Hallmark Speciality ENT Clinic · Kharadi, Pune
Tonsil and adenoid surgery for children and adults in Pune
Tonsils and adenoids help fight infection, particularly in young children. When they cause repeated infections or block breathing, removing them may be recommended.
Tonsils, adenoids and why they cause problems
The tonsils sit at the back of the throat. The adenoids lie higher up, behind the nose, where they cannot be seen without special instruments. Both are largest in childhood and usually shrink as children grow.
Tonsils can become repeatedly infected (tonsillitis). Enlarged adenoids can block the back of the nose and the Eustachian tubes, leading to mouth breathing, snoring and fluid behind the eardrums, often called glue ear.
Common symptoms
- Frequent sore throats or tonsillitis
- Snoring, noisy breathing or mouth breathing at night
- Pauses in breathing during sleep
- A constantly blocked or runny nose in a child
- Repeated ear infections, or hearing problems from glue ear
- A peritonsillar abscess (quinsy): severe one-sided throat pain with difficulty opening the mouth
When to see an ENT specialist
See an ENT specialist if a child or adult has frequent tonsillitis, snores loudly with pauses in breathing, or has repeated ear problems.
Get urgent medical help for difficulty breathing, drooling or being unable to swallow, or severe one-sided throat pain with difficulty opening the mouth.
How it is diagnosed at the clinic
Diagnosis is based on the pattern of infections and symptoms and an examination of the throat, nose and ears. An endoscopic examination or an X-ray may be used to assess the adenoids. If glue ear is suspected, a hearing test may be advised. For snoring, Dr. Halikar will ask about sleep and may suggest a sleep study.
Treatment options
Many sore throats are caused by viruses and settle with simple measures. Bacterial tonsillitis may need antibiotics, and nasal sprays help some children with enlarged adenoids.
Surgery may be considered when:
- Tonsil infections are frequent and affect daily life, school or work
- Enlarged tonsils or adenoids cause breathing problems during sleep
- A quinsy has occurred, particularly more than once
- Enlarged adenoids contribute to glue ear or repeated ear infections
Adenoidectomy may be combined with grommet insertion for glue ear. Techniques include conventional tonsillectomy and endoscopic or coblation-assisted adenoidectomy. The most suitable approach is discussed with you or your family.
What recovery generally looks like
Tonsillectomy is performed under general anaesthesia, and patients usually go home the same day or the next day. A sore throat is expected for about one to two weeks, and earache is common. Regular pain relief, plenty of fluids and normal soft food help healing.
Bleeding after tonsillectomy is uncommon but needs urgent medical attention if it happens. Recovery after adenoidectomy alone is usually quicker.
Frequently asked questions
At what age can a child have tonsils or adenoids removed?
There is no single right age. The decision depends on the child’s symptoms and how they affect breathing, sleep, hearing and general health, and it is discussed with parents.
Will removing tonsils or adenoids weaken my child’s immunity?
Tonsils and adenoids are a small part of the immune system, and the body has many other defences. Removing them is not generally considered to weaken immunity in a meaningful way.
How long will my child need off school?
Often around two weeks after tonsillectomy, and a few days after adenoidectomy alone. Dr. Halikar will advise you based on your child’s recovery.
Do adults have tonsillectomy too?
Yes, sometimes. Adults with repeated tonsillitis or a quinsy may benefit. Recovery in adults can be more uncomfortable than in children.
Dr. Halikar’s relevant experience
Dr. Sudhir Halikar is a Consultant ENT, Head & Neck Surgeon with 33+ years of experience. He trained at Tata Memorial Cancer Hospital and Hinduja Hospital, Mumbai, is a former Associate Professor at IMSR Medical College, and performs surgery at Noble Hospital.
- Tonsillectomy with and without adenoidectomy, including quinsy tonsillectomy
- Endoscopic powered adenoidectomy and coblation adenoidectomy
- Paediatric flexible and rigid laryngobronchoscopy
- Published on quinsy tonsillectomy for peritonsillar abscess (Indian Journal of Applied Research, 2016)
- Has performed tonsillectomies in charitable surgical camps in rural areas
Related treatments
This information is general and not a substitute for a consultation.