Adenoidectomy (removal of the adenoids)
Surgeries/ENT/Adenoids

Adenoidectomy (removal of the adenoids)

Adenoids in Tunis, Tunisia · Centre Urbain Nord

Removal of the adenoids in children with a permanently blocked nose, snoring or recurrent ear infections.

What is it?

The adenoids are tissue located right at the back of the nasal cavity, behind the nose, and cannot be seen by looking into the mouth. In some children they become enlarged and frequently infected: the nose stays blocked, the child breathes through the mouth, snores, and ear infections keep recurring. An adenoidectomy removes this tissue. The operation is done under a short general anaesthetic, through the mouth, with no incision. The surgeon removes the adenoids with a suitable instrument, then checks that there is no bleeding. It is often combined, during the same anaesthetic, with the insertion of grommets in the eardrums or with a tonsillectomy when needed. It is offered when breathing difficulties, repeated colds or ear infections affect the child's sleep, hearing or quality of life. Adenoids shrink naturally as children grow, which is why the operation mainly concerns young children. At Clinique Pasteur Tunis, adenoidectomy is performed by ENT surgeons with an anaesthesia team used to caring for children. Parents can accompany their child to the entrance of the operating theatre and be with them as soon as they return to the room, and discharge usually takes place the same day.
Adenoidectomy (removal of the adenoids)

When is it indicated?

Permanently blocked nose with mouth breathing

A child who always keeps the mouth open and does not breathe through the nose often has oversized adenoids; removing them clears the airway.

Snoring and restless sleep

Large adenoids can make a child snore and disturb sleep, leading to tiredness or irritability during the day.

Recurrent colds and nasopharyngitis

When complicated colds follow one another all winter, the adenoids often act as a reservoir of infection.

Recurrent acute ear infections or glue ear

Adenoids can interfere with ventilation of the ears; removing them, sometimes together with grommets, helps the ears heal.

Preparation

1ENT consultation with examination of the nose and ears
2Anaesthesia consultation a few days before
3Blood clotting tests if requested by the anaesthetist
4Child fasting according to the precise instructions given by the anaesthetist
5Report any fever or infection in the days before

Procedure

1

Admission of the child and parents to the ward

2

Short general anaesthesia

3

Removal of the adenoids through the mouth, with no incision

4

Check that there is no bleeding

5

Associated procedures if planned (grommets, tonsils)

6

Monitored recovery, then return to the room with the parents

Duration

About 15 to 20 minutes

Aftercare & Recovery

The child usually goes home the same day. A slight fever, bad breath or a runny nose for a few days are common. Pain is mild and well relieved by a simple painkiller. The child can usually return to school after 2 to 3 days. A follow-up visit is scheduled to check breathing and the ears.

Risks and side effects

Minor bleeding from the nose or mouth, which requires medical attention
Temporary mild fever
Possible regrowth of the adenoids in very young children
Temporary nasal-sounding voice

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: About 15 to 20 minutes
Preparation: Required
Dedicated specialist team

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