Fig.1: Hypertrophy of adenoids (meats)
Endoscopic image

Indications for adenoidectomy

  • Inflammatory causes:
    1. Recurrent adenoiditis, with three or more episodes of acute adenoiditis within a year
    2. Chronic adenoiditis, with persistent rhinorrhea, nasal obstruction, halitosis and postnasal discharge, after receiving two therapeutic antibiotic regimens, lasting 14 days
    3. Recurrent otitis media, with three or more episodes in a 6-month period or four or more episodes in a one-year period
    4. Chronic secretory otitis, with bilateral fluid retention for 3 months or unilateral up to 6 months
  • Obstructive causes:
    1. Hypertrophy of adenoids, with the presence of nasal obstruction and mouth breathing
    2. Obstructive sleep apnea, which can lead to cardiopulmonary complications such as right heart failure, pulmonary hypertension, right ventricular hypertrophy
    3. Speech disorders, with the presence of male speech
    4. Developmental delay and weight gain, with the presence of fatigue during feeding
    5. Disorders of maxillofacial development, with the presence of a characteristic adenoid face
    6. Orthodontic problems and malocclusion of teeth
  • Suspected benign or malignant neoplasm

Contraindications to adenoidectomy

  1. Cleft palate
  2. Split grape, accompanied by incomplete closure of the muscles of the palate
  3. Serious bleeding disorders, such as haemophilia

Instructions after adenoidectomy

  1. The most important condition for the recovery of the patient after surgery is the intake of plenty of fluids, such as water and apple juice. Avoid acidic juices.
  2. Food should be soft and cold.
  3. Mild snoring and mouth breathing may be observed due to the presence of postoperative swelling. It will go away within 2 weeks of surgery, with the swelling going down.
  4. Decimal febrile movement, can be observed in the first twenty-four hours. On fever over 38TheC, contact the attending physician.
  5. Possible presence of food regurgitation, subsides within 2-4 weeks.
  6. Bath with warm water can be done from the second day.
  7. Avoid any vigorous physical activity for 7 days.
  8. Avoid social contact for 7 days.
  9. Blood spots may be seen in nasal secretions and saliva. If you see bright, red blood, contact your doctor immediately.

To find out about the adenoidectomy surgery, make an appointment at the following link.