Direct answer

Removal may be considered when enlarged adenoids contribute to persistent nasal blockage, mouth breathing, snoring or middle-ear fluid.

Schematic illustration of a child’s ear, nose and throat
Schematic illustration of a child’s ear, nose and throat. General illustration for context.
01

Key symptoms

  • Not every enlarged adenoid needs surgery
  • Symptoms, sleep, hearing and growth matter
  • Nasal assessment and hearing tests may be needed
02

Assessment and treatment

  • Removal through the mouth under anaesthesia
  • Fluids, pain control and postoperative instructions
  • Review breathing and sleep improvement at follow-up

Related ENT services

AdenoidectomyAdenoidectomy assessment for adenoid-related obstruction, sleep concerns and selected ear problems, including benefits, risks and follow-up.→Paediatric ENT careENT assessment of childhood adenoid and tonsil problems, snoring, glue ear, hearing difficulty and speech delay, with surgery when indicated.→
ReferencesCleft lip and palateNHS↗Ear Infections in ChildrenNIH/NIDCD↗Clinical Practice Guideline: Otitis Media with EffusionAAO-HNSF↗Making a decision about glue earNHS England↗

For patient education; not a substitute for individual diagnosis or treatment. Seek emergency care for red-flag symptoms.