Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/3/2025

Adenoidectomy Techniques and Outcomes

Surgical Techniques

  • Traditional adenoidectomy uses a metal curette to blindly scrape and remove adenoid tissue, which is the conventional method that has been used for decades, as described by the American Academy of Otolaryngology-Head and Neck Surgery 1, 2

Clinical Indications

  • Adenoidectomy is used for similar indications, including recurrent or chronic adenoiditis, as recommended by the American Academy of Otolaryngology-Head and Neck Surgery 3, 4
  • Otitis media with effusion is also an indication for adenoidectomy, typically after the first set of tympanostomy tubes, according to the Journal of Allergy and Clinical Immunology 5

Potential Complications

  • Velopharyngeal insufficiency is a risk that exists with both techniques but may be reduced with more precise coblation technique, as noted by the American Academy of Otolaryngology-Head and Neck Surgery 3, 4
  • Grisel's syndrome is a rare complication possible with both techniques, as reported by the American Academy of Otolaryngology-Head and Neck Surgery 3, 4

REFERENCES

1

clinical practice guideline: otitis media with effusion. [LINK]

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2004

2

clinical practice guideline: otitis media with effusion. [LINK]

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2004

3

clinical practice guideline: tympanostomy tubes in children (update). [LINK]

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2022

4

clinical practice guideline: tympanostomy tubes in children (update). [LINK]

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2022