Surgeries We Perform


An adenoidectomy is a surgical procedure for the removal of the adenoids. The adenoids is a fleshy growth on the back wall of all human beings' noses that commonly filters the air you breathe, as well as filtering bacteria from sinuses and noses. Often times in children, the adenoids become enlarged or infected leading to symptoms such as mouth breathing, snoring, excessive nasal mucus, cough, frequent allergy, cold, and sinus symptoms, nasal speech, aspiration of material leading to bronchitis, pneumonia, and flare ups of asthma. Enlarged adenoids can lead to sleep apnea, snoring, and disruption of sleep, daytime sleepiness, and alterations in behavior secondary to a poor night's sleep. It is not uncommon to see children with enlarged adenoids also to have bed wetting and frequent ear infections.

The removal of adenoids is performed in an outpatient clinic setting in most cases and is performed on children between the ages of 18 months and 6 years of age. In the right hands, an adenoidectomy is about a 7-minute procedure with little if any bleeding. The postoperative course can last anywhere from 3-6 days and is usually characterized by runny nose, congestion, bad breath, low-grade fever, and a sore throat. Dr. Thomas Crews of the Pediatric Ear, Nose, & Throat Clinic has performed this procedure for over 30 years having performed over 15,000 of these procedures. Intraoperatively, the patient is usually put to sleep with masked anesthesia with no shots and no IV until the patient is asleep. If the procedure was performed in a clinic setting, parents may accompany children into the operating room for the child's comfort and emotional well-being. After the procedure, typically a 30-minute recovery room period is instituted and the patient usually can go home on a soft diet. Dr. Crews in all cases gives parents his cell phone number for direct and immediate contact following the surgical procedure. After a period of healing approximately 6-10 days, virtually all these children have elimination of their preoperative symptoms. Postoperative complications are exceedingly rare, but can include bronchitis, low-grade fever, flare-ups of asthma, and sore throat with decreased intake of fluids leading to dehydration, nausea, and vomiting, constipation when narcotics are used. Re-growth of adenoids can be as much as 20%, but in the hands of a skilled provider re-growth can be as low as 1%. An adenoidectomy in selected patients, can have a profound effect on the child's health and well-being and if instituted in the proper medical situation can eliminate the vast majority of reasons why children have to see a doctor on a regular basis.