Objective: to evaluate whether nasal surgical procedures done in conjunction with adenoidectomy in children affect the outcome of the procedure. Patients and methods: Patients were classified into 2 groups.Group A included patients undergone adenoidectomy alone, and group B which included patients undergone adenoidectomy and surgical nasal procedure(s). Patients were followed up 1, 2, 4 weeks, 6 months and 1 year postoperatively for presence of edema, discharge, crusts, adhesions and overall nasal patency. Results: No statistically significant differences were observed in the presence of postoperative edema, discharge, crusts, adhesions and nasal patency between the 2 groups. Conclusion: Nasal surgical procedures can be done safely effectively with endoscopic adenoidectomy in children.