Adenoidectomy & BMT Tubes: A Comprehensive Overview

Adenoidectomy and bilateral myringotomy tympanostomy (BMT) tubes consists of a surgical procedure to remove the adenoids and place tubes into the eardrum. Although most commonly performed in toddlers, adults may also have this procedure.

Procedure

• The BMT and adenoidectomy occurs under general anesthesia, meaning the patients remain sedated through the process. Usually an outpatient or same-day surgery, hospitalization does typically not result but depends on whether complications have occurred. Methods for removal of adenoids may vary but the BMT requires an incision into the eardrum.

Purpose

• The BMT and adenoidectomy relieves and can prevent fluid buildup from behind the eardrum caused by recurrent infections, family history, and abnormalities in structure. The procedure can also decrease likelihood of future ear infections by creating proper drainage.

Risks

• Few risks are associated with the adenoidectomy and BMT. These can include a reaction to anesthesia, excessive bleeding, and infection, which can occur with any surgical procedure. The most common risk tends to accompany the ear tubes and consists of the need for additional tubes in the future.

Other Considerations

• It is not uncommon for removal of the tonsils with the adenoids and BMT placement. This varies by the patient and depends on whether throat problems, such as recurrent tonsillitis, exist. In some cases, tonsillectomy occurs prior to adenoidectomy to see if this intervention alone with tubes will offer relief.