<prompt> Adenoidectomy is contraindicated in:Large adenoidsLarge tonsilsCleft lipCleft palate  <response>: d Cleft palateRef. Scott Brown, 6th ed., 61812Adenoidectomy in a child with cleft palate will lead to nasopharyngealvelopharyngeal 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. 