Ocena: 4.8/5.0

Informacje o zabiegu

Adenoidectomy and paracentesis are surgical procedures performed in laryngology. Adenoidectomy consists in adenoid removal (called third tonsil). The indications for this surgery are: hypertrophy of adenoid stated by the specialist, which lasts for a long time and causes disturbance of the patient’s everyday life. The patient complains about sleep apnea, sleepless nights, snoring, and specific speech. Sometimes there is a characteristic face expression. Adenoid hypertrophy may also cause otitis media with effusion. These structures are connected with each other by the Eustachian tube. The oversized adenoid masses by pressing on it cause ear disease. In order to confirm this diagnosis, it is necessary to perform paracentesis – puncture of tympanic membrane to remove pathological secretions in the middle ear. This treatment is performed through the external auditory canal using a special sharp meringot. Adenoidectomy with paracentesis is performed under general anaesthesia. Qualified anesthesiologists conduct medical interview and perform additional tests (blood group markings, etc.). The patient should be fasted before the procedure. After the operation it is recommended to relax, reduce physical effort. Patients should also eat a light, liquid or semi-liquid diet for the first few days, avoiding hot and spicy meals.


  • stating significant hypertrophy of tonsils by a specialist doctor
  • chronic/recurring tonsillitis
  • persistent snoring
  • sleeps apnea, sleeping problems
  • otitis media with effusion
  • blood in the tympanic cavity
  • acute otitis media uncontrolled with medication

Przeciwwskazania do zabiegu

  • lack of the patient’s consent
  • taking blood thinners
  • severe hemorrhagic diathesis
  • advanced, uncontrolled diabetes
  • bad general health status of patients
  • active respiratory tract infection
  • diseases preventing the use of anesthesia
  • allergy to anaesthetic drugs

Przebieg zabiegu

Adenotonsillectomy consists in removal of adenoid hypertrophy (third tonsil) and incision of palatal tonsils. The throat tissue is completely removed. Palatine tonsils are only cut. The treatment consists in reducing their weight by about 30-60 %. The remaining lymphatic tissue can still take the immune function. During the adenotonsillectomy, additionally a paracentesis is performed. It consists in incision of tympanic membrane in order to remove pathological secretion from the middle ear. The cut is made with a sharp myringout knife, which is inserted through the external auditory canal. The procedure is performed by experienced medical staff. The patient is under general anaesthesia; falls asleep on the operating time.

Adenotonsillotomia z paracentezą


4800 PLN

Korzyści z zabiegu

  • facilitates swallowing of foods
  • cessation of snoring
  • normal development of the bony face
  • resolution of symptoms related to recurrent ear inflammation
  • improved concentration and focus
  • evacuation of pathological content from the middle ear prevents further development of disease
  • hearing improvement

Zalecenia po zabiegu

  • rest
  • reduce physical effort
  • taking painkillers recommended by a doctor
  • avoidance of staying in places with very high environmental temperature (e.g. sauna)
  • eating light, liquid or semi-fluid diet on the first days after the treatment
  • resignation from hot, spicy, sour meals on the first days after the treatment
  • bath is not contraindicated, but immersion of the head should be limited (e.g. in a swimming pool, bath)
  • in case of any worrying symptoms, seek medical advice as soon as possible
  • these symptoms may include: secretion from the ear, blood, persistent pain, increased body temperature

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