Adenoidectomy - Removal of adenoids (Adult)

Adenoidectomy for Adults (Removal of Adenoids)

An adenoidectomy is a surgical procedure to remove the adenoids, small glands located at the back of your nasal passage. While adenoid removal is more common in children, adults may also need this procedure to address specific health concerns. This guide explains what the procedure involves, why it may be necessary, potential risks, benefits, and recovery.

What are adenoids and why might you need them removed?

Adenoids are part of your immune system, helping to fight infections by trapping bacteria and viruses. However, in some cases, they can become enlarged, inflamed, or infected, leading to various problems. Reasons for an adenoidectomy in adults include:

• Chronic nasal blockage: Enlarged adenoids obstructing your nasal passage can cause difficulty breathing or snoring.
• Recurrent sinus infections: Inflamed adenoids can contribute to frequent sinus infections.
• Sleep apnoea: Swollen adenoids may disrupt sleep by causing breathing pauses during the night.
• Persistent ear problems: Blocked eustachian tubes caused by enlarged adenoids can lead to ear infections or fluid build-up.
• Suspected abnormal growths: Rarely, adenoids may require removal for further examination if there is concern about abnormal tissue.

When these issues persist despite medication or other treatments, surgery may be recommended to resolve the underlying problem.

What preparation is required?

Before your adenoidectomy, certain preparations are necessary to ensure the procedure is safe and effective:

• Medical assessment:
  Your doctor will review your medical history, medications, and any allergies. You may also require blood tests to confirm you are fit for surgery.
• Fasting:
  You’ll need to avoid eating and drinking for 6–8 hours before surgery because the procedure is performed under general anaesthesia.
• Adjusting medications:
  If you take blood-thinning medications, such as aspirin or warfarin, your doctor may advise stopping them temporarily. Follow your doctor’s instructions carefully.
• Post-surgery support:
  Arrange for someone to drive you home and stay with you after the procedure, as you may feel drowsy from the anaesthetic.

What does the procedure involve?

An adenoidectomy is usually performed under general anaesthetic, meaning you’ll be asleep during the surgery. The procedure typically takes 20 to 45 minutes and involves the following steps:

• Accessing the adenoids:
  The surgeon reaches the adenoids through your mouth, so no external cuts or scars are made.
• Removing the adenoids:
• • Traditional surgical removal: Special instruments are used to cut out the adenoid tissue.
  • Cautery: Heat is applied to remove the adenoids and seal the area to minimise bleeding.
  • Coblation: A modern method using radiofrequency energy to dissolve the adenoids gently.
• Completion:
  The surgeon ensures there is no excessive bleeding before waking you from anaesthesia.

Your doctor will discuss the best surgical method for your situation beforehand.

What are the benefits?

An adenoidectomy can significantly improve your quality of life by addressing the root causes of your symptoms. Benefits include:

• Improved breathing: Easier nasal airflow and relief from congestion.
• Better sleep: Reduced snoring and fewer sleep disruptions.
• Fewer infections: Reduced incidence of sinus and ear infections.
• Overall well-being: Enhanced energy levels and comfort in daily life.

What are the potential risks and complications?

Adenoidectomy is a safe and common procedure, but like any surgery, it carries some risks, including:

• Bleeding: Minor bleeding is normal, but significant bleeding requires medical attention.
• Infection: Signs include fever, worsening pain, or unusual nasal discharge.
• Temporary changes in voice: Some people experience a temporary “nasal” quality to their voice.
• Nasal airflow changes: A temporary sensation of altered airflow may occur during healing.

Your surgeon will explain these risks and answer any concerns before the procedure.

Recovery after the procedure

Hospital stay:
An adenoidectomy is typically a day-case procedure, meaning you can usually go home the same day. In some cases, an overnight stay may be required, particularly if you have other health conditions or experience any complications.

Pain and discomfort:
It’s normal to feel a sore throat, nasal discomfort, or mild ear pain after surgery. These symptoms usually resolve within a week, and your doctor will prescribe pain relief as needed.

Diet:
You’ll be encouraged to eat and drink as soon as you feel able. Soft foods and plenty of fluids are recommended in the first few days. Avoid hot or spicy foods that may irritate the area.

Activity restrictions:
Most people recover within 1 to 2 weeks. During this time, avoid strenuous activities, heavy lifting, or anything that could strain the area.

Healing time:

Recovering from an adenoidectomy is usually straightforward, with most people feeling better within 1 to 2 weeks. During this time, it’s important to rest, stay hydrated, and eat a balanced diet to support healing. Avoid strenuous activities and follow your surgeon’s advice to prevent any complications. Pain and discomfort should ease within a few days, but your doctor will provide pain relief to help you stay comfortable. By prioritising your recovery and attending any follow-up appointments, you’ll soon notice improvements in your breathing, sleep, and overall wellbeing.

Follow-up care:
Your doctor will schedule a follow-up appointment to check your healing and discuss any concerns.