Mr Nicholas J Mansell
Consultant Otolaryngologist
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Monday, July 28, 2008
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ADENOIDECTOMY (1)

The adenoids sit behind the soft palate at the back of the nose. They are composed of lymphoid tissue and form part of the body’s immune system. There is some evidence that they influence Eustachian tube and therefore middle ear function and thus they  may need to be removed in children with glue ear. If the adenoids are obstructing the back of the nose and causing airway problems adenoidectomy may be necessary.

The Operation
Adenoidectomy is now performed as a day case procedure in fit patients. The operation takes about 10 minutes and  is performed via the mouth and under a general anaesthetic. A suction cautery tube is used to remove the adenoids under direct vision. Blood loss is virtually nil.

Postoperative recovery
Pain
Adenoidectomy is not a painful operation and regular paracetomol is usually sufficient pain relief.
Activity
Normal activity should be resumed after about a week.
Diet
A normal diet should be taken.

Normal symptoms
The suction diathermy method of adenoidectomy  is associated with some mucous nasal discharge for 1-2 weeks after operation.

Follow-up
Usually adenoidectomy will be performed with grommet insertion and follow up will be at 2 months with a hearing test.




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