Adenoidectomy

Adenoid hypertrophy is a common finding in children,
mainly below the age of 10 years.

The large
adenoid pad in the post-nasal space may
cause
Obstructive Sleep Apnoea, post-nasal drip
(yellow mucus) and
cough, blocked nose, snoring
and
hearing loss (glue ear).
ENT MATTERS
The symptoms are worse when the patient suffers
from
allergy / hay fever and asthma.

If these symptoms are present, the
adenoid pad
should be removed or better still, reduced.

The most common methods for
adenoidectomy are:

•        With a
curette (removal of the adenoid
commonly without use of a mirror, using a
curette)
•        With
suction diathermy (monopolar electro-
cautery
with the use of a mirror for anatomical
orientation)

New dissection methods include
Coblation (radio-
frequency
) adenoidectomy.

Coblation Adenoidectomy

This is the method preferred by Anastasia
Rachmanidou
.

It is performed under
general anaesthetic, through
the mouth with the use of a mirror or a
rigid
endoscope
and takes less than 10 minutes of surgical
time.

The
adenoid pad is reduced with very well-controlled
dissection using the
radio-frequency wand.

There is minimal bleeding during the
adenoidectomy
and none afterwards.

Children can go home 4 hours after surgery on
antibiotics and pain-killers (up to 5 days).

Antibiotics are given on a prophylactic basis to
reduce the risk of
infection and prevent the bad smell
that may develop from the back of the nose after an
adenoidectomy.

Children can resume their normal activities after 5 - 7
days following the operation.

For more information and references please check
www.coblation.com.
Diagram showing the location of the Adenoid
(
Pharyngeal Tonsil)