Adenoidectomy

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Things you need to know

What is Adenoidectomy ?

Why do you 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 Philippines?

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.
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.
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

Looking for Best Hospitals for Adenoidectomy

Note: we are not promoting any hospitals

We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)

click on your city and schedule your surgery now done in good hands.

City	Minimum Price (₱)	Maximum Price (₱)
Angeles City
Antipolo
Bacolod
Bacoor
Baguio
Butuan
Cagayan de Oro
Caloocan
Cebu City
Dasmariñas
Davao City
General Santos
General Trias
Iligan
Iloilo City
Las Piñas
Makati
Malolos
Manila
Muntinlupa
Parañaque
Pasay
Pasig
Puerto Princesa
Quezon City
San Fernando
San Jose del Monte
Taguig
Valenzuela
Zamboanga City

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.

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, commonly performed in children to treat breathing difficulties, chronic infections, or sleep apnea. In the Philippines, adenoidectomy is conducted in ENT (Ear, Nose, and Throat) departments at hospitals like St. Luke’s Medical Center, Makati Medical Center, The Medical City, and Philippine General Hospital (PGH), offering high-quality care at relatively affordable costs. Understanding the procedure, costs, recovery, risks, and frequently asked questions (FAQs) is essential for Filipino patients and caregivers to make informed decisions.

Why Do You 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 enlarged adenoids that obstruct airways or harbor bacteria.

Why Do Adenoidectomy Costs Vary in the Philippines?

Costs range from ₱50,000 to ₱150,000, based on:

Procedure Type:
- Traditional curette method: ₱50,000–₱80,000.
- Endoscopic/coblation: ₱80,000–₱150,000.
Hospital/Location: Higher costs in Metro Manila hospitals (e.g., St. Luke’s, Makati Medical Center: ₱80,000–₱150,000); lower in public hospitals like PGH (₱20,000–₱50,000, often subsidized by PhilHealth or Z Benefit Package).
Surgeon’s Expertise: Experienced ENT surgeons charge higher fees.
Additional Costs: Anesthesia (₱10,000–₱30,000), hospital stay (₱10,000–₱20,000/day), medications (₱2,000–₱5,000).
Insurance: PhilHealth covers part (e.g., ₱10,000–₱30,000 depending on case type); private insurance may cover additional costs 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).
Preparation: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe.
Consent: Risks, including bleeding, are explained.

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 (available in advanced centers like St. Luke’s).
- 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.

Post-Surgery:

Hospital Stay: Same-day discharge or 1 day.
Care: Hydration (e.g., water, ice pops); soft diet (e.g., lugaw, mashed potatoes) 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, lugaw) 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 (especially 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 recommended 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 the Philippines?
PhilHealth covers part (e.g., ₱10,000–₱30,000); private insurance may cover additional costs for medical necessity. Confirm with your provider.

What are the signs of complications?
Heavy bleeding, fever, severe pain, or breathing difficulty require immediate attention.

Will my child’s snoring stop after surgery?
90–95% see improvement; persistent snoring may indicate other issues (e.g., allergies, tonsils).

What lifestyle changes are needed 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. The Philippines’ top hospitals (St. Luke’s, Makati Medical Center, PGH) provide expert care at costs ranging from ₱50,000 to ₱150,000, often partially covered by PhilHealth or private insurance. Understanding the procedure, costs, recovery, risks, and FAQs helps caregivers approach surgery confidently. Consult an ENT surgeon for personalized guidance and optimal outcomes.

Looking for Best Hospitals for Adenoidectomy

Note: we are not promoting any hospitals

click on your city and schedule your surgery now done in good hands.

City	Minimum Price (₱)	Maximum Price (₱)
Angeles City	20,000	60,000
Antipolo	20,000	60,000
Bacolod	20,000	60,000
Bacoor	20,000	50,000
Baguio	20,000	60,000
Butuan	20,000	50,000
Cagayan de Oro	20,000	60,000
Caloocan	20,000	50,000
Cebu City	30,000	80,000
Dasmariñas	20,000	50,000
Davao City	30,000	80,000
General Santos	20,000	60,000
General Trias	20,000	50,000
Iligan	20,000	60,000
Iloilo City	20,000	60,000
Las Piñas	20,000	60,000
Makati	30,000	80,000
Malolos	20,000	50,000
Manila	30,000	80,000
Muntinlupa	20,000	60,000
Parañaque	20,000	60,000
Pasay	20,000	60,000
Pasig	30,000	80,000
Puerto Princesa	20,000	60,000
Quezon City	30,000	80,000
San Fernando	20,000	50,000
San Jose del Monte	20,000	50,000
Taguig	30,000	80,000
Valenzuela	20,000	50,000
Zamboanga City	20,000	60,000