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Last updated: 11/24/2009

Alternatives

There is no good evidence supporting any curative non-surgical therapy for chronic infection of the adenoid.

Antibiotics have been used for as long as six weeks in lymphoid tissue infection, but with failure to eradicate the bacteria. With reported incidences of drug-resistant bacteria, use of long-term antibiotics is not a recommended alternative to surgical removal of infected adenoids.

Some studies indicate some benefit from using topical nasal steroids. Studies show that while using the medication, the adenoids may shrink up to 10% and help relieve nasal blockage. However, once the steroid medication is stopped, the adenoids can again enlarge and continue to cause symptoms. In a child with nasal obstructive symptoms, a trial of topical nasal steroid spray and saline spray may be attempted for controlling symptoms.


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Using graphic animation, this video shows the step by step process for removing tonsils and adenoids, including these anatomical structures that are located in the throat.

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Patient's mouth is held open with tubes (A). A mirror is used to visualize the adenoids during the procedure (B). The adenoids are removed with a side-to-side or front-to-back motion (C). Bleeding is controlled with a cauterizing tool (D). (Illustration by GGS Inc.) Patient's mouth is held open with tubes (A). A mirror is used to visualize the adenoids during the procedure (B). The adenoids are removed with a side-to-side or front-to-back motion (C). Bleeding is controlled with a cauterizing tool (D). (Illustration by GGS Inc.)




Other Information

Adenoidectomy is the surgical removal of the adenoids. They may be removed for several reasons, including impaired breathing through the nose and chronic infections or earaches. The surgery is common. It is most often done on an outpatient basis under general anesthesia. Post-operative pain is generally minimal and prevented with an abundance of icy or cold foods, though dairy foods such as ice cream should be avoided, as they coat the back of the throat, encouraging the body to produce phlegm, which can interfere with healing. The procedure can sometimes be combined with a tonsillectomy if needed. Recovery time can range from several hours to two or three days (though as age increases so does recovery time).

Adenoidectomy is often performed on children aged 1-6, as adenoids help the body's immune system. Adenoids become vestigial organs in adults.


From http://en.wikipedia.org/wiki/Adenoidectomy

Other Information

According to the latest data from the National Center for Health Statistics, 878,000 ear surgeries were performed in the United States in 2003.


From: National Center for Health Statistics

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