Adenoids

5-minute read

Key facts

The adenoids are fleshy lumps of tissue that are located at the back of the inside of the nose and at the top of the throat.
Together with the tonsils, the adenoids’ function is to trap and fight germs that enter the child’s mouth and nose.
If your child’s adenoids are enlarged, they can cause problems such as recurrent ear infections, sinusitis, difficulty sleeping and difficulty breathing through the nose.
Enlarged adenoids don’t need treatment unless they cause significant symptoms.
If symptoms are severe, a specialist may recommend an operation to remove the adenoids.

What are the adenoids?

The adenoids are fleshy lumps of tissue that are located at the back of the inside of the nose and at the top of the throat. They are out of sight, so you can’t see them when your child opens their mouth.

Everyone is born with adenoids, and they are biggest when children are around 3 to 5 years old. They start to shrink when children reach around 5 to 8 years of age. They are usually gone altogether by the time children become teenagers.

What is the function of the adenoids?

Together with the tonsils, the adenoids’ function is to trap and destroy germs that enter your child’s mouth and nose. They are part of the immune system and help fight infections.

What medical conditions are related to the adenoids?

Enlarged adenoids can cause or contribute to problems such as:

ear infections — enlarged or inflamed adenoids can block the tubes that drain the middle ear, causing fluid to build up in the ear (glue ear), which can lead to infections and hearing problems
difficulties breathing from the nose — this can cause children to breathe through their mouth, which may become dry and/or cause bad breath
ongoing sinusitis
difficulty sleeping

If enlarged adenoids block children’s breathing through their nose, they may contribute to obstructive sleep apnoea (OSA). This means they have brief pauses (apnoeas) in their breathing during the night for a few seconds. They may also snore. The pauses in breathing can occur a few times each night.

OSA in children is different to OSA in adults. If significant and untreated, OSA in children may affect your child’s growth and development.

CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need to seek medical help.

How are adenoid problems diagnosed?

If your doctor thinks your child may have a problem with their adenoids, they will ask about your child's symptoms and do a physical examination.

They may also refer your child for:

x-rays or other scans
nasal endoscopy, where a thin, flexible tube with a lighted camera on the end is inserted into the nose or throat to look at the nasal passages and adenoids
a sleep study, if your child's sleep is affected

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

How are adenoid problems treated?

In most children, enlarged adenoids don’t need treatment. Since the adenoids usually shrink and disappear by the teenage years, most adenoid problems will also resolve.

Enlarged adenoids are rarely treated, but your child may get antibiotic treatment for related infections, such as ear or sinus infections.

However, if symptoms are very severe — such as your child having difficulty breathing or obstructive sleep apnoea — an ear, nose and throat (ENT) specialist may recommend the adenoids are removed (adenoidectomy). Your doctor may also suggest removing the adenoids if your child has repeated middle ear infections.

Sometimes, children who are having their tonsils removed will have their adenoids removed at the same time.

ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.