Every human has adenoids in their bodies which are two tiny bumps of tissue lying on both sides and at the rear end of the throat. The adenoids are composed of the lymphoid tissue which contains white blood cells of the body's immune system. As children, adenoids are useful in the development of our resistance against illnesses but later in life, they are hardly involved in any health protection and basically reduce in size gradually disappearing.
The adenoids enlarge and become swollen because of a viral infection which is prominent during childhood. Children experiencing this may find it hard to breathe. Inflamed adenoids might also obstruct the Eustachian tube which links the inner core of the ear and the back of our throat. Secretory otitis media or also known as glue ear is often caused by an obstruction of the Eustachian tube. This will lessen the hearing of a child until the obstruction is removed. Adenoidectomy is the operation of removing adenoids.
Sore adenoids are generally eradicated when an operation for tonsillitis is performed since such symptoms are regularly linked with this infection. There are times when adults are diagnosed as having sore adenoids when they have difficulty in breathing. But this may not be the case as this problem can have various causes one of which is allergic rhinitis.
Adenoidectomy is performed if the adenoids obstruct regular breathing and if they bring about constant deafness or earaches. An (ear, nose and throat) ENT surgeon is the one who performs such operation. It is never done without general anaesthetic so that during the whole operation the child is asleep. To prevent blood vessels from bleeding which are located within the adenoids, the surgeon applies pressure using a gauze pack to the area where the adenoids have been removed. The pack is only removed once the bleeding stops and that mark the end of the operation. This is the most crucial part of this operation and they will not wake the child up until the bleeding comes to a stop. However, there are rare situations when the bleeding takes longer the surgeon leaves the pack for a day.
Before the Adenoidectomy, it is compulsory not to take in any food and drink as a preparation for the operation. At the hospital, you will be asked about the history of the health of the child to ensure that he is capable of undergoing through the operation. They will take the patient's blood pressure and pulse as well as make it certain that he did not drink nor eat anything prior to the procedure. It is important that you report any condition your child previously had that has something to do with drug reactions and the like. You will then sign a consent which will formally state that you have understood the terms and you gave them your permission of getting it done. The patient will be asked to remove any jewellery and braces and be dressed in a hospital gown.
Although complications are most unlikely to happen after the operation, a rare possibility in existence is prolonged bleeding. Bleeding can be a serious case since a small child may fail to recognise it is happening or he does not complain much with problems. Because of this, the young patient is usually asked to stay in the hospital for an hour or two for further observations. If a bleeding occurs, a pack of gauze will be inserted in the nose to end the blood flow. The pack will then be removed in any time of the day.
Several possible complications can be observed with any operation which includes irritation in the affected area which can cause a minor bleeding, fever and heightened pain. Antibiotics will be given to the patient to treat the infection and will be asked to take rest.
In previous years, after an Adenoidectomy operation, the patient will be asked to stay in the hospital for the night. But with these times, it is common that the patient goes home the same day with his operation. If your child is under a day case, the operation is usually done in the morning to permit adequate time for observation after.