Many parents first hear the word "adenoids" when their child's snoring becomes impossible to ignore. Adenoids are a small pad of tissue at the back of the nose, above the roof of the mouth. You can't see them by looking in the mouth. Like the tonsils, they help fight infections in early childhood and usually shrink as the child grows. In some children, they stay large enough to cause trouble.
Dr. Sahil Kapoor sees children with adenoid problems at Ace ENT Care, 238, Sector 5, Gurugram, and performs adenoidectomy in Gurgaon when it is needed.
Signs of enlarged adenoids
- A constantly blocked nose and mouth breathing
- Snoring, restless sleep and sometimes pauses in breathing
- A nasal-sounding voice
- Frequent "colds" and a runny nose
- Repeated ear infections, or fluid behind the eardrum (glue ear) that affects hearing
- Daytime tiredness, irritability or poor concentration at school
- Over the long term, an open-mouth posture that can affect the teeth and face
How enlarged adenoids are diagnosed
The diagnosis is based on symptoms and examination. In older children, a short nasal endoscopy with a thin camera gives a direct view. In younger children, an X-ray of the side of the neck (lateral X-ray of the nasopharynx) shows the size of the adenoids. A hearing test and tympanometry are done if ear problems are suspected.
Treatment without surgery
Mild cases are first treated with saline drops and steroid nasal sprays for six to eight weeks. Treating allergy, if present, also helps. Many children improve, and adenoids naturally shrink by around 7–8 years of age.
When is adenoidectomy advised?
- Persistent nasal blockage and mouth breathing despite medicines
- Snoring with signs of sleep apnea
- Repeated ear infections or long-standing glue ear
- Repeated sinus infections in children
Adenoidectomy is often combined with tonsillectomy when the tonsils are also large, or with grommet insertion when there is fluid behind the eardrum.
The procedure
Adenoidectomy is done through the mouth under general anaesthesia, with no outside cuts. It usually takes about 20–30 minutes. Most children go home the same day. Endoscopic techniques allow the adenoid tissue to be seen clearly and removed precisely.
Recovery
- Mild throat pain and a blocked nose for a few days are normal.
- Some children have bad breath or a nasal voice for a week or two.
- Soft food and plenty of fluids help.
- Most children return to school within about a week.
- Any bleeding from the nose or mouth should be reported immediately.
Parents often notice quieter sleep, less mouth breathing and better appetite within a few weeks.
Frequently Asked Questions
Will removing adenoids affect my child's immunity?
Studies have not shown a meaningful effect on immunity. Other immune tissues in the body continue to protect the child.
Can adenoids grow back?
A small amount of tissue can regrow in some children, especially if surgery is done very early. It rarely needs further surgery.
What is the right age for adenoidectomy?
There is no fixed age. The decision depends on how much the adenoids affect breathing, sleep and hearing.
What does adenoidectomy cost in Gurgaon?
The cost depends on whether it is done alone or with tonsillectomy or grommets, and the hospital. An estimate is given after the consultation.
Is adenoidectomy covered under insurance or Ayushman card?
Adenoidectomy is usually covered by health insurance and is included in PMJAY packages for eligible families. See the Ayushman card page.
Book a consultation
Call +91-8178774813 or use the appointment page. Related: pediatric ENT doctor in Gurgaon.
Clinic Location
238, Sector 5, Gurugram, Haryana 122001
Sunday: 11:00 AM – 2:00 PM
