The adenoid is a mass of lymphatic tissue that exists in the nasopharyx (the back of the nose). It can obstruct breathing, block drainage from the ears to the throat, and be a source of chronic and recurrent infection to the ears and sinuses.
The adenoid is typically removed to relieve airway obstruction and/or to help with infections.
Most of the time, it is performed as an outpatient procedure (go home say day). It may be performed in conjunction with a tonsillectomy. An adenoidectomy with or without a tonsillectomy takes approximately 30 minutes to perform.
Airway reconstruction is a surgical procedure designed to reconstruct the trachea and larynx of children who have narrowing of the airway. The narrowing occurs for a variety of reasons, such as prolonged intubation or trauma. Reconstruction of the airway often results in being able to remove the tracheostomy tube and being able to breathe without it.
Pediatric airway reconstruction may also be useful for children born with narrow airways that don’t have a tracheostomy but suffer from recurrent croup episodes or exercise intolerance.
When the narrowing is just below the vocal cords, we call this narrowing subglottic stenosis. When the airway narrowing is lower down in the trachea (airpipe), we call this tracheal stenosis.
There are two different surgical approaches that may be used to treat subglottic stenosis:
- Laryngotracheal reconstruction: Aims to make the airway bigger.
- Cricotracheal resection: Designed to remove the scarred airway and bring the sections just above and below the scarred area together.
Surgery for tracheal stenosis is divided into primary resection and reanastomosis (tracheal resection and re-anastomosis) or a procedure for longer sections of narrowing called a slide tracheoplasty.
The following videos depict graphic surgical procedures and are intended for professional use only.
Rib Graft Harvest
Tracheal Resection and Reanatomosis
Suprastomal Granuloma Excision
Choanal Atresia Repair
Synagis is a vaccination to help prevent respiratory syncytial virus (RSV) in children with tracheostomies. RSV is a viral infection that is common among children who were born prematurely during the winter season (when children get sick most often). This vaccine is offered through your pediatrician’s office. Please contact them for details.
Tonsillectomy is the surgical removal of the tonsils, frequently performed with an adenoidectomy. This procedure usually takes place due to recurrent tonsil infections or strep throat (despite antibiotic therapy) or from upper airway obstruction and/or obstructive sleep apnea (enlarged tonsils can often the airway and cause difficulty breathing).
The surgery takes approximately 45 minutes. Please plan for your child to remain in the hospital for several hours after the outpatient surgery or overnight if admitted. Recovery time is around 10 to 14 days, and children will have to be on a soft diet after surgery.