Adenoid

What are adenoids

Adenoid is a mass of lymphatic tissue in the back of the nose behind the soft palate. Adenoids, which shrink by adolescence in most individuals, are designed to trap germs that enter through the nose. A person’s tonsils maintain a similar function, catching microscopic substances that come in via the mouth.

Surgery doesn’t compromise that line of defense: “Studies have shown that removal of the adenoid doesn’t adversely affect a body’s ability to fight off infection in the long run.

Why it’s done

Adenoidectomy may be advised when a child has persistent nasal obstruction, chronic ear or sinus infections, snoring / mouth breathing or sleep disturbance.

 In most cases large adenoids in behind nose block Eustachian tube openings there by impeding ventilation to middle ear cavity. This causes a slow accumulation of serous discharge and later may get infected. This causes severe pain, decreased hearing in kids. If neglected kids ear drum may break and cause discharge from ear.

Surgery 

We prefer a technology called coblation II device produced by smith and nephew. The COBLATOR II Surgery System is designed for ablation, resection, and coagulation of soft tissue and hemostasis of blood vessels in otorhinolaryngology (ENT) surgery. Using patented COBLATION technology, the system dissolves tissue at the molecular level in a highly-controlled manner with minimal thermal effect on surrounding tissue. We use The PROCISE◊ MAX COBLATION◊ Wand with rapid tissue removal for Adenoidectomy while maintaining the hemostatic and minimal thermal effect benefits of COBLATION technology. With integrated suction, ablation, and coagulation features this single-use device is an all-in-one instrument designed to help decrease surgical time.

Pre and post op images-showing nasopharynx blocked by adenoid tissue in first row and second row showing post op wide nasopharynx with widened Eustachian tube ends.

What to expect in recovery

Compared with tonsillectomy, the healing process is often easier for adenoidectomy patients. “There’s typically less pain, less risk of bleeding and a quicker return to normal activities,”

Post-Operative Care Instructions 

following instructions will help you know what to expect in the days following surgery. Do not, however, hesitate to call if you have any questions or concerns.

Physical Activities

After this surgery, children should rest but may play inside after 2-3 days and may be outside after 7 days, if they feel up to it. Strenuous physical activity following surgery is discouraged. Children may return to school after 5-7 days. Avoid dust exposure during 1st week.

Diet

No diet restrictions after discharge

Pain

Pain is nearly absent in most cases. Occasionally kids may complain of neck pain. Which will subside in 1-2 weeks.

Follow up

Arrange to see weekly once till 3 weeks after surgery.