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Endoscopic adenoid removal in children with a shaver technique

from 20 500 ₽

Service description

Endoscopic adenoid removal in children at MediLavia is a gentle day-hospital operation in which the child and parents are never left alone with their fears and questions. We work to modern standards of surgical, anesthetic, infection and medication safety and use a gentle shaver technique to remove the adenoids carefully and manage risks at every stage.

Gentle endoscopic shaver adenoidectomy

At our clinic, adenoids are removed under endoscopic control with a shaver, a special instrument that gently “shaves off” the overgrown tissue without injuring the healthy structures around it. This reduces the risk of residual tissue, lowers bleeding and makes the procedure as gentle as possible for the child. The surgeon sees the operating field on a screen and works precisely and carefully, while the anesthesia team monitors the child's condition.

Care starts before the operating room

At MediLavia, the child's stay is a well-thought-out pathway, not just “the day of surgery”. The administrators help parents prepare in advance: they explain how the visit will go, what to bring and how to prepare the child, and answer questions in plain language. The team follows evidence-based principles for helping children cope with medical procedures: we reduce uncertainty, speak honestly but gently, support the child's sense of control (the child can choose a toy or a book and ask questions), avoid frightening words and never use the doctor as a threat.

Before surgery: ENT, pediatrician and anesthesiologist

Before the operation, every child undergoes not only ENT diagnostics but also a mandatory examination by a pediatrician and an anesthesiologist. The pediatrician assesses the child's general condition and other conditions and helps parents understand how the operation fits into the child's overall healthcare. The anesthesiologist explains in detail which anesthesia will be used and how safety is monitored during the procedure, and answers parents' questions about risks and recovery. This triple check lets us manage risks in advance and makes the decision to operate calm and informed.

Day hospital: “treat and send home”, with the support of our pediatrician

The operation is performed in a day hospital: the child arrives in the morning, is prepared, has the procedure and is observed, and a few hours later, once stable, goes home. The family remains under the clinic's care: administrators and doctors give a clear plan for home in advance, explain what is normal and what is a reason to see a doctor, and stay in touch with parents to answer any questions that come up at home.

After surgery: the child is monitored, parents are not alone

After endoscopic adenoid removal, the child is always followed by a pediatrician, who monitors general well-being, appetite, sleep and activity and helps adapt daily life to the recovery period. The ENT surgeon holds in-person check-ups and assesses the result of the operation, breathing, hearing and ENT status over time. This way we keep both the local ENT problem and the child's general health under control. Parents know they have specific doctors to turn to with any question and feel that the family is protected by the clinic, not “discharged and forgotten”.

Preventing adenoid regrowth after surgery

MediLavia not only meets quality and safety standards but also actively prevents the risk of regrowth after surgery. The risk of adenoid regrowth is scientifically established. That is why our clinic uses only a reliable microdebrider technique, endoscopic confirmation that no residual adenoid tissue remains after removal, and photo records of the operation that document this. Given the established risk factors for regrowth, targeted treatment of related conditions is an important part of prevention. That is why, after surgery, the child is followed not by the ENT doctor but by a pediatrician, who manages related factors (allergic rhinitis, bronchial asthma, gastroesophageal reflux) and is responsible for medication safety after the operation.

Rehabilitation

Recovery time and pain relief

  • Recovery after adenotonsillectomy takes 7–14 days on average, with peak pain on days 3–7 and a return to normal activity after 6–11 days on average (4–5 days after tonsillotomy)
  • First-line pain relief is paracetamol and/or ibuprofen; multimodal analgesia only as prescribed by a doctor
  • Painkillers are taken on a fixed schedule rather than “as needed”: this gives better pain control
  • Most children eat and drink normally by the end of the first day; some children still have significant pain after day 7
  • Antibiotics are not routinely prescribed: they do not reduce pain, the need for painkillers or the risk of bleeding

Food and drinking

  • Eating resumes as tolerated from the first day; a strict soft or liquid diet is not required
  • Cool drinks, ice cream, yogurt and soft food are comfortable options
  • Avoid hot, spicy and coarse food for the first 7–10 days
  • The main priority is adequate hydration: enough fluids

Activity and returning to school

  • Return to normal activity on day 6 on average (faster after tonsillotomy, after 4–5 days)
  • No intense physical activity, sports or swimming for 10–14 days
  • School or kindergarten usually after 7–10 days, depending on how the child feels
  • Avoid flying for the first 2 weeks because of the risk of bleeding with pressure changes
  • Temporary behavioral changes (moodiness, sleep problems) are possible and usually pass within 1–2 weeks

Who it’s for

  • Obstructive sleep apnea

    The most common indication: adenotonsillectomy is the first-line treatment for obstructive sleep apnea in children.

  • Chronic nasal obstruction

    Constant mouth breathing, hyponasal speech, disturbed sleep, exercise intolerance.

  • Recurrent otitis and OME

    Adenoidectomy in addition to ventilation tubes in children aged 4 and older and for repeat operations.

  • Chronic adenoiditis

    Chronic adenoiditis or rhinosinusitis that does not respond to conservative treatment; development of an “adenoid face”.

  • Indications for tonsillectomy

    Recurrent tonsillitis meeting the Paradise criteria, as well as certain situations with fewer infections.

Contraindications

Contraindications

Absolute contraindications

  • Untreated coagulopathy: must be corrected before surgery
  • Decompensated systemic disease
  • Active infection, except peritonsillar abscess, in which tonsillectomy may be performed

Relative contraindications

  • Risk of velopharyngeal insufficiency: cleft palate, submucous cleft, bifid uvula, short soft palate, neuromuscular diseases

Absolute contraindications are given according to AAP (2012) and JAMA Pediatrics (2015). The final indications and extent of surgery are determined by the ENT doctor after endoscopic diagnostics; with risk factors for velopharyngeal insufficiency, some tissue may be preserved.

Protocol “One Visit — Full Treatment Strategy”

Video of the procedure

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Useful materials

Get the «Unified Quality and Safety Protocol» — how the clinic protects the patient along the whole route

The document explains how MediLavia's safety system works: the questionnaire and doctor's preparation before the visit, mandatory risk screening by the general practitioner, a single case coordinator, multidisciplinary treatment-plan approval, pre-procedure checklists and a reinforced standard in paediatric practice.

Frequently asked questions

Yes, fear and anxiety are a natural reaction for parents. Our job is to explain what we do and why, to be honest about the risks and how we reduce them, and to be there so that you are not left alone with your worries.

We do not promise “no pain at all”, but we do everything to keep discomfort minimal and short. The anesthesiologist chooses a gentle pain relief plan, and the surgeons use the endoscopic shaver technique to make the procedure as gentle as possible.

After the operation, the child first stays under observation at the clinic and then goes home, but continues to be followed by the pediatrician and the ENT surgeon. You will receive detailed recommendations and can ask questions at any time during follow-up visits.

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MediLavia10 Parshina St., premises 23N, entrance 9, Moscow

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The text contains no guarantees of outcome. Final indications, contraindications and the treatment plan are determined by the doctor after an in-person consultation and diagnostics.