Opinions differ widely as to the indications for adenoidectomy in children. These differences range from the routine performance of adenoidectomies on almost all children having recurrent upper respiratory infections to the opposite extreme of never removing the adenoids unless there is complete obstruction of the nasopharynx.
Eley1 stated that an adenoidectomy is indicated when the lymphoid tissue "... offers a hazard to the general health of the patient." Johnston and Watkins,2 on the basis of 600 questionnaires to parents whose children had had tonsillectomies and adenoidectomies, concluded that seven out of nine children with hearing impairment are benefited. They believe that this type of surgery remains a highly beneficial procedure in selected cases. Morrison3 stated that "hyperplasia of the adenoids is the chief source of ear infections in children."
On the other hand, Brown4 concluded from a review of selected literature that "adenoids should seldom be removed.