Adenoidectomy Surgery Technique
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2025-03-08
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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery
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University of Cape Town
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Abstract
Adenoidectomy may be done in isolation or combined with tonsillectomy. Adenoidectomy may be either total or partial. Partial adenoidectomy involves leaving a ridge of adenoidal tissue inferiorly in the area of Passavant's ridge to enable apposition of the soft palate to the posterior pharyngeal wall during swallowing; it is indicated when there is concern about causing velopharyngeal insufficiency (VPI) e.g. with a submucous cleft palate.
Indications:
Adenoidectomy is frequently combined with tonsillectomy and/or insertion of grommets. Other indications include:
•Obstructive sleep apnoea
•Nasal obstruction
•Problematic rhinorrhoea
•Recurrent upper respiratory tract infec-tion
•Recurrent acute otitis media
•Recurrent otitis media with effusion
•For histological analysis
Description
Reference:
Jonas, N. 2025. Adenoidectomy Surgery Technique. In Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 5. http://hdl.handle.net/11427/43552 .