Obstructive sleep apnoea (OSA) in children, in combination with tonsillectomy
Glue ear (otitis media with effusion), in combination with grommet insertion – increases longevity of effect of grommets
Nasal obstruction due to adenoidal hypertrophy (somewhat controversial)
Exposure as for tonsillectomy. The adenoid is removed using a curette, followed by a pack for haemostasis, or by suction monopolar diathermy or Coblation, under direct vision using a mirror.
Bleeding This may be reactionary or secondary, but is significantly rarer than after tonsillectomy (<1%).
Halitosis Warn parents about this – it will pass with time.
Nasal regurgitation of liquids / hypernasal speech Almost always resolves within weeks, but this is the reason adenoidectomy is performed with caution in those with submucous cleft palate.
Grisel’s syndrome Atlanto-axial subluxation. Extremely rare.
Discharge the same day or stay overnight for post-operative monitoring, depending on the indication (see UK multidisciplinary consensus statement on OSA). Follow-up may be booked depending on the indication for surgery.
Simple analgesia. Some consultants will prescribe antibiotics.
Page last reviewed: 21 September 2017