Adenoidectomy in Adults: Causes, Procedure and Recovery

Adenoids can be described as small lumps of tissue located at the back of the nose, in the area known as the roof of the mouth. You cannot see a person’s adenoids by looking into their mouth, and a specialist doctor must examine them.

Although adenoids are often perceived as unpleasant and bothersome, they are actually part of the immune system, helping to protect the body against bacteria and viruses. Adenoids are larger in childhood but usually begin to shrink in adulthood and may eventually disappear; however, in some cases, they remain enlarged and may require adenoidectomy in adults when symptoms persist.

Certain conditions must be met for adenoid removal to be considered. Problems such as breathing difficulties, sleep disturbances, or recurrent middle ear infections are sufficient reasons to seek treatment. The condition is completely resolved with a surgical procedure called adenoidectomy, which is performed by a specialist doctor.

How is adenoidectomy performed?


Adenoids can be removed surgically in a procedure called adenoidectomy. This treatment can be administered by an ear, nose, and throat (ENT) specialist. The entire operation takes approximately half an hour. The surgeries are performed under general anesthesia. Because the recovery period is long, the patient is kept under observation for at least one day.

Essential to inform the doctor before surgery


It is essential to inform the doctor before surgery whether or not the patient has a cold. If the patient has a high fever and coughing fits, surgery cannot be performed until they have fully recovered. In some cases, if the tonsils are also causing problems, it may be necessary to remove them at the same time. Of course, your doctor will discuss this with you.

Adenoidectomy can be performed at any age 


Adenoidectomy can be performed on children of any age, starting from 1 year old. However, the determining factor is your child's ear, nose, and throat doctor. Adenoids begin to shrink around the age of 7 and are considered a vestigial organ in adults. However, in some cases, adenoids that do not shrink can cause major problems in adulthood, so adenoidectomy can be performed even during this time.

If adenoids are left untreated


Individuals with adenoid problems must have this issue resolved. Otherwise, they may develop chronic problems, most notably a prolonged runny nose, nasal congestion, and sinus infections. Furthermore, enlarged adenoids can lead to ear infections and recurring chronic fluid buildup in the ear, potentially causing temporary hearing loss in later stages.

In what situations is adenoidectomy performed?


Certain conditions must be met before adenoidectomy can be performed. Some of these are as follows:

  • Breathing difficulties: Difficulty breathing through the nose and having to constantly use the mouth for breathing.



  • Difficulty sleeping: Sleep problems can begin after difficulty breathing. Difficulty sleeping can also be followed by snoring and sleep apnea.



  • Ear Problems: Adenoids can cause middle ear infections. This can become chronic in later stages.

  • Adenoids are small glands located behind the nose, near the roof of the mouth. As part of the immune system, they help fight infections.


When adenoids enlarge for any reason


When adenoids enlarge for any reason, they can cause a number of problems, including difficulty breathing and trouble sleeping. In these cases, treatment may be necessary. One of the most common treatments for enlarged adenoids is surgery, known as adenoidectomy.

This procedure involves removing the adenoids through the mouth under general anesthesia. Recovery typically takes a few days to a week, and most children can return to school or normal activities within this time. Surgery is the most effective treatment for enlarged adenoids, and it has a high success rate.

Conclusion


Post-operative patient care after adenoidectomy is extremely important. Because the surgical site is an open wound, it always poses a risk. First and foremost, keeping the surgical area clean and dry is crucial to help reduce the risk of infection, and patients should carefully follow the advice provided by their ear nose and throat specialist. For the first few days after surgery, patients should avoid swimming, bathing, and getting water in their noses. During the first week after the operation, patients should avoid spicy or hot foods, as these may cause discomfort.

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