What to expect following Adenoidectomy

Adenoidectomy is an outpatient procedure performed under general anesthesia.  The procedure takes approximately 30 minutes and may be performed in conjunction with tonsillectomy and / or myringotomy with tubes. Surgery of the adenoids is primarily done to treat chronic ear, sinus and or throat infections, nasal obstruction, snoring and sleep apnea.

Following surgery pain medications and antibiotics are prescribed. Discomfort usually resolves within two to three days and school or work may be resumed at that time. Complete healing takes 4-6 weeks and may be accompanied by persistent drainage in the throat. Any drainage lasting longer should be brought to the attention of the surgeon as it may signify infection and require treatment. Saline nasal sprays are advised to help the healing process and should be continued until the patient feels completely healed or unless directed by the surgeon.

Bad breath and mild headaches are not uncommon complaints and usually resolve within 7-10 days. Again saline nasal sprays help limit any odor and Tylenol or Motrin suffice for the headaches.

In a small percentage (5-15%) of patients, adenoid re-growth may be seen. This is mostly true for children whose adenoids are removed before the age of three where by small nests of tissue may be embedded in the pharyngeal muscle and are not appreciated without excessive trauma to the muscle. Oftentimes if symptoms of adenoid re-growth occur the surgeon may reexamine the area with a nasal endoscope in the office to confirm or rule out any re-growth. Revision or secondary adenoidectomy may then be required.

Success rates for adenoidectomy are over 90% and benefits are seen for the vast majority of patients with chronic sinus, ear, and throat infections, or those affected by snoring and or sleep apnea. If you have any further questions please do not hesitate to contact our office to speak to your surgeon or a member of our staff.