Doctors frequently remove adenoids in children to help resolve breathing difficulties, sleep problems, and recurring ear infections caused by their enlargement. This may lead you to wonder if it's possible to remove adenoids without surgery. Here’s the answer. (1)

Can Adenoids Be Removed Without Surgery?

Generally, complete removal of adenoids requires surgery; There is no medication or non-surgical procedure that can fully remove adenoids. However, non-surgical methods may help alleviate symptoms of enlarged adenoids, including: (2)

• Corticosteroid sprays: These help reduce inflammation and congestion, which can help temporarily shrink the adenoids.
• Antibiotics: If a bacterial infection is present.
• Managing underlying conditions: Addressing conditions that cause or worsen the enlargement, such as seasonal allergies or recurrent respiratory infections can help.

In some cases, adenoids may not need to be removed; They may shrink naturally as the child grows. If adenoids symptoms are mild and not significantly affecting daily life, your doctor may recommend waiting to see if they resolve on their own. (3)

When is Surgery Needed?

Surgery is recommended if the child experiences one or more of the following symptoms: (3)(5)

• Difficulty breathing, especially at night.
• Recurrent ear and sinus infections, such as middle ear infections and fluid buildup behind the ear.
• Lack of response to antibiotics for bacterial infections.
• Loud snoring with pauses in breathing during sleep.
• Hearing and speech problems.

How is Adenoidectomy Performed?

Adenoidectomy is a simple procedure; usually lasting around 30 minutes under general anesthesia. During surgery, the surgeon accesses the adenoids, located at the back of the throat, using a special tool to keep the mouth open. The adenoids are then removed using precise surgical instruments, often employing modern techniques like radio frequency or cauterization to minimize bleeding. (4)

In some cases, inflamed tonsils causing breathing problems may be removed at the same time. (4)

FAQs

Why is surgery the best option in most cases?

• High Effectiveness: Surgery addresses the root cause, enlarged adenoids, eliminating troublesome symptoms.
• Long-Term Solution: Once removed, adenoids are unlikely to grow back, although in rare cases, regrowth can occur.
• Speedy Recovery: Recovery from surgery is typically fast, with temporary side effects like a sore throat and runny nose usually clear up within a few days if the doctor’s instructions are properly followed. (5)

Can Adenoids Grow Back After Adenoidectomy?

In rare cases, adenoids can grow back after removal. This may occur because it’s impossible to remove all traces of adenoid tissue since they are so far back in the nasal passage. (1)

If issues arise again, another surgery may be necessary, although such instances are very rare. (1)

Does Adenoid Removal Weaken Immunity?

Although adenoids are part of the immune system, their removal doesn’t impact the body’s ability to fight infections, as the immune system has multiple ways to combat germs. (5)

What Happens If Adenoids Are Left Untreated?

If untreated, the condition may worsen, leading to: (6)

• Difficulty breathing through the nose, resulting in mouth breathing, dry throat, and chronic snoring.
• Recurrent tonsillitis, requiring frequent use of antibiotics.
• Negative impact on quality of life, including sleep, focus, health, and behavior.

At the ENT Department at Dr. Soliman Fakeeh Hospital, we prioritize your comfort, performing adenoidectomies using the latest techniques, ensuring minimal pain and fast recovery.

References

1. Adenoidectomy (Adenoid Removal): Surgery & Recovery, Cleveland Clinic
2. Adenoids in Children - Conditions, Treatment, Surgery & Recovery, Boys Town National Research Hospital
3. Adenoids - problems, diagnosis and treatment, Healthdirect
4. Adenoid removal, MedlinePlus Medical Encyclopedia
5. Adenoids and Adenoidectomy (for Parents), Nemours KidsHealth‍
6. Signs Your Child’s Tonsils or Adenoids May Need to be Removed, Lurie Children's