Adenoidectomy
What is Adenoidectomy?
Adenoidectomy is a surgical procedure to remove the adenoids, a mass of lymphoid tissue located at the back of the nasal passage, often performed in children to treat breathing difficulties, chronic infections, or sleep apnea. In India, adenoidectomy is conducted in ENT departments at hospitals like Apollo, Fortis, Medanta, and AIIMS, often at affordable costs. Understanding the procedure, costs, recovery, risks, and FAQs is essential for patients and caregivers.
Why do wou need Adenoidectomy?
Adenoidectomy is indicated for:
- Obstructive symptoms:
- Nasal obstruction: Chronic mouth breathing, snoring, or sleep apnea due to enlarged adenoids.
- Speech issues: Nasal speech (hyponasal voice) from blocked airflow.
- Recurrent infections:
- Chronic ear infections (otitis media): Adenoids block the Eustachian tube, causing fluid buildup.
- Persistent nasal discharge or sinus infections (adenoiditis).
- Associated conditions:
- Often combined with tonsillectomy if both adenoids and tonsils are enlarged (adenotonsillectomy).
- Typical age:
- Most common in children aged 2–6 years; adenoids often shrink naturally after age 10.
The procedure aims to relieve nasal obstruction, improve breathing, reduce infections, and enhance sleep quality by removing the adenoids, which can obstruct airways or harbor bacteria when enlarged.
Why Do Adenoidectomy Costs Vary in India?
Costs range from ₹30,000 to ₹80,000 :
- Procedure Type: Traditional curette method (₹30,000–₹50,000); endoscopic/coblation (₹50,000–₹80,000).
- Hospital/Location: Higher in metro cities (Apollo, Fortis: ₹50,000–₹80,000); lower in government hospitals (AIIMS: ₹10,000–₹20,000, often subsidized under Ayushman Bharat).
- Surgeon’s Expertise: Experienced ENT surgeons charge more.
- Additional Costs: Anesthesia (₹5,000–₹15,000), hospital stay (₹5,000–₹10,000/day), medications (₹1,000–₹3,000).
- Insurance: Covered for medical necessity (e.g., sleep apnea, chronic infections); confirm with your provider.
Adenoidectomy Procedure
- Before Surgery Evaluation:
- Diagnosis:
- Nasal endoscopy: Visualizes adenoids (flexible scope through the nose).
- X-ray (lateral neck): Assesses adenoid size and airway obstruction.
- Hearing test: If ear infections are present (to check for hearing loss).
- Blood tests: Blood sugar, clotting profile (e.g., PT/INR).
- Medications: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe.
- Consent: Risks, including bleeding, are explained.
- Diagnosis:
- Surgical Techniques:
- Adenoidectomy:
- Performed under general anesthesia, lasting 20–40 minutes.
- The child is intubated (breathing tube) for safety.
- Approach: Through the mouth (no external incisions).
- Tools:
- Curette: Scrapes adenoid tissue (traditional method).
- Endoscopic shaver (microdebrider): Removes tissue under visualization (more precise, common in modern practice).
- Coblation: Uses radiofrequency energy to remove tissue with less bleeding (used in advanced centers).
- Bleeding is controlled with suction cautery or packing (temporary nasal packing if needed).
- No stitches required; the area heals naturally.
- Intraoperative Tools:
- Endoscope: Visualizes adenoids (if endoscopic method used).
- Microdebrider/coblation device: Removes tissue.
- Suction cautery: Controls bleeding.
- Adenoidectomy:
- Post-Surgery:
- Hospital stay: Same-day discharge or 1 day.
- Care: Hydration (e.g., water, ice pops); soft diet (e.g., mashed food) for 3–5 days.
- Pain management: Mild to moderate throat pain for 3–7 days; managed with acetaminophen.
- Instructions: Avoid spicy/hard foods for 1 week; no strenuous activity (e.g., sports) for 2 weeks.
Recovery After Adenoidectomy
- Hospital Stay: Same-day discharge or 1 day.
- Post-Surgery Care:
- Pain: Mild to moderate throat pain for 3–7 days; worse if combined with tonsillectomy; managed with acetaminophen.
- Diet: Soft, cool foods (e.g., yogurt, ice cream) for 3–5 days; avoid spicy or hot foods.
- Activity: Rest for 1–2 days; avoid sports or heavy activity for 2 weeks.
- Breathing/Sleep: Improvement in nasal breathing and snoring within 1–2 weeks.
- Nasal discharge: Mild bleeding or discharge for 1–3 days; use saline nasal spray if needed.
- Follow-Up:
- Visit at 1 week to check healing; additional visit at 1 month if needed.
- Hearing test (if ear issues): At 1 month to confirm improvement.
Most resume normal activities in 3–5 days; full recovery takes 1–2 weeks. Success rate: 90–95% achieve symptom relief (e.g., improved breathing, reduced infections); outcomes vary if underlying allergies persist.
Risks and Complications
- Surgical Risks:
- Bleeding (1–3%): Minor nasal bleeding common; severe bleeding rare, may need return to operating room.
- Infection (1–2%): Throat or nasal infection; treated with antibiotics.
- Anesthesia risks (<1%): Reaction to general anesthesia; rare in healthy children.
- Post-Surgery:
- Voice change (1–2%): Temporary hypernasal speech (due to more open nasal passage); resolves in 1–2 months.
- Ear pain (2–5%): Referred pain from throat; resolves in 3–5 days.
- Regrowth (1–3%): Adenoid tissue may regrow (esp. in very young children); rare need for repeat surgery.
- Persistent symptoms (2–5%): If due to allergies or other causes (e.g., deviated septum); needs further evaluation.
- Long-Term:
- No significant long-term risks; adenoids are not critical after early childhood.
Report heavy bleeding, fever, severe pain, or breathing difficulty promptly.
Frequently Asked Questions (FAQs)
What causes adenoid enlargement?
Chronic infections, allergies, or genetics; common in young children (peaks at 2–6 years).
Can I avoid adenoidectomy?
Yes, if mild: Nasal saline, allergy management, or antibiotics for infections; surgery is for severe obstruction or recurrent issues.
Is adenoidectomy painful?
Mild to moderate throat pain for 3–7 days, managed with medication; discomfort reduces in 1 week.
How soon can my child resume activities?
Normal activities: 3–5 days; school: 5–7 days; sports: 2 weeks.
Is adenoidectomy covered by insurance in India?
Yes, for medical necessity; confirm with your provider.
Signs of complications?
Heavy bleeding, fever, severe pain, or breathing difficulty.
Will my child’s snoring stop after surgery?
90–95% see improvement; persistent snoring may indicate other issues (e.g., allergies, tonsils).
Lifestyle changes post-surgery?
Soft diet for 3–5 days, avoid strenuous activity for 2 weeks, manage allergies if present, and attend follow-ups.
Conclusion
Adenoidectomy is a safe and effective procedure to relieve breathing difficulties, infections, and sleep issues in children, with a quick recovery and high success rate. India’s top hospitals (Apollo, Fortis, AIIMS) provide affordable care, typically covered by insurance. Understanding the procedure, costs, recovery, risks, and FAQs helps caregivers approach surgery confidently. Consult an ENT surgeon for personalized guidance
Looking for Best Hospitals for Adenoidectomy
Note: we are not promoting any hospitals
we are not promoting any hospitals we sourced all the details from google and hospitals website, please verify and start with your surgery here we go the list includes government, budget and superspeciality hospitals accreditation bodies are the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₹) | Maximum Price (₹) |
|---|---|---|
Agra |
30,000 |
90,000 |
Ahmedabad |
35,000 |
1,00,000 |
Ajmer |
30,000 |
90,000 |
Aligarh |
30,000 |
90,000 |
Allahabad |
30,000 |
90,000 |
Amritsar |
32,000 |
95,000 |
Aurangabad |
32,000 |
95,000 |
Bangalore |
35,000 |
1,00,000 |
Bareilly |
30,000 |
90,000 |
Belgaum |
32,000 |
95,000 |
Bhopal |
32,000 |
95,000 |
Bhubaneswar |
32,000 |
95,000 |
Bikaner |
30,000 |
90,000 |
Chandigarh |
35,000 |
1,00,000 |
Chennai |
35,000 |
1,00,000 |
Coimbatore |
35,000 |
1,00,000 |
Dehradun |
32,000 |
95,000 |
Delhi |
35,000 |
1,00,000 |
Dhanbad |
30,000 |
90,000 |
Durgapur |
30,000 |
90,000 |
Faridabad |
35,000 |
1,00,000 |
Ghaziabad |
35,000 |
1,00,000 |
Gorakhpur |
30,000 |
90,000 |
Guntur |
32,000 |
95,000 |
Gurgaon |
35,000 |
1,00,000 |
Guwahati |
32,000 |
95,000 |
Gwalior |
30,000 |
90,000 |
Hyderabad |
35,000 |
1,00,000 |
Indore |
32,000 |
95,000 |
Jabalpur |
30,000 |
90,000 |
Jaipur |
35,000 |
1,00,000 |
Jalandhar |
32,000 |
95,000 |
Jamshedpur |
32,000 |
95,000 |
Jodhpur |
30,000 |
90,000 |
Kanpur |
30,000 |
90,000 |
Kochi |
35,000 |
1,00,000 |
Kolkata |
35,000 |
1,00,000 |
Kollam |
32,000 |
95,000 |
Lucknow |
32,000 |
95,000 |
Ludhiana |
35,000 |
1,00,000 |
Madurai |
32,000 |
95,000 |
Mangalore |
32,000 |
95,000 |
Meerut |
30,000 |
90,000 |
Moradabad |
30,000 |
90,000 |
Mumbai |
35,000 |
1,00,000 |
Mysore |
35,000 |
1,00,000 |
Nagpur |
32,000 |
95,000 |
Nashik |
32,000 |
95,000 |
Navi Mumbai |
35,000 |
1,00,000 |
Noida |
35,000 |
1,00,000 |
Patna |
30,000 |
90,000 |
Pune |
35,000 |
1,00,000 |
Raipur |
32,000 |
95,000 |
Rajkot |
32,000 |
95,000 |
Ranchi |
30,000 |
90,000 |
Surat |
35,000 |
1,00,000 |
Thane |
35,000 |
1,00,000 |
Vadodara |
32,000 |
95,000 |
Varanasi |
30,000 |
90,000 |
Visakhapatnam |
32,000 |
95,000 |
Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.