typically present with the following symptoms:
- A stuffy nose
- The glands at the back of the neck gets inflamed
- Sore throat
- Pain in the ears
- Your child may have a problem breathing with their nose as it is stuffed or blocked. The child may opt to breathe with the mouth, resulting in dry mouth and lips. Enlarged adenoids may lead to noisy breathing, or what is commonly referred to as “Darth Vader” breathing.
- Snoring
- Obstructive sleep apnea: When this happens, the child may momentarily stop breathing while asleep. This results in disturbed sleep. It may also lead to growth, learning, and behavioral problems. Sleep apnea is also associated with bedwetting in some children, while others may suffer heart problems.
Other signs and symptoms associated with enlarged adenoids include:
- Swollen neck glands
- Restless sleep
- Unusual sleeping position. For example, they may begin to sleep with their knees to the chest or with their head leaning backward.
If your child presents with two or more of the above symptoms, it is important that you have them checked by a doctor. Your doctor is best placed to tell whether the symptoms could be a result of enlarged or swollen adenoids. If this is the case, the doctor will recommend a treatment plan to correct the condition.
How are enlarged or swollen adenoids diagnosed?
If a doctor has enough reasons to suspect that your child might be suffering from enlarged or swollen adenoids, he may refer you to an ear, nose and throat (ENT) specialist. The ENT specialist starts by taking the medical history of your child, including when the symptoms first manifested, and the pattern of such symptoms. Additionally, the ENT specialist will conduct a physical exam to check if indeed the adenoids are swollen or enlarged. The procedure entails inserting a lighted scope with a camera through your child’s nose. This will assist the doctor to view the back of your child’s throat.
A throat swab will also be helpful in terms of allowing the doctor to obtain samples of infectious organisms such as viruses and bacteria. A blood test may also be necessary, to allow the doctor to identify the whether there is any infection on the adenoids. In case your child suffers from sleeping problems, the doctor may have to undertake a sleep study. In this way, your doctor is in a better position to establish if the symptoms are a result of sleep apnea, which may be triggered by enlarged adenoids.
An x-ray of the neck or head will help reveal the extent of the infection. Additionally, x-rays aid in establishing the size of the adenoids.
What does an adenoidectomy entail?
An adenoidectomy is a short and straightforward procedure often administered by an ENT surgeon. Before the procedure, we will make arrangements to have the patient transported to the clinic in one of our hospital vans. At the clinic, we will help in completing the necessary paperwork before the procedure.
Your surgeon will also brief you fully on the benefits, risks, and complications associated with an adenoidectomy. Feel free to ask your doctor any questions that you may have. This way, you will have an in-depth understanding of what the procedure entails.
Before the procedure:
An adenoidectomy is an outpatient procedure. This can take place at the ENT surgeon’s clinic or the hospital. An anesthesiologist will be available throughout the surgery to monitor the progress of your child. The anesthesiologist will often call you a day before the procedure. The purpose of this call is to assess your child’s medical history. In case your doctor has recommended preoperative laboratory studies, it is important to ensure these have been conducted a few days before the surgery.
In case your child has been taking anti-inflammatory medication, you are advised to discontinue such medication for about a week before the surgery.
You need to be upfront with your child regarding the upcoming procedure. Assure your child that the procedure will be safe and that you will be close by. This will calm and reassure your child.
You are advised not to feed your child anything for about 6 hours before the procedure.
The anesthesiologist will administer a general anesthetic. The anesthesiologist will also monitor your child closely via heart rhythm and pulse oximeter.
Our surgical team is highly experienced in conducting such procedures. Besides the anesthesiologist and ENT surgeon, a surgical technician and nurse will also be in the room during the procedure.
Once the anesthesia has taken effect, the ENT surgeon proceeds to remove the inflamed or enlarged adenoids via the mouth. There is no external incision needed. The surgeon uses an electrical cauterizing unit to cauterize the adenoids at the base. The entire procedure takes not more than 45 minutes. As soon as your child has been taken to the recovery room, the ENT surgeon will speak to you in the waiting room. The goal is to reassure you that the surgery has gone well, and that you are free to see your child..
After the procedure:
After a successful adenoidectomy procedure, the nurse will take your child to the recovery room for further monitoring. Once your child is fully awake, you will be invited to the recovery room.
Your child may take a few hours to fully recover. Once the ENT surgeon is fully satisfied that your child has responded well post-operation, you will be allowed to take your child home.
Adenoidectomies are associated with excellent outcome in the long-term. Post-surgery, most children experience:
- Reduced ear infections
- Throat infections are milder and fewer
- Easier breathing through the nose
An adenoidectomy rarely results in any risk. However, it can lead to the following:
- Inability to resolve nasal drainage or ear infections: The child may also have difficulties in resolving any underlying breathing problems
- Infection
- In very rare cases, an adenoidectomy can lead to excessive bleeding
Your ENT surgeon will fully brief you on such risks before the procedure. Additionally, you will have time to ask any questions about the procedure.
Post-op care and diet
After an adenoidectomy, it is normal for your child to develop a sore throat for the next 2-3 weeks post-surgery. You are advised to ensure that your child remains properly hydrated throughout. This is because good hydration is associated with alleviation of pain. Avoid giving hot or spicy foods to your child, at least for the next few weeks. You should also not feed your child crunchy and hard foods. Desserts and cold liquids are recommended for your child, such foods can be quite soothing to the throat.
The following are also good drink and diet options for your child when they have a sore throat:
- Fruit juice
- Ice cream
- Yoghurt
- Water
- Apple sauce
- Soft vegetables and meat
Your ENT specialist may prescribe medication to help relieve the pain. Make sure that your child takes such medication as prescribed. Ensure that your child takes it easy for the next few days post-surgery. Your child must not blow their nose for a week post-surgery. Make sure also that your child does not engage in contact sports. Additionally, the child must not partake in any rough playing.
In case your child has a stuffy nose, it is recommended that you use a cool-mist humidifier. Ensure that the humidifier gets cleaned every day as it protects against growth of mold.
Make sure to call your doctor in case your child:
- Experiences a sudden increase in nasal bleeding. Moreover, such bleeding may not stop even after you apply ice, pressure, or elevate the position of your child’s head
- Develops a persistent high fever even after taking acetaminophen, or increasing the number of cool baths and fluid intake
- Develops a persistent headache or sharp pain that does not subside even after taking medication
- Manifests in increased redness or swelling on their eyes or nose
Adenoidectomy is a surgery performed to remove adenoids. Children experience recurrent infection, which causes an interruption in their schedules at school and other activities. Specialists recommend removal of adenoids if their presence is causing troubled breathing through repeated earaches and chronic infections. These recurrent symptoms find immense relief with removal of adenoids.
Laser coblation adenoidectomy is a popular and safe adenoidectomy treatment for patients in Bangalore and is preferred over conventional Adenoidectomy.
Benefits of laser coblation adenoidectomy surgery in Bangalore
- Increased precision of adenoid removal
- Complete relief from snoring and breathing via the mouth
- Improved sleep quality
- No more frequent ear infections
- Faster recovery
- Lower risk of post-operative bleeding
- Safer procedure
- Reduced damage to tissues
How goficure can assist in adenoidectomy surgery at Bangalore?
goficure has the experience of facilitating this surgery from diagnosis to complete recovery. We are connected to many expert doctors and our team can schedule care, surgery and post-op until recovery seamlessly.
We help you
- Connect with the specialist suited for you and schedule the appointment
- In charge of your healthcare from A to Z
- Fix the slot for surgery
- Manage the logistics of pick up, admission at the hospital
- Offer complete support through the procedure
- Follow-up of care after surgery
- Track all post-op appointments
- Draw a customised nutrition and diet chart
- Enable proper advice for better health, lifestyle and fitness
- Handle insurance claims until completion
When you choose care with goficure, we bring for you customised, complete and cost-effective healthcare on a platter.
Exclusive features you get with goficure
1. Dedicated Medi-Pal
A dedicated Medi-Pal is assigned to you. Your Medi-Pal will be your one point contact throughout the treatment and post-op period. They will always be available for you
2. Quick doctor’s appointments
After understanding your concerns, your Medi-Pal will schedule your consultation with a specialist doctor. Your doctor will carry out necessary tests and advise the course of treatment
3. Hassle-free treatment
If you opt to get the surgery done, goficure will take care of it completely. Right from booking your surgery, claiming your insurance to being with you throughout the procedure, your Medi-Pal will do it all
4. Post-op recovery support
Your Medi-Pal would ensure quick recovery. This includes booking your follow up consultations and helping you with doctor-recommended steps for diet & exercise
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Comparison
With so many options, are you wondering what the right choice for your condition is? While you can opt for either an open surgery or a laser surgery, numerous studies have shown that laser surgeries are far more effective. Be it the duration of the procedure, post-operative pain or recovery time, laser surgeries always outrank open surgeries and are therefore, a better choice. Here is a quick comparison that will help you decide your course of action.
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