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The adenoid, commonly referred to as the third tonsil, is a natural part of a child’s immune system. It is located in the nasopharynx and helps recognise microorganisms entering the body with inhaled air.
In some children, the adenoid becomes excessively enlarged, which may lead to breathing difficulties, recurrent infections, and hearing problems. In such cases, the doctor may consider surgical treatment involving its removal.
What Is the Function of the Adenoid?
The adenoid forms part of the immune system and is particularly active during the first years of a child’s life. Its role is to support the body’s immune response to contact with microorganisms.
Excessive enlargement of the adenoid may, however, cause a range of symptoms that affect the child’s comfort in everyday life and normal development.
What Does Adenoid Removal Surgery Involve?
Adenoidectomy involves the surgical removal of an enlarged adenoid located in the nasopharynx. The procedure is performed under general anaesthesia and usually takes between 20 and 30 minutes.
Removing the enlarged tissue helps restore normal upper airway patency and reduce symptoms associated with adenoid enlargement.
Does Every Enlarged Adenoid Require Surgery?
No. The decision to proceed with surgery is made individually following an ENT consultation and appropriate diagnostic examinations. In some cases, conservative treatment or observation may be recommended.
Good to Know
An enlarged adenoid can affect not only nasal breathing but also sleep quality, hearing, and the child’s ability to function normally during the day. Appropriate diagnostic assessment helps determine whether surgical treatment is the most suitable option in a particular case.
Adenoid removal is one of the most commonly performed ENT procedures in children. It is carried out only when appropriate medical indications are present.
When May a Doctor Recommend Adenoid Removal?
Surgical treatment may be considered in children experiencing:
- difficulty breathing through the nose,
- chronic mouth breathing,
- snoring and sleep-related breathing problems,
- recurrent upper respiratory tract infections,
- recurrent otitis media with effusion,
- hearing impairment associated with obstruction of the Eustachian tubes,
- chronic nasal discharge,
- speech problems resulting from an enlarged adenoid,
- adenoid enlargement confirmed by an ENT examination.
Before the planned operation, diagnostic tests and specialist consultations are required to prepare the child appropriately for the procedure.
Preoperative preparation usually includes:
- an ENT consultation,
- examination of the adenoid and assessment of nasal patency,
- video endoscopy of the nasopharynx in selected cases,
- basic laboratory tests, including a full blood count and blood-clotting assessment,
- an anaesthetic consultation,
- assessment of the child’s general health,
- discussion of the procedure and postoperative recommendations.
Parents also receive detailed instructions on fasting before surgery and preparing the child for hospital admission.
What Does Recovery After Adenoidectomy Look Like?
After the procedure, the child remains under the observation of medical staff for several hours. Recovery is usually relatively quick, and most patients return to their everyday activities within a few days.
During the postoperative period, it is recommended to:
- ensure the child gets sufficient rest,
- provide easily digestible meals,
- serve cool or lukewarm food and drinks,
- maintain adequate hydration,
- avoid strenuous physical activity for the period specified by the doctor,
- follow the recommendations regarding postoperative check-ups.
The treating doctor also provides individual recommendations concerning the child’s return to nursery, school, and physical activity.
- About the procedure
-
What Does Adenoid Removal Surgery Involve?
Adenoidectomy involves the surgical removal of an enlarged adenoid located in the nasopharynx. The procedure is performed under general anaesthesia and usually takes between 20 and 30 minutes.
Removing the enlarged tissue helps restore normal upper airway patency and reduce symptoms associated with adenoid enlargement.
Does Every Enlarged Adenoid Require Surgery?
No. The decision to proceed with surgery is made individually following an ENT consultation and appropriate diagnostic examinations. In some cases, conservative treatment or observation may be recommended.
Good to Know
An enlarged adenoid can affect not only nasal breathing but also sleep quality, hearing, and the child’s ability to function normally during the day. Appropriate diagnostic assessment helps determine whether surgical treatment is the most suitable option in a particular case.
Adenoid removal is one of the most commonly performed ENT procedures in children. It is carried out only when appropriate medical indications are present.
- Preparation
-
When May a Doctor Recommend Adenoid Removal?
Surgical treatment may be considered in children experiencing:
- difficulty breathing through the nose,
- chronic mouth breathing,
- snoring and sleep-related breathing problems,
- recurrent upper respiratory tract infections,
- recurrent otitis media with effusion,
- hearing impairment associated with obstruction of the Eustachian tubes,
- chronic nasal discharge,
- speech problems resulting from an enlarged adenoid,
- adenoid enlargement confirmed by an ENT examination.
- Convalescence
-
Before the planned operation, diagnostic tests and specialist consultations are required to prepare the child appropriately for the procedure.
Preoperative preparation usually includes:
- an ENT consultation,
- examination of the adenoid and assessment of nasal patency,
- video endoscopy of the nasopharynx in selected cases,
- basic laboratory tests, including a full blood count and blood-clotting assessment,
- an anaesthetic consultation,
- assessment of the child’s general health,
- discussion of the procedure and postoperative recommendations.
Parents also receive detailed instructions on fasting before surgery and preparing the child for hospital admission.
- Precautions
-
What Does Recovery After Adenoidectomy Look Like?
After the procedure, the child remains under the observation of medical staff for several hours. Recovery is usually relatively quick, and most patients return to their everyday activities within a few days.
During the postoperative period, it is recommended to:
- ensure the child gets sufficient rest,
- provide easily digestible meals,
- serve cool or lukewarm food and drinks,
- maintain adequate hydration,
- avoid strenuous physical activity for the period specified by the doctor,
- follow the recommendations regarding postoperative check-ups.
The treating doctor also provides individual recommendations concerning the child’s return to nursery, school, and physical activity.
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