Adenoidectomy (anesthesia and hospitalization costs not included)
Comandarea acestui serviciu anulează reducerea*
Adenoidectomy is a surgical procedure involving the removal of the adenoid vegetation (pharyngeal tonsils), located in the upper part of the pharynx, behind the nasal cavity. This procedure is frequently indicated in children, but it may also be performed in selected adult cases.
The surgery is usually performed transorally (through the mouth), without external incisions, with direct visualization, under general anesthesia.
| Component | Applied Procedure |
| Adenoid vegetation (pharyngeal tonsils) | Complete or partial resection |
| Pharyngeal mucosa | Protection, coagulation, or local hemostasis |
| Surgical instruments | Curette, electric loop, suction system |
Role of the Procedure:
- Clearing the upper airways by removing nasopharyngeal obstruction
- Improving nasal breathing and sleep quality
- Reducing episodes of recurrent otitis media and upper respiratory infections
- Enhancing hearing by restoring Eustachian tube function
- Supporting proper speech development and healthy sleep in children
Indications:
- Nasopharyngeal obstruction with chronic mouth breathing
- Recurrent episodes of serous or suppurative otitis media
- Sleep disorders (snoring, sleep apnea)
- Recurrent or persistent sinusitis
- Hearing disturbances associated with conductive hearing loss
- Impaired speech development or feeding difficulties in children
Patient Preparation:
- Complete ENT evaluation: otolaryngology consultation, nasopharyngeal endoscopy (if needed)
- Preoperative investigations: complete blood count, coagulation tests, ECG, pre-anesthetic assessment
- Medication disclosure: Inform your doctor about any ongoing medications, including supplements or herbal treatments
- Medications affecting coagulation: Discontinue approximately 14 days prior, if advised by the physician
- Fasting: Avoid food and liquids for at least 6 hours before the procedure
The Procedure:
The adenoid tissue is removed through the oral cavity without external incisions. Depending on the case, classic curettes, electric loops, or an endoscopic system may be used. Local hemostatic techniques are applied to prevent bleeding.
Type of anesthesia: General
Duration of procedure: Approximately 30–45 minutes
Hospitalization: Short-stay or outpatient, depending on the case
Recovery:
- Possible sore throat and mild swallowing difficulties during the first few days
- Soft and cold diet is recommended for 3–5 days
- Avoid intense physical activity and group settings for 5–7 days
- Postoperative follow-up in 7–10 days
Sources:
https://www.entnet.org/resource/aao-hnsf-updated-cpg-tonsillectomy-press-release-fact-sheet/
https://www.nice.org.uk/guidance/ipg328
https://pmc.ncbi.nlm.nih.gov/articles/PMC7100808/
https://www.sciencedirect.com/topics/nursing-and-health-professions/adenoidectomy
Pregătirea:
Proper preparation of the patient significantly contributes to the success of the procedure: Complete ENT evaluation: otorhinolaryngology consultation, nasopharyngeal endoscopy (if indicated) Preoperative investigations: hemogram, coagulogram, ECG, preanesthetic evaluation Tell your doctor about any drug treatment you are taking (including supplements, herbal medicine) Medicines that affect coagulation: it is recommended to discontinue them about 14 days before, as indicated by the doctor Fasting: it is necessary to avoid eating and drinking at least 6 hours before the intervention.
