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Adenoidectomy is the surgical removal of the adenoid for reasons which include impaired breathing through the nose, chronic infections, or recurrent earaches. The effectiveness of removing the adenoids in children to improve recurrent nasal symptoms and/or nasal obstruction has not been well studied. [ 1 ]
However, it is unclear whether the removal of the adenoid has any additional positive or negative effects for the treatment of recurrent sore throat. [2] In cases of chronic tonsillitis in adults, there is strong evidence of increased quality of life, reduction of symptoms, and economic benefit.
UPPP involves removal of the tonsils, the posterior surface of the soft palate, and the uvula. The uvula is then folded toward the soft palate and sutured together as demonstrated in the figures. In the US, UPPP is the most commonly performed procedure for obstructive sleep apnea with approximately 33,000 procedures performed per year.
Studies have shown that adenoid regrowth occurs in as many as 19% of the cases after removal. [7] Carried out through the mouth under a general anaesthetic (or less commonly a topical), adenoidectomy involves the adenoid being curetted, cauterized, lasered, or otherwise ablated. The adenoid is often removed along with the palatine tonsils. [8]
It is performed with the patient awake under local anesthesia, and normal functions can be resumed after the operation. An LAUP (Laser-assisted uvulopalatoplasty) procedure typically costs between two and three thousand American dollars. The principal side effect is a severe sore throat which can last from 7 – 10 days. [3]
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Adenoid hypertrophy, also known as enlarged adenoids refers to an enlargement of the adenoid (pharyngeal tonsil) that is linked to nasopharyngeal mechanical blockage and/or chronic inflammation. [1] Adenoid hypertrophy is a characterized by hearing loss , recurrent otitis media , mucopurulent rhinorrhea , chronic mouth breathing , nasal airway ...
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