Adenoidectomy

Adenoidectomy is a procedure done to remove lymphoid tissue from the nasopharynx, which is generally known to cause chronic nasal infection, as well as nasal obstruction, noted by hypo nasal speech, usually mouth breathing and inability to eat without having their mouth open and breathing through their mouth while eating. This is most common in children, as well as in adolescents and adults, in a much less common fashion for those who have significant inhalant allergies.

Tonsillectomy and Adenoidectomy

This procedure is commonly done for chronic tonsillar and adenoid hypertrophy. This usually causes nasal obstruction and usually associated with recurring tonsilliar infections. This is enlargement of lymphoid tissue in the oropharnyx, which is the tonsils and the nasopharnyx, which is the adenoid tissue. An absolute indication is to remove these when a child or adolescent is having difficulty breathing or eating, and it usually associated with snoring. The relative indication is for removal if they have greater than 3 episodes of tonsillitis per year for three years, or grater than 4-5 episodes of tonsillitis in a twelve month period, in conjunction with nasal obstruction. The risks and complication are the same as for tonsillectomy, and follow up should be done at any time for any bleeding.

Typanostomy Tubes and Adenoidectomy

Tympanostomy tubes and adenoidectomy is indicated for those people who have chronic nasal obstruction due to adenoid hypertrophy., which is lymphoid tissue in the nasopharnyx. This can also cause obstruction to the Eustachian tube opening. This is commonly done in association with Tympanostomy tubes; in those people who have required at least 2 episodes of tympanostomy tube, and almost without question, at the third episode of requiring tympanostomy tubes.

  This has been shown in studies by Bluestone, who is a pediatric otolaryngologist, and he has felt and found statistically significant findings for those people between 3-4 and seven years of age, who are requiring their first set of tympanostomy tubes, that removal of adenoid tissue if enlarged, decreases the incidence of requiring a second set of tympanostomy tubes.