Tonsillectomy & Adenoidectomy in Noida

Tonsillectomy and adenoidectomy are surgical procedures to remove chronically infected or enlarged tonsils and adenoids when medical treatments no longer prevent recurring throat infections or breathing disruption during sleep.

Medically Reviewed & Authored

Dr. Mitva Agarwal, MBBS, DLO, DNB (ENT)

Senior Consultant ENT Surgeon · Pediatric ENT Specialist · 11+ Years Experience

Specialist in Tonsillectomy, Adenoidectomy & Pediatric ENT · Surbhi & Prayag Hospitals (Noida)

Indications and symptoms requiring evaluation

The tonsils (located at the back of the throat) and adenoids (located behind the nose above the soft palate) assist in early childhood immune defense. However, when subject to persistent bacterial or viral inflammation, they can become chronically enlarged or persistently infected.

Signs that suggest tonsil or adenoid evaluation is needed include:

• Recurrent episodes of severe sore throat, fever, and painful swallowing
• Enlarged tonsils causing upper airway obstruction or difficulty swallowing solid food
• Persistent mouth breathing, chronic nasal obstruction, and nighttime snoring
• Restless sleep, frequent night awakenings, or observed breathing pauses during sleep (obstructive sleep apnea)
• Recurrent middle ear fluid accumulation or fluid-related hearing fluctuation in children

Medical management tried before surgery

Surgical intervention is never the first step. Acute flare-ups of tonsillitis and adenoiditis are initially treated with evidence-based medical therapies.

Initial conservative steps include:

• Targeted antibiotic courses for confirmed bacterial infections (such as group A Streptococcus)
• Analgesic and anti-inflammatory medications for symptom control
• Saline gargles, hydration, and treatment of co-existing nasal allergies

Surgery is considered when recurrent infections persist despite complete antibiotic courses, or when massive tonsillar/adenoidal enlargement causes airway narrowing and sleep disturbance.

How tonsil and adenoid removal is performed

Tonsillectomy and adenoidectomy are performed through the open mouth under general anesthesia. There are no external skin incisions or visible outer cuts. Modern precise techniques — such as radiofrequency coblation or electrocautery — are utilized to gently disassemble and excise the diseased tissue while maintaining precise hemostasis.

Recurrent Tonsillitis & Adenoid Enlargement in Children

Pediatric tonsillitis and adenoid hypertrophy are among the most common childhood ENT concerns. In young children, enlarged adenoids often block the Eustachian tube opening, leading to persistent fluid behind the eardrum (glue ear) and conductive hearing impairment.

Clinical evaluation follows standard guidelines (such as the Paradise criteria for frequency of throat infections). When surgery is indicated in children, removing the chronically enlarged tissue resolves upper airway blockage, stops sleep disruption, and significantly reduces annual school absences.

Recovery, diet & post-operative aftercare

Proper aftercare and dietary management are essential for smooth healing following tonsillectomy:

• Dietary Guidelines: For the first 7 to 10 days, patients must follow a soft, cool, smooth diet (such as ice cream, cold milk, curd, smooth khichdi, and soft daliya). Hot, spicy, acidic, or sharp/crunchy foods are strictly avoided to prevent throat irritation.
• Hydration: Frequent sips of cool water or fluids help keep the throat moist and prevent muscle spasm.
• Pain Management: Prescribed analgesics should be taken on schedule as advised by the surgeon.
• Activity: Vigorous physical play, sports, and heavy exercise should be paused for 10 to 14 days.

When to consult an ENT specialist

Consult an ENT specialist if your child or a family member experiences frequent severe sore throats (more than 5 to 7 times a year), loud snoring with breathing pauses during sleep, or persistent mouth breathing.

Frequently Asked Questions