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ADENOIDECTOMY

Adenoidectomy is the term for the surgical removal of the adenoids (lymphoid tissue in the nasopharynx).

Hypertrophy or enlarged adenoids often produce obstruction to breathing and to the Eustachian tubes.  This obstruction can lead to chronic ear infections or middle ear fluid, mouth breathing, persistent rhinitis, alterations of the voice, frequent sinus infections, snoring, and persistent cough.  Adenoidectomy may be indicated if any of these symptoms are present.

This procedure is often combined with tonsillectomy.  It is performed with the patient asleep as an outpatient procedure.  The recovery period for adenoidectomy alone is short.  The patient should be able to return to normal activities in approximately two days.

Although complications are uncommon, it is possible to have postoperative bleeding or infection.  Patients will typically have very bad breath for several days or even up to two weeks.  A hypernasal sound to the voice and back up of liquids swallowed into the nose is unlikely, but can occur. Most of the time, this is a temporary condition, usually caused by postoperative pain where the nasopharynx and the palate do not close normally upon swallowing.

HOME CARE INSTRUCTIONS FOR PATIENTS WHO HAVE HAD AN ADENOIDECTOMY

  1. The patient should be encouraged to drink liquids as much as possible the same day of surgery.
  2. For the first one to two days at home, sherbert, ginger ale, juice, broth, popsicles, Jell-O, and soft cooked eggs are recommended. Then allow the patient to progress to a soft diet at his or her own pace.

ACTIVITIES

  1. The patients should have many short rest periods during the first 24 hours at home.
  2. Return to school or work approximately one day after discharge from the hospital.
  3. Avoid vigorous games and energetic exercises of any kind for a full 7 days.

OTHER THINGS TO AVOID

  1. People with colds.

GENERAL INFORMATION

  1. If bleeding occurs at any time call the office and/or come the Emergency Department where your surgery was performed.
  2. The patient’s breath will have a foul odor for up to two weeks, this is normal.
  3. The patient’s stools may be dark or black for the first 2 days following surgery. Do not let this alarm you.
  4. If you have any questions, please call us at 612-339-2836.
 
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