Adenoidectomy

If your child mouth-breathes day and night, sounds congested no matter what, keeps getting ear infections, or snores loudly, enlarged adenoids may be the reason. Adenoidectomy is a short pediatric procedure that often resolves all of those at once.

How Adenoidectomy Helps

Adenoidectomy is the surgical removal of the adenoids — small pads of tissue at the back of the nose, above the soft palate. You can’t see them by looking in your child’s mouth. When the adenoids are enlarged or chronically inflamed, they can block the nose, contribute to ear infections by interfering with the eustachian tubes, and disrupt sleep. Adenoidectomy is a short outpatient procedure under general anesthesia. The adenoids typically shrink on their own as kids grow, so adults rarely need this surgery.

Signs Your Child May Be a Candidate

Adenoidectomy may be recommended when your child has:

Chronic mouth-breathing and nasal blockage that isn't explained by allergies alone
Recurrent ear infections or persistent middle ear fluid, often alongside ear tube placement
Snoring or sleep-disordered breathing from enlarged adenoids
Chronic sinus infections that aren't responding to standard treatment
"Adenoid face" — a long, open-mouthed look — from chronic enlargement

When to Consider an Evaluation

If your child seems congested all the time, has needed multiple sets of ear tubes, or has noisy nighttime breathing, a pediatric ENT can examine the adenoids and figure out if they’re driving the problem.

What to Expect helps

The visit starts with a complete pediatric ENT exam — ears, nose, throat, and adenoids (sometimes examined indirectly or with a small camera). Your provider will review your child’s history of infections, sleep, and nasal symptoms before recommending adenoidectomy.

The procedure itself takes about 15 to 30 minutes under general anesthesia at a surgery center or hospital. Most kids go home the same day.

Recovery typically involves:

Why ENT Urgent Care for

Same-day evaluation. No long wait to get answers.
Pediatric-experienced providers. Used to walking parents through what’s involved.
Honest about the trade-offs. We’ll discuss whether adenoidectomy alone, combined surgery, or another approach fits.
Care that connects. Coordination with your pediatrician and the surgery facility.
Insurance accepted. Most major plans, plus clear self-pay options.

Frequently Asked Questions

Find answers to common questions about Adenoidectomy.

Still have questions?

If you need help deciding whether virtual care is right for you, our team is here to assist.

How is adenoidectomy different from tonsillectomy?
Tonsils sit at the back of the throat; adenoids sit higher up, behind the nose. You can see tonsils when your child opens wide; you can't see adenoids without a special exam. Tonsillectomy mostly addresses recurrent sore throats and obstructive sleep apnea; adenoidectomy mostly addresses nasal blockage, mouth-breathing, and recurrent ear or sinus issues. Many kids have both procedures together.
Adenoidectomy on its own is often a much easier recovery than tonsillectomy. Many kids feel close to normal within a few days, though full healing takes about a week. If adenoidectomy is combined with ear tubes or tonsillectomy, recovery follows the longer procedure.
Many parents notice their child breathes more easily through the nose, snores less, and gets fewer ear or sinus infections within a few weeks. Improvements in sleep quality and daytime energy are common.
In rare cases, a small amount of adenoid tissue can regrow, especially in younger children. True regrowth that causes new symptoms is uncommon. If symptoms return, your ENT can re-evaluate.

Still have questions?

If you need help deciding whether virtual care is right for you, our team is here to assist.

Get a Pediatric Adenoidectomy Evaluation

If chronic nasal blockage, ear infections, or snoring is affecting your child’s daily life, ENT Urgent Care can help you understand whether adenoidectomy makes sense.