Often, tonsils and adenoids are surgically removed at the same time. Although you can see the tonsils at the back of the throat, adenoids aren't directly visible.
Sometimes. the doctor may need to see the size of the adenoids. This can be done by checking them with an X-ray or by using a tiny telescope to look into the back of the nose where the adenoids sit.
So, what are adenoids anyway? They're a patch of tissue that sits at the very back of the nasal passage. The adenoids help to stop bacteria and viruses from entering the body through the nose.
In kids, adenoids usually begin to shrink after about 5 years of age and often practically disappear by the teen years.
Because adenoids trap germs that enter the body, adenoid tissue can temporarily swell as it tries to fight off an infection. These symptoms are often associated with enlarged adenoids:
If enlarged adenoids are suspected, the doctor may ask about and then check your child's ears, nose, and throat, and feel the neck along the jaw. To get a really close look, the doctor might order one or more X-rays. For a suspected infection, the doctor may prescribe oral antibiotics.
If enlarged or infected adenoids keep bothering your child and are not controlled by medication, the doctor may recommend surgically removing them with an adenoidectomy. This may be recommended if your child has one or more of the following:
Having your child's adenoids removed is especially important when repeated infections lead to sinus and ear infections. Badly swollen adenoids can interfere with the ability of the middle ear space to stay ventilated. This can sometimes lead to infections or middle ear fluid causing a temporary hearing loss. So kids whose infected adenoids cause frequent earaches and fluid buildup might also need an adenoidectomy at the time of their ear tube surgery.
And although adenoids can be taken out without the tonsils, if your child is having tonsil problems, they may be removed at the same time. A tonsillectomy with an adenoidectomy is a common pediatric operation.
Surgery, no matter how common or simple the procedure, can be frightening for both kids and parents. You can help prepare your child for surgery by talking about what to expect. During the adenoidectomy:
Your child will wake up in the recovery area. In most cases, a child can go home the same day as the procedure. Some children may need to stay overnight for observation.
The typical recuperation after an adenoidectomy often involves several days of moderate pain and discomfort.
In less than a week after surgery, everything should return to normal and the problems caused by the adenoids should be gone. The adenoid area will heal naturally, which means there are no stitches to worry about. There's a small chance any tissue that's left behind can swell, but it rarely causes new problems.
Reviewed by: Steven P. Cook, MD
Date reviewed: May 2013
|American Academy of Sleep Medicine (AASM) AASM strives to increase awareness of sleep disorders in public and professional communities.|
|American Academy of Pediatrics (AAP) The AAP is committed to the health and well-being of infants, adolescents, and young adults. The website offers news articles and tips on health for families.|
|American Sleep Apnea Association (ASAA) The ASAA is dedicated to reducing injury, disability, and death from sleep apnea and to enhancing the well-being of those affected by this common disorder.|
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