Adenotomy – removal of the pharyngeal tonsil

Adenotomy involves the truncation of a mass of hypertrophied tonsil. It is recommended that the procedure is performed under general anaesthesia, which ensures the safety of the child, eliminates their stress and ensures the precision of the procedure. The pharyngeal tonsil (known as the third tonsil) is situated in the nasal part of the throat. The oropharyngeal tonsil is not visible on examination through the mouth, it is located at the back of the nose and can be seen through the nose or on mirror examination.

Adenotomy – distressing symptoms and indications for surgery

If a child breathes frequently through his mouth, has a constantly open mouth and a somewhat staring expression, and snores or breathes loudly at night, he will wake up tired in the morning. During the day he can be lethargic. He sometimes loses his appetite. Prolonged rhinitis, recurrent otitis and hearing loss occur. The voice becomes nasal, as if it has a noodle in its mouth.The most common culprit is an oversized third pharyngeal tonsil. Such hypertrophy narrows the patency of the nose and upper airways. It also impairs the function of the ear trumpets, which promotes effusions and otitis media. There are also problems within the paranasal sinuses, sometimes in a specific sinus, such as the maxillary sinus. Children’s tonsils often enlarge as a result of bacterial or viral infections .
If pharmacotherapy is not effective, the ENT surgeon may suggest surgery. The aim is to remove the hypertrophied tonsil. The procedure is usually performed under general anaesthesia, although the decision on anaesthesia is made on an individual basis.
The post-operative period is usually short. Painkillers and a calm daytime routine are needed. Minor bleeding is possible, which usually subsides quickly.

Do you have questions about the procedure?

Do you need more information about the treatment? Our coordinators will be happy to provide you with the necessary information, arrange all the necessary appointments and guide you through the entire diagnostic treatment process.

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Symptoms indicative of an adenotomy procedure:

Breathing through the mouth – the child has an open mouth and an 'onlooker’ expression….

Snoring, sleep apnoea or loud breathing during sleep, the child wakes up tired, is apathetic during the day, has no appetite.

Recurrent ear infections or hearing loss.

Frequent and prolonged rhinitis.

Change in voice and speech sound – the child speaks 'through the nose’ and as if he has a 'noodle in his mouth’.

Anaesthesia

general

Surgery duration

up to 60 minutes

Recovery

7-10 days

Why Medicus Clinic?

Comprehensive treatment in one place: consultation – diagnosis – treatment – follow-up – rehabilitation

Operational team experience based on qualifications and number of procedures performed

Fast appointments and short waiting times for treatment

Support from the hospitalisation coordinator guiding the patient from qualification through to surgery

Interdisciplinary team of specialists in various medical fields

Laboratory tests available on site in preparation for surgery

Safety of procedures under the care of the anaesthetic team

Premium hospitalisation standard, providing comfort and a sense of security

Modern safety and hygiene systems

24-hour care in a hospital ward

Individual approach and real support at every stage of treatment

Duration of hospitalisation adapted individually to the patient’s condition

Medical care also after surgery

Managing the patient from diagnosis to recovery

Comprehensive treatment in one place: consultation – diagnosis – treatment – follow-up – rehabilitation

Adenotomy – distressing symptoms and indications for surgery
Why Medicus Clinic?
Contraindications to adenotomy surgery
Treatment of pharyngeal tonsillar hypertrophy
Post-operative management – recommendations after surgery

Contraindications to adenotomy surgery

Adenotomy is postponed or discouraged in several situations. During the ENT consultation, the doctor takes a history to determine whether such contraindications exist.

Treatment of pharyngeal tonsillar hypertrophy

Although conservative treatment can sometimes be effective in relieving symptoms, it is important to see a specialist if you experience any breathing difficulties, persistent infections or other worrying symptoms. At Medicus Clinic, after appropriate examinations, he may recommend further steps – including possible surgery. A visit to the doctor is crucial, as only a specialist can accurately assess the situation and select the most appropriate treatment, whether conservative or surgical.

Removal of the 3rd tonsil privately

Private treatment is a completely different option when it comes to medical care, particularly at Medicus Clinic. Our doctors assess the eligibility criteria and complexity of the procedure, and the procedure is priced on this basis. The cost of an adenotomy starts at PLN 5700.

Post-operative management – recommendations after surgery

For safety reasons, the patient stays on the ward. Immediately after the operation, you cannot drink or eat. For the next 5-7 days, physical exertion and the consumption of hot and irritating foods is not advisable. It is advisable to rest and limit contact with others to reduce the risk of disease

Do you have questions about the procedure?

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FAQ – Frequently Asked Questions

Does the pharyngeal tonsil grow back?

Surgery of the tonsil is not a definitive procedure and involves the removal of an overgrowth of tonsillar tissue that impairs nasal patency and the function of the ear trumpets . As a result of repeated infections of the upper respiratory tract, the small amount of adenoid tissue left in the nasopharynx may overgrow and require further surgery.

What is not allowed after adenotomy?

For a few to several days, avoid physical exertion, including running, jumping and swimming, as well as overheating the body, i.e. hot baths, saunas and intense sun; the diet should be cool and soft, with no hot, spicy or acidic foods and no fizzy drinks; do not remove the white patches in the throat, as this is the wound healing fibre and disturbing it can cause bleeding; in the first few days, it is also advisable to limit contact with large concentrations of people due to the risk of infection.

How long does it take to recover from adenotomy?

Healing of the throat usually takes about seven to 10 days, although return to full activity is sometimes stretched to two or three weeks, and swimming is often waited until healing is complete after three weeks or so; some children return to school after just two to three days, but many patients are advised to take about one to two weeks of quiet time, according to their individual doctor’s recommendations.

Read what patients are saying about us.

I recommend it highly. My son had his tonsils cut out in April. Dr Gawron carried out the procedure. A great doctor. ~ Ms Ilona

★★★★★

Highly recommended. My daughter was operated on by Dr. Przerwa-Tetmajer…. wonderful person! ~ Ms. Patrycja

★★★★★

Our dear docent Gawron! Our doctor was very involved in helping Krzys. Thank you for having such empathetic doctors ~ Ms Monika

★★★★★

Our dear docent Gawron! Our doctor was very involved in helping Krzys. Thank you for having such a great Dr Gawron, who is an exceptional specialist in his field, as well as an exceptional person He has a great deal of knowledge, experience, expertise, at the same time he is very empathetic, patient and takes as much time as the patient needs, answering all questions. I came from far away to have my tonsils out and it was the best decision, despite a lot of time and energy to commute to Wrocław for pre- and post-operative appointments, but it was definitely worth it. Doctor’s care and commitment at the highest level. Even after the procedure, where I have a 300km drive to Wrocław, I felt safe and looked after. If someone is looking for a doctor to remove tonsils in an adult as well, there is no better choice than Dr Gawron. ~ Ms Katarzyna

★★★★★

I had my tonsillectomy performed at Medicus Clinic and I can say with a clear heart that it was the best possible decision. The procedure was carried out by Dr Jaworska – professional, specific and empathetic. Although I only remember the moment of the operation itself until I fell asleep (everything was done under general anaesthesia), when I woke up I was met with incredible care from all the staff. The lady nurses deserve a huge thank you – they were warm, caring and constantly making sure everything was OK. As soon as the pain worsened, they responded immediately with painkillers. The care given to the patient’s comfort was of the highest standard, each lady approached with great gentleness and kindness. The clinic itself was also very comfortable – a clean, modern room with a spacious bathroom, equipped with a tablet to operate the entire system (lighting, TV, etc.). I felt like I was on holiday, not in hospital. Breakfast is served like in a good restaurant and there is a 24-hour kitchen available, with jelly desserts, yoghurts, oatmeal – an ideal option when appetite arises after surgery. Thank you to the whole team for such excellent care, friendliness and complete professionalism. I felt really looked after – both by the nursing staff and the doctor who monitored my condition after the procedure. ~ Ms Iga

★★★★★

Wonderful Woman and Specialist! We ended up at Dr Alexandra Sztuka upon recommendation and will recommend to others 😉 huge experience and super patient and carer contact. She explains everything and is not a doctor by necessity, but by vocation. Service around the treatment, regeneration conditions at the highest level! Thank you for everything both to the doctor and the whole team of wonderful people ! ~ Ms Natalia

★★★★★

Otolaryngologists Medicus Clinic

A visit to an otolaryngologist at Medicus Clinic is a key part of comprehensive diagnostics and treatment of the pharyngeal tonsils. Our experienced specialists carry out thorough examinations, select optimal treatment methods and offer effective solutions tailored to each patient’s needs.