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ENT Surgery
Adenoidectomy – A Surgery for Adenoid Removal
Indications for Adenoid removal (Adenoidectomy)
- Enlarged adenoids causing nasal obstruction and leading to sleep disturbed breathing in children
- Enlarged Adenoids causing recurrent middle ear infection, pain in the ears, impaired hearing in children.
- As part of a combined procedure which includes Myringotomy with Grommet insertion (also called Tube insertion)
How is the Adenoidectomy Procedure Performed?
Classically Adenoidectomy is performed through an open mouth (there is no mark, cut or incision outside or on the skin anywhere – it is all done through the Nose and Throat).
The ENT surgeon will use a mouth gag and tongue depressor to open the mouth of the child. The soft palate is then retracted by soft tubes inserted through each nostril and brought out from the mouth. This opens up the Nasopharynx – the region behind the nose where the Adenoids reside. Either under direct vision or using angled Endoscopes the Adenoid tissue is removed bit by bit till none is left.
The entire procedure takes about half to one hour depending upon the method used.
After the surgery the child is nursed in a special position and kept in the Recovery Room till completely recovered from the effects of anaesthesia.
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Our Team
Meet Our Specialist
ENT Consultation, Surgeries & Treatment
Dr. (Major) Rajesh Bhardwaj
MBBS (AFMC), MS, DNB, DLO, DHA
Adenoid Surgery with Tube Insertion
- Has had fluid in the ears for 3 or more months
- Has had a long-running ear infection
- Gets ear infections often
- Has an abnormal shape to his or her ears or mouth
- Has had certain ear injuries
Methods of performing Adenoidectomy
- Regular Cold Steel Adenoid removal – using Adenoid curettes and cage.
- Coblation assisted – using a Coblation wand which goes under the adenoid tissue and removes it using heat supplied via a dedicated console.
- Microdebrider assisted – using special Microdebrider probes and using suction and cutting.
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Complications of Adenoidectomy
Complications of Anaesthesia – though safe there may be some complications related to the use of Anaesthetic agents and General Anaesthesia – these are best discussed with the Anaesthetist before the surgery. They may include drug related side effects, sedation, requirement for prolonged intubation or more.
Complications of the surgery
- Bleeding – though there is minimal bleeding during an Adenoidectomy sometimes there may be excessive intra operative or post operative period. There may be bleeding 7-10 days after the procedure – this is known as secondary haemorrhage and is usually controlled with antibiotics.
- Infection – may happen in the post operative period though a routine prophylactic is prescribed for about 48 hours post surgery.
- Nasal Regurgitation- if excessive tissue is removed – this usually recovers spontaneously over a period of time.
- Change of Voice – because bulky tissue is removed the voice may change (usually becomes clearer) after the surgery. If the patient is a child artist as singer you must discuss this with the surgeon and speech therapist because the voice after the surgery may be different.
Adenoidectomy - Post Operative Care
- Regular nursing
- Proper nutrition – usually there is minimal dietary restriction after an Adenoidectomy – chilly/ spicy/ hard food is usually better avoided for about a week. Sour things may be avoided for a few days.
- Medication as advised and gargles as prescribed
- Routine post op visit with the surgeon including a review of the Histopathology report.
Modern Excellence in Adenoid Surgery: MedFirst ENT Centre’s Advantage
MediFirst ENT Centre stands out as the superior choice for Enlarged Adenoid Removal Surgery (Adenoidectomy) due to several compelling reasons:
Unparalleled Surgical Expertise: Our centre boasts the region’s most experienced surgeons, with a track record of over 10,000 successful surgeries, ensuring patients receive top-tier care and outcomes.
State-of-the-Art Facilities: As a dedicated nose, ear, and throat hospital, we provide cutting-edge, modern facilities equipped with advanced technology, guaranteeing the highest standards of medical care.
Compassionate and Proficient Staff: Our team comprises polite and highly experienced professionals dedicated to patient comfort and well-being, offering a supportive and reassuring environment throughout the surgical journey.
At MediFirst ENT Centre, we prioritize patient satisfaction, safety, and optimal results, making us the preferred destination for Enlarged Adenoid Removal Surgery.
MedFirst Advantage – Adenoidectomy with Insurance Policy & TPA support
MedFirst ENT Centre is dedicated to providing a seamless experience for patients seeking ENT-related medical care, including procedures like adenoidectomy. Their affiliations with major insurance companies ensure the efficient management of the financial aspects of treatments. Their adept Third Party Administrator (TPA) team, experienced in adenoidectomy claims, streamlines the health claim process for a stress-free experience. Whether patients require care under a Group Health Insurance Plan, Individual/Family Health Insurance Plan, or coverage for adenoidectomy, MedFirst ENT Centre’s extensive network and dedicated TPA team ensure smooth health insurance claims processing. This relieves patients of administrative burdens and allows them to focus on their health. Their commitment to ensuring insurance-related processes run seamlessly underscores their dedication to patient care and convenience.
Understanding how your health insurance policy and TPA can assist in covering adenoidectomy costs is vital when considering this surgical procedure to address breathing and related issues. Proactive measures, such as policy review and coordination with an experienced TPA, help ensure a confident and cost-effective adenoidectomy experience. This proactive approach allows patients to breathe easier, both physically and financially.
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ENT Clinic with Specialist Doctors
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Why choose MedFirst for the Best Adenoidectomy Surgery in Delhi?
MedFirst ENT Centre located at Vasant Vihar, New Delhi, led by Dr. (Major) Rajesh Bhardwaj, a top ENT specialist, offers modern equipment and comfortable, clean environment.
The same experienced doctor can be seen at every visit. Unlike large hospitals, MedFirst ENT center ensures that patients have minimal waiting time.
The staff is friendly, the location is easy to find, and the clinic is kept spotless with thorough sanitization. MedFirst ensures you get the best care with convenience.
With convenient timings from Monday to Saturday and flexible morning and evening sessions, including extended hours on Thursdays, our clinic is committed to providing excellent care to you.
What is Adenoidectomy?
As a part of the immune system, in a person’s body glands known as adenoids are present. These are located high up in the throat behind the nose and the roof of the mouth. During breathing, the germs are caught by these adenoids.
As they are constantly exposed to viruses and bacteria there is a chance that the adenoids can becomes inflamed or infected. A swollen adenoid can cause breathing and sleeping difficulty. At conditions like these the doctor may recommend an Adenoidectomy-removal of the adenoids.
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Who Should opt for an Adenoidectomy?
An adenoidectomy is generally done on children who have swollen adenoids. Children who are facing the problems mentioned below can opt for an adenoidectomy,
- Sleep apnoea: It is a condition when a person stops breathing while asleep. This can occur due to a swollen adenoid.
- Breathing difficulties through nose which may cause a person to breath through their nose and lead too snoring.
- Recurring ear infections: When the adenoid continues to enlarge, it blocks the eustachian tube- tube connecting ears to the nose and drains fluid from middle ear. If this tube gets blocked then the fluid gets accumulated in the ear and cause infections.
Adenoidectomy Procedure
This single day procedure occurs at the outpatient setting. 2
- A general anaesthesia is given to make the surgery comfortable to the patient.
- Adenoids are removed through the mouth.
- The patient’s mouth is propped open using an instrument.
- Swollen adenoids are removed through either making an incision or by using instruments that apply heat or radio frequency energy.
- Once the removal is done, the area is sealed with gauze to prevent bleeding.
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Pre- and Post Care Essentials
Before Surgery
- The patient is asked to avoid tablets such as aspirin and ibuprofen as they slow down blood clotting
- Mouth and throat bleed readily hence the doctor looks for the RBC and WBC count prior to the procedure.
- Food and drinks should be avoided the day before the surgery after midnight including minimizing water intake.
After Surgery
- The patient may have sore throat for two to three weeks and is advised to drink more fluids to prevent dehydration.
- Hot and spicy food should be avoided.
- Ice collars can be used for the pain
- Too much of physical activity should be avoided
Benefits of an Adenoidectomy
- Reduced throat infections: Although an adenoidectomy won’t guarantee a permanent infection-free throat, the incidence of the infection will be as a normal person.
- Reduced or no mouth breathing: Since there is no blockage of the nasal passage, the child can breathe through the nose.
- Reduced ear infections: Since the eustachian tube is no longer blocked, the fluid drains normally thereby preventing bacterial growth.
- Better vocal quality: As adenoids block the nasal passage, it may affect the voice of the child as well. Clear nasal passage post removal of adenoids ensures a better voice.
Cost of an Adenoidectomy Surgery in Delhi
The total cost of an adenoidectomy depends upon different factors which are listed below,
- The choice of treatment city and hospitals.
- Hospitalization fees depend on the facility and duration of stay.
- The severity of the condition influences the treatment cost.
- The age and health condition of patient determine how complex the treatment should be.
- Post-surgical care and hospital visits add up-to expenses.
- Based on the expertise and experience of the surgeon, the fees change.
- Out-of-pocket expenses reduced using insurance coverage
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