Adenoidectomy Surgery in Corpus Christi, TX
Adenoidectomy is the surgical removal of the adenoid pad, a mass of lymphoid tissue located in the nasopharynx (the space behind the nasal passages, above the soft palate). Like the palatine tonsils, the adenoids are part of Waldeyer’s ring, a ring of lymphoid tissue that serves as an immune surveillance system for inhaled and ingested antigens. The adenoids are most prominent during childhood and typically undergo spontaneous involution (shrinkage) during adolescence. However, when they are chronically enlarged or infected, they can obstruct the posterior nasal airway, interfere with Eustachian tube function, and contribute to recurrent ear and sinus infections. At Corpus Christi ENT Sinus & Allergy, Dr. Todd M. Weiss performs adenoidectomy in children and adults when clinically indicated.
Indications for Adenoidectomy
- Nasal obstruction: adenoid hypertrophy causing significant posterior nasal airway obstruction, with resulting mouth breathing, snoring, and sleep-disordered breathing
- Obstructive sleep apnea: adenoid enlargement contributing to pediatric obstructive sleep apnea, typically in combination with tonsillar hypertrophy (adenotonsillectomy)
- Recurrent or chronic otitis media: enlarged adenoids harbor bacteria and obstruct Eustachian tube function, contributing to middle ear disease; adenoidectomy reduces the recurrence of ear infections and may reduce the need for repeat ear tube placement
- Recurrent or chronic rhinosinusitis: adenoids serve as a reservoir for pathogenic bacteria and biofilm that seeds the sinus cavities in children; adenoidectomy is an effective adjunct to sinus-directed treatment
- Chronic adenoiditis: persistent adenoid infection causing chronic nasal discharge, postnasal drip, halitosis, and adenoid facies
The Procedure
Adenoidectomy is performed under general anesthesia, typically as an outpatient procedure. The surgeon accesses the nasopharynx transorally using a mouth gag for exposure and a mirror or nasal endoscope for visualization. The adenoid pad is removed using a curette, powered microdebrider, or electrocautery, and hemostasis is achieved. The procedure typically takes 15 to 30 minutes as a standalone procedure.
When combined with tonsillectomy (adenotonsillectomy) or tympanostomy tube placement, operative time is extended accordingly. Adenoidectomy is most commonly performed in children, though it is occasionally indicated in adults with persistent adenoid tissue causing nasal obstruction or Eustachian tube dysfunction.
Recovery
- Day of surgery: discharged to home after recovery from anesthesia; some nasal congestion and mild throat discomfort are expected
- Days 1 to 3: nasal congestion and a temporary nasal quality to the voice (rhinolalia clausa) are common as the nasopharynx heals; soft, cool foods and adequate hydration are recommended
- Days 3 to 7: gradual improvement in nasal breathing as post-operative edema subsides
- Week 1 to 2: return to school or normal activity is typically appropriate by one week post-operatively; strenuous physical activity should be avoided for two weeks
- Weeks 2 to 4: nasal airway quality continues to improve as healing is completed; the voice returns to its pre-operative character
Outcomes
Adenoidectomy is well-tolerated and highly effective for appropriately selected indications. In children with recurrent otitis media requiring a second set of ear tubes, adenoidectomy performed at the time of the second tube placement significantly reduces the likelihood of requiring a third set. In children with chronic rhinosinusitis refractory to medical management, adenoidectomy improves sinus symptoms in approximately 70 percent of patients without the need for sinus surgery. For obstructive sleep apnea in children, adenotonsillectomy is the primary treatment and results in resolution or significant improvement in the majority of cases.
Schedule an Appointment Today
If your child has chronic nasal obstruction, recurrent infections, or sleep problems from enlarged adenoids, we can help. Call us at (361) 320-6130 or connect with us online to schedule a consultation.