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Children's Health

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How Is Adenoiditis Treated?

Adenoiditis is treated with antibiotics. However, if your child has frequent infections, including ear and sinus infections, or antibiotics do not help, or if your child has ongoing breathing problems, surgery may be needed to remove the adenoids. This procedure is called an adenoidectomy.

Your child's doctor may also recommend the tonsils be removed at the same time since adenoiditis and tonsillitis often go hand in hand. Surgery to remove the tonsils is called a tonsillectomy.

Together, you and your child's doctor can discuss the pros and cons of surgery and determine if it is necessary.


What Happens During an Adenoidectomy?

An adenoidectomy is performed by a doctor who specializes in ear, nose, and throat surgery. It occurs in a hospital or outpatient surgical center under general anesthesia, meaning your child is put to sleep. The tonsils and/or adenoids can be removed through the mouth so no additional incisions are made except for where the tissues are removed.

Most patients can go home following the procedure; but, you should expect to be in the surgical center for around four or five hours after the surgery so that your child can be carefully monitored. Your doctor can give you more specific instructions as to what to expect based on your child's particular health needs.


Recovery From Adenoidectomy

After surgery, your child may feel nauseous until the anesthesia completely wears off. In the week following the adenoidectomy, your child may experience the following:

  • Sore throat: Your child's throat may be sore for seven to ten days following the procedure and eating can be uncomfortable.
  • Fever: Your child may have a low fever several days after the surgery. If the fever gets higher than 102 F, call the doctor. Seek medical attention if fever is accompanied by other symptoms such as lethargy, nausea, vomiting, headache, or stiff neck.
  • Mouth breathing: Mouth breathing and snoring may occur following the surgery, due to swelling in the throat. Breathing should return to normal once swelling goes down, usually 10 to 14 days after surgery. Seek medical attention if there is difficulty breathing.
  • Pain: Some throat and ear pain is normal for a few weeks following surgery. The doctor should prescribe medicine to help control pain.
  • Scabs in the mouth: Thick, white scabs will develop where the tonsils and/or adenoids were removed. This is normal and most scabs fall off in small pieces within 10 days after surgery. Do not let your child pick at the scabs. These scabs may also cause bad breath.

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