Adenoidectomy is the surgical removal of the tissues that are present at the back of the nose. Adenoids can’t be seen through the mouth or the nose. When the adenoids become abnormally swollen, they can produce the symptoms of difficulty in breathing during sleep, snoring, and poor sleep. Adenoids can also be swelled due to the infection which can lead to ear and sinus infections and produce the symptoms of fluid buildup in the ear, hearing problems, and pain. Sometimes tonsils and adenoids are swollen and can create breathing problems. In that case, an adenotonsillectomy procedure is performed where both tonsils and adenoids are removed from the back of the nose and throat. Adenoidectomy procedure is not a very complex procedure and patients may go home the same day after the operation. Neck pain and sore throat after surgery are normal and these problems subside within two to three days after the surgery. There are also the risks associated with the adenoidectomy procedure which should be managed and prevented to speed up the recovery process. Recovery time is not the same for everyone but generally after the surgical procedure of adenoidectomy, it takes 2-3 weeks for the complete recovery of the patient. Adenoidectomy improves the sleep and the quality of life of the patient.
Types of Adenoidectomy Treatment India
Some of the types of adenoidectomy procedures according to the type of technique are:
- Traditional adenoidectomy
- Video-assisted adenoidectomy
- Radiofrequency adenoidectomy
- Laser adenoidectomy
- Ultrasonic adenoidectomy
- Adenotonsillectomy
Traditional Adenoidectomy
This is the most common type of surgical adenoidectomy in which adenoids are removed by using specialized instruments. It can help in reducing the symptoms of snoring and breathing problems during sleep.
Video-assisted Adenoidectomy
In this type of adenoidectomy procedure, a camera is inserted inside the mouth which helps the doctor to perform the procedure with more accuracy without the large incisions. This helps in fast recovery and lowers the risk of scarring due to incisions.
Radiofrequency adenoidectomy
In this technique, high radiations are used to destroy the abnormally large adenoids. These help limit the damage to surrounding tissues and help in fast recovery.
Laser adenoidectomy
In this type of adenoidectomy, a laser beam is used to shrink the size of adenoids which ultimately reduces the symptoms of snoring and breathing problems.
Ultrasonic adenoidectomy
The sound waves are used in this technique to destroy the structure. The ultrasonic adenoidectomy helps reduce the pain after surgery and helps to recover fast.
Adenotonsillectomy
This is a surgical procedure where adenoids and tonsils are both removed because of swelling due to some disease or infection. This helps in resolving the problems related to breathing and difficulty in swallowing food.
Procedure of adenoidectomy
- Anesthesia: The patient is usually placed under general anesthesia to reduce discomfort and pain during the procedure.
- Accessing the Adenoids: The surgeon inserts a mouth instrument to hold the mouth open and provide access to the back of the throat.
- Adenoid Removal: By using specialized instruments or some device, the surgeon carefully removes the adenoid tissue from the back of the throat. The tissue is gently removed from its attachment site.
- Control of Bleeding: Any bleeding from the surgical site is controlled by using gentle pressure, specialized tools, or techniques to allow only minimal blood loss.
- Recovery: The recovery phase is not the same for every patient and it generally takes 3 to 5 weeks for complete recovery.
Cost of Adenoidectomy in India
The cost of adenoidectomy in India ranges from 800 USD to 1112 USD. The cost can vary according to the type of procedure performed in the surgery. The cost can also vary according to the facilities of the hospital and the skill of a surgeon.
- Adenoidectomy : 799 USD - 1065 USD
- Adenotonsillectomy : 810 USD - 1112 USD
Indications of Adenoidectomy
Some of the indications of adenoidectomy are as follows:
- Chronic adenoiditis
- Difficulty in breathing during sleep
- Obstruction of nose
- Recurrent ear infections
- Chronic sinus infections
- Speech and swallowing issues
- Facial abnormalities
- Adenoid swelling
- Adenoid-related breathing difficulties
- Adenoid-induced middle ear issues
- Adenoid-related snoring
- Mouth breathing due to adenoid enlargement
Risk factors of Adenoidectomy
Some of the risk factors of the adenoidectomy procedure are as follows:
Bleeding
Bleeding can occur during or after the surgery. There may be a need for further treatments to manage this complication.
Infection
There is a risk of infection at the site of incision which can further spread to anywhere in the body. This complication can delay the wound healing and recovery.
Anesthesia Risks
Anesthesia has many adverse reactions which are related to breathing. Some patients also experience the adverse effects of medications.
Voice Changes
Adenoidectomy might lead to temporary or permanent changes in voice or speech patterns, especially if the surgery affects the movement of the tongue.
Nasal problems
Some individuals may experience the backflow of fluids or foods in the nasal area due to altered nasal function.
Ear Dysfunction
Adenoidectomy can also affect the ear and may cause ear problems such as a sensation of fullness, fluid buildup, or changes in hearing.
Speech and swallowing problems
In some cases, the surgery can cause difficulty in closing the connection between the mouth and the nose during speech or swallowing. This can affect the quality of life of patients.
Recurrence of Symptoms
In some cases, the symptoms due to which surgery has been performed might return after some time.
Scarring
Scarring can occur at the site of incision. Scarring is more prominent in those people who have compromised the healing process for some reason.
There is also the risk of changes in the appearance or symmetry of the throat area due to the surgery. This can be a problem due to the poor skill and technique of a surgeon.
Delayed Recovery
Some individuals might experience a longer recovery period with continued discomfort, pain, or other complications.
