Adenoidectomy is contraindicated in:
(d) Cleft palate(Ref. Scott Brown, 6th ed., 6/18/12)Adenoidectomy in a child with cleft palate will lead to nasopharyngeal/velopharyngeal insufficiency so it is a contraindication.Large adenoids causing complications as discussed in the text is an indication of adenoidectomy.In a child who is simultaneously suffering due to large tonsils, tonsillectomy is done along with adenoidectomy in the same sitting.Cleft lip does not lead to nasopharyngeal/ velopharyngeal insufficiency after adenoidectomy.
Large adenoids
Large tonsils
Cleft lip
Cleft palate
Pharynx