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Indications Based on Symptoms

Adenoidectomy is considered if the patient has:
• Nasal obstruction
• Persistent mouth breathing
• Nasal blockage not responding to medical therapy
• Sleep-disordered breathing / OSA
• Snoring, restless sleep
• Witnessed apneas
• Daytime somnolence or poor school performance
• Recurrent or chronic adenoiditis
•more than 4 episodes/year despite adequate antibiotic therapy
• Recurrent otitis media / persistent OME
• Persistent OME more than 3 months with hearing loss
• Recurrent AOM more than or equal episodes/6 months or more than or equal 4 episodes/year
• Chronic sinusitis unresponsive to medical treatment
• Speech problems
• Hyponasal speech due to chronic obstruction
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