How Is an Adenoidectomy Performed?

How to Perform an Adenoidectomy

Adenoids are located in the back of the throat near the tonsils. Their function is to prevent germs and bacteria from causing infections in the ears, nose, and throat. An adenoidectomy is necessary when the adenoids swell up due to infection and prohibit proper breathing. If the swollen adenoids are not treated, serious health problems may arise such as sleep apnea, ear infections, sinus infections, and chronic breathing through the mouth. This condition normally affects small children because of their underdeveloped immune systems.

After anesthesia has taken effect on the patient, the scalpel is placed at the base of the swollen adenoids through the mouth. The surgeon will then slice very gently in a downward motion to remove the adenoid from the connective tissue that holds the adenoid to the mouth. Then a pack of gauze will be applied to the surgery site with pressure to stop the bleeding. After the bleeding has been stopped, the patient is moved to a recovery room.

Possible risks and side effects of this surgery include bleeding, infection, nausea, vomiting, fever, pain, sore throat, mild pain when swallowing, and an alteration in the patient's voice. Most of these side effects will dissipate after two weeks. There is a possibility that the Eustachian tube will be damaged during surgery. This can lead to ear infections or glue ear. The doctor will normally prescribe pain killers and antibiotics to reduce the risk of infection after surgery. If the surgeon is not careful, other areas of the mouth may be nicked or damaged during surgery, such as lips, palettes, or even chipping a tooth. The jaw or upper spine may be jarred or dislocated during surgery causing soreness and pain.

Patients should eat a light, cool. Liquid foods will create a comfortable recovery. Make sure the patient stays hydrated by drinking half a cup of fluid every waking hour. Brush teeth thoroughly after every meal to further help prevent infection. If bleeding starts, put gauze over the bleeding site and apply pressure in order to stop the bleeding. Swimming should be avoided for ten days after surgery, and diving should be avoided for two months. Do not feed the patient directly right after surgery, or if you do, feed them slowly to prevent vomiting. Vomiting and nausea post-operative is not uncommon. If the vomiting persists, the doctor will prescribe medication to help settle upset stomachs.