Introduction
Adenoidectomy removes adenoid tissue from the back of the nose. It is common in children and sometimes done in adults to improve nasal breathing, sleep, and recurrent ear problems.
It may be combined with tonsillectomy. The decision depends on symptom severity, sleep study results, and ENT assessment—not adenoid size alone.
Why it is done / when it is considered
Adenoidectomy is commonly discussed in situations such as:
- Chronic nasal blockage, mouth breathing, snoring, or suspected sleep-disordered breathing
- Recurrent middle-ear infections or fluid affecting hearing
- Persistent sinus or nasal symptoms not improving with medicines
- Combined need when tonsil surgery is also indicated
How the procedure is done
- Usually performed under general anesthesia through the mouth—no external incision
- Adenoid tissue is removed with curette, suction, or other instruments
- Procedure is relatively short; same-day or overnight stay is common
- Tonsils may be removed during the same operation if planned
Preparation
- Follow fasting and medicine instructions before surgery
- Report fever, cold, or bleeding disorders beforehand
- Adjust aspirin or anticoagulants only as directed
- Caregivers should understand anesthesia and post-op care for children
Risks and possible complications
Risks differ by procedure. Your age, other illnesses, and anaesthesia plan change the picture—your care team will explain what applies to you.
- Bleeding, infection, and anesthesia risks
- Temporary nasal congestion, sore throat, or voice change
- Rare velopharyngeal insufficiency affecting speech or swallowing
- Symptoms may persist if other conditions contribute
Recovery
- Soft diet and pain control for several days
- Most children return to school within about 1–2 weeks
- Snoring may improve gradually as swelling settles
Aftercare and follow-up
- Encourage fluids; avoid rough play while healing
- Seek care for persistent fever, dehydration, or bleeding
- Follow ENT follow-up for hearing or sleep reassessment
Frequently asked questions
Will removing adenoids weaken immunity?
Adenoids are not the only immune tissue. When needed, benefits usually outweigh risks.
Can adenoids be removed without tonsils?
Yes, if adenoids alone are the problem. Combined surgery is chosen when both contribute.
How long until my child feels normal?
Many improve within 1–2 weeks; full recovery varies.
Important caution
This article is general health information. It is not personal medical advice, a surgery recommendation, or a cost promise.
Decide on need, alternatives, risks, and cost with your doctor and hospital. If you have emergency symptoms, go to hospital without delay.