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Adenoidectomy in Hyderabad — Adenoid Removal Surgery for Children & Adults
The adenoids are a pad of lymphatic tissue located at the very back of the nasal cavity, above the soft palate and behind the nose. As part of Waldeyer’s ring — a circle of lymphoid tissue guarding the entrance to the throat — the adenoids play a role in early childhood immunity. However, in many children they enlarge persistently, causing nasal obstruction, chronic mouth breathing, recurrent ear infections, and sleep-disordered breathing that significantly impairs development, sleep quality, and school performance. SurgiPartner connects families across Hyderabad with experienced paediatric ENT surgeons for safe, effective adenoidectomy
Understanding Adenoid Hypertrophy — Why Do Adenoids Enlarge?
The adenoids are most active immunologically between ages 2–7 years, responding to repeated exposure to inhaled bacteria, viruses, and allergens. In some children, repeated infections or allergic stimulation prevent the normal involution (shrinkage) of adenoid tissue — leading to persistent enlargement (hypertrophy). Adenoid size is graded endoscopically on a 1–4 scale:
| Grade | Description | Choana Obstruction |
|---|---|---|
| Grade 1 | Adenoid tissue within the nasopharynx, not obstructing | <25% |
| Grade 2 | Adenoids extending to the choana | 25–50% |
| Grade 3 | Adenoids significantly narrowing the choanal passage | 50–75% |
| Grade 4 | Adenoids completely or near-completely blocking the choana | >75% — surgical indication |
Symptoms of Enlarged Adenoids
- Chronic mouth breathing — the most visible sign; the child habitually breathes through the open mouth, leading to dry lips, dental malocclusion, and over time, the characteristic adenoid facies (elongated face, open mouth, retrognathic jaw)
- Snoring and sleep apnoea — adenoid hypertrophy is the most common cause of obstructive sleep apnoea in children; parents report heavy snoring, witnessed apnoeas (pauses in breathing), restless sleep, and bed-wetting secondary to arousal from obstructed breathing
- Recurrent otitis media (ear infections) — enlarged adenoids sit directly beside the Eustachian tube openings; they physically obstruct Eustachian tube function and act as a bacterial reservoir, driving recurrent ear infections and conductive hearing loss (glue ear)
- Nasal voice and hyponasality — large adenoids obstruct the nasopharynx, preventing normal nasal resonance; the child’s voice sounds muffled as if they have a permanent cold
- Chronic nasal discharge and post-nasal drip — persistent coloured nasal discharge that does not clear with treatment; the adenoid acts as a microbial reservoir perpetuating upper respiratory infection
- Poor sleep quality with daytime consequences — sleep-disturbed children present with poor concentration, hyperactivity, irritability, and academic underperformance, sometimes misdiagnosed as ADHD before the sleep and airway problem is identified
Adenoidectomy — The Procedure
Adenoidectomy is performed under general anaesthesia and takes 15–30 minutes as a day-care procedure. The adenoids are accessed through the mouth — no external incisions are made. Several techniques are used based on surgeon preference and training:
- Curette adenoidectomy — traditional technique; a curved curette is used to scrape adenoid tissue from the nasopharyngeal roof; fast and effective
- Microdebrider adenoidectomy — a powered rotating blade with simultaneous suction precisely removes adenoid tissue under endoscopic vision; excellent visualisation, less bleeding, more complete removal — increasingly preferred by paediatric ENT surgeons
- Coblation adenoidectomy — radiofrequency energy ablates adenoid tissue at low temperatures, minimising thermal injury to surrounding structures; less post-operative pain
A throat pack is placed to prevent blood from being swallowed during surgery. The child recovers from anaesthesia rapidly and is typically ready to go home within 2–4 hours in day-care settings.
💡 Adenoidectomy + Tonsillectomy: When both adenoids and tonsils contribute to obstruction or recurrent infection, adenotonsillectomy (combined removal in a single anaesthetic) is the most common paediatric ENT procedure performed. SurgiPartner’s paediatric ENT team evaluates each child comprehensively — call +91 9030053009.
Why Choose SurgiPartner for Adenoidectomy?
Choosing SurgiPartner means safe ENT care with advanced technology and compassionate expertise.
01.
Experienced ENT Specialists
Highly trained surgeons with extensive pediatric and adult ENT experience.
02.
Advanced Surgical Techniques
Endoscopic and minimally invasive methods for faster healing.
03.
Child-Friendly & Safe Anesthesia
Special protocols ensuring comfort and safety for children.
04.
Comprehensive Post-Op Support
Continuous monitoring and long-term follow-up care.
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