Scribd
Upload
47 views2 pages

Adenoidectomy: Description

An adenoidectomy is a surgical procedure to remove the adenoids, which are lumps of lymphoid tissue located behind the nose. The adenoids are commonly removed through the mouth using various instruments like curettes or forceps. Removal is done under general anesthesia, with stitches typically not needed. The purpose is to remove infected or swollen adenoids that are blocking breathing or causing ear problems. Risks are low but can include bleeding or infection.

Uploaded by

John Derick Policarpio
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
47 views2 pages

Adenoidectomy: Description

An adenoidectomy is a surgical procedure to remove the adenoids, which are lumps of lymphoid tissue located behind the nose. The adenoids are commonly removed through the mouth using various instruments like curettes or forceps. Removal is done under general anesthesia, with stitches typically not needed. The purpose is to remove infected or swollen adenoids that are blocking breathing or causing ear problems. Risks are low but can include bleeding or infection.

Uploaded by

John Derick Policarpio
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

1.

Adenoidectomy
An adenoidectomy is the surgical removal of the adenoidssmall lumps of tissue that lies in the back of the throat behind the nose. Description An adenoidectomy is performed under general anesthesia. The surgeon removes the adenoids from behind the palate. Stitches are usually not required. Excision through the mouth The adenoids are most commonly removed through the mouth after placing an instrument to open the mouth and retract the palate. A mirror is used to see the adenoids behind the nasal cavity. Several instruments can then be used to remove the adenoids. Curette removal. The most common method of removal is using the adenoid curette, an instrument that has a sharp edge in a perpendicular position to its long handle. Various sizes of curettes are available. Adenoid punch instrument. An adenoid punch is a curved instrument with a chamber that is placed over the adenoids. The chamber has a knife blade sliding-door to section off the adenoids that are then housed in the chamber and removed with the instrument. Magill forceps. A Magill forceps is a curved instrument used to remove residual adenoid, usually located deeper in the posterior nasal cavity, after attempted removal with curettes or adenoid punches. Electrocautery with a suction. The adenoids can also be removed by electrocautery with a suction Bovie, an instrument with a hollow center to suction blood and a rim of metal to achieve coagulation. Laser. The laser has also been used to remove the adenoids. However, this technique has caused scarring of tissue and is usually avoided.

Excision through the nose Adenoids may also be removed through the nasal cavity with a surgical suction instrument called a microdebrider. With this procedure, bleeding is controlled either with packing or suction cautery.

Purpose The adenoids are removed if they block breathing through the nose and if they cause chronic earaches or deafness. The adenoids consist of lymphoid tissuewhite blood cells from the immune system. They are located near the tonsils, two other lumps of similar lymphoid tissue. In childhood, adenoids and tonsils are believed to play a role in fighting infections by producing antibodies that attack bacteria entering the body through the mouth and nose. In adulthood however, it is unlikely that the adenoids are involved in maintaining health, and they normally shrink and disappear. Between the ages of two and six, the adenoids can become chronically infected, swelling up and becoming inflamed. This can cause breathing difficulties, especially during sleep. The swelling can also block the eustachian tubes that connect the back of the throat to the ears, leading to hearing problems until the blockage is relieved. The purpose of an adenoidectomy is thus to remove infected adenoids. Since they are often associated with infected tonsils, they are often removed as part of a combined operation that also removes the tonsils, called a T&A (tonsillectomy and adenoidectomy). Diagnosis/Preparation The primary methods used to determine whether adenoids need removal are: medical history physical examination throat bacterial cultures x rays blood tests

When the patient arrives at the hospital or the day-surgery unit, a nurse or a doctor will ask questions concerning the patient's general health to make sure he or she is fit to undergo surgery. They will also check that the patient has not had anything to eat or drink and will record pulse and blood pressure. The doctor or nurse must be informed if the patient has had any allergic or unusual reactions to drugs in the past. The patient will be asked to put on a hospital gown and to remove any loose orthodontic braces, false teeth, and jewelry. In the past, an adenoidectomy usually called for an overnight stay in hospital. However, it is increasingly more common to have this operation on an outpatient basis, meaning that the patient goes home on the same day. The surgery is usually performed early in the morning to allow a sufficient observation period after the operation. Risks Risks and complications include those generally associated with surgery and anesthesia. Very few complications are known to occur after this operation, except, very rarely, bleeding (which occurs in 0.4% of cases). Bleeding is more a concern with a very young child because he or she often will not notice. For this reason, a child is always kept in observation at the hospital or clinic for a few hours after the operation. If bleeding does occur, the surgeon may insert a pack of gauze into the nose to stop the blood flow for subsequent removal after a day or two. The other possible complications are those associated with any operation, including infection of the operated area, which may result in light bleeding, increased pain, and fever. Infection is usually treated with antibiotics and bed rest.

You might also like