{"id":5678068,"date":"2020-12-10T23:05:58","date_gmt":"2020-12-10T22:05:58","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/myringoplastie\/"},"modified":"2024-02-22T08:15:58","modified_gmt":"2024-02-22T07:15:58","slug":"myringoplasty","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/myringoplasty\/","title":{"rendered":"Myringoplasty"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1619986354790{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/myringoplastie.jpg?id=5675703) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-1 vc_col-lg-10 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243; css=&#8221;.vc_custom_1603286580076{padding-right: 12% !important;padding-left: 12% !important;}&#8221;]<div class=\"norebro-heading-sc heading text-shadow text-center\"\n\tid=\"norebro-custom-6a1348e2d46ef\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tMyringoplasty\t<\/h1>\n\n\t\n\t\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1619517744409{padding-top: 8vh !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d6a5e\" \n\t \n\t>\n\n\t<p>Simple eardrum surgery, also known as myringoplasty or type I tympanoplasty, is a surgical procedure to close a perforation in the eardrum. The operation is performed under general anesthesia by an ENT surgeon, and generally requires a one-day hospital stay.<\/p>\n<p>Find out more about myringoplasty from Dr. Delagranda, ENT and cervicofacial surgeon in La Roche sur Yon, France.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1619600626772{padding-top: 6vh !important;padding-bottom: 8vh !important;}&#8221;][vc_column width=&#8221;2\/3&#8243; offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-offset-1 vc_col-xs-10&#8243; css=&#8221;.vc_custom_1619534081562{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;background-color: #f9f9f9 !important;border-left-color: #0a0a0a !important;border-left-style: dotted !important;border-right-color: #0a0a0a !important;border-right-style: dotted !important;border-top-color: #0a0a0a !important;border-top-style: dotted !important;border-bottom-color: #0a0a0a !important;border-bottom-style: dotted !important;border-radius: 1px !important;}&#8221;]<div class=\"norebro-text-sc \" \n\tid=\"norebro-custom-6a1348e2d6c5f\" \n\t \n\t>\n\n\t<div id=\"post-link-5678068\" class=\"sh-link post-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('post', 5678068, 'SUMMARY', 'SUMMARY'); return false;\" aria-expanded=\"false\"><span id=\"post-toggle-5678068\">SUMMARY<\/span><\/a><\/div><div id=\"post-content-5678068\" class=\"sh-content post-content sh-hide\" style=\"display: none;\"><\/p>\n<ul>\n<li><a href=\"#tympan\">Tympanum<\/a><\/li>\n<li><a href=\"#publics\">Who is concerned by myringoplasty?<\/a><\/li>\n<li><a href=\"#publics\">Objectives of myringoplasty<\/a><\/li>\n<li><a href=\"#intervention\">The surgical procedure<\/a><\/li>\n<li><a href=\"#intervention\">Post-surgery recovery period<\/a><\/li>\n<li><a href=\"#complications\">Complications associated with myringoplasty<\/a><\/li>\n<li><a href=\"#questions\">Frequently asked questions<\/a><\/li>\n<li><a href=\"#rdv\">Appointment<\/a><\/li>\n<\/ul>\n<p><\/div>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621514859815{padding-top: 8vh !important;padding-bottom: 8vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;tympan&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a1348e2d6eb5\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tTympanum\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d6f31\" \n\t \n\t>\n\n\t<p>The eardrum is a membrane that separates the outer ear from the middle ear and forms the end of the external auditory canal. It is shaped like a flattened cone, like a Chinese hat, with the tip pointing towards the inside of the skull. The tip, which corresponds to the point of attachment of an ossicle: the malleus, is only 2 mm deeper than the edges. Its average height is 10 mm and its width 8 mm. It is slightly oriented downwards and outwards in its most anterior part, so its surface area is larger than the cross-section of the external auditory canal, i.e. around 60 mm2. The S-shape of the external auditory canal partially protects it from external mechanical aggression. It has 2 distinct zones separated by integrated tympanomalleolar ligaments:<\/p>\n<ul>\n<li>The pars tensa: located below the ligaments, this accounts for the greater part of the eardrum (85%). This portion is the most rigid. From outside to inside, it is made up of three layers: an epithelial layer, which is the continuity of the skin of the auditory canal and outer ear; a fibrous layer, the lamina propria, containing collagen fibers; and a mucous layer, which is the innermost layer. The eardrum&#8217;s plasticity and elasticity enable it to vibrate in response to sound.<\/li>\n<li>The pars flaccida or schrapnell membrane, above the ligaments, is smaller in size (15%) but lacks the intermediate fibrous layer that makes it more fragile.<\/li>\n<\/ul>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621514866476{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/objectifs-myringoplastie.jpg?id=5675704) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;publics&#8221;][vc_column][vc_empty_space height=&#8221;120px&#8221;][vc_row_inner][vc_column_inner width=&#8221;7\/12&#8243; css=&#8221;.vc_custom_1607095018746{padding-right: 10% !important;padding-left: 10% !important;background-color: rgba(255,255,255,0.95) !important;*background-color: rgb(255,255,255) !important;}&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a1348e2d6f87\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWho is concerned by myringoplasty?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d6fe4\" \n\t \n\t>\n\n\t<p>Adults or children with an eardrum perforation that has persisted for at least 6 months. We recommend waiting 6 months to give nature a chance to close the perforation naturally. After that, there is virtually no chance of spontaneous repair.<\/p>\n<p><strong>Objectives of myringoplasty :<\/strong><\/p>\n<ul>\n<li>Make the ear watertight.<\/li>\n<li>Prevent otitis caused by liquid entering the middle ear (shower, bath, swimming pool, sea).<\/li>\n<li>Improve hearing.<\/li>\n<\/ul>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;120px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621514879526{padding-top: 8vh !important;padding-bottom: 8vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;intervention&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a1348e2d7035\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tThe different stages of the intervention\t<\/h2>\n\n\t\t\t<div class=\"divider\"><\/div>\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a1348e2d708f\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tThe surgical procedure\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d70e2\" \n\t \n\t>\n\n\t<p>The procedure is performed under general anesthesia in an outpatient operating room, unless there are contraindications. A small skin incision (1 to 1.5 cm) is made, either in front of the ear or slightly further back (2 to 2.5 cm), depending on the technique chosen by the surgeon. The principle is to place a support (the graft) on which the healthy eardrum can rest to fully reconstitute itself. The graft closes the perforation, but the eardrum that grows back onto the graft ensures that the middle ear remains watertight. The edges of the perforation must therefore be brightened to encourage regrowth. The graft used remains in place (except for fat) even after the eardrum has regrown, modifying its elastic and plastic qualities. The graft is taken from the patient&#8217;s body to ensure perfect compatibility, and can be made up of muscular aponeurosis and\/or cartilage, or fat taken from the surrounding tissue through the skin incision, or from around the umbilicus in the case of fat. A healing dressing is placed in the ear canal for 10 to 15 days.<br \/>\nWhen the graft is placed under the eardrum in the middle ear, it is said to be in &#8220;underlay&#8221; which is the most common case (fascia or cartilage).<br \/>\nWhen the graft is placed like a plug in the perforation (fat or butterfly cartilage), it is said to be in &#8220;inlay&#8221;.<br \/>\nWhen the graft is placed on the external face of the tympanum at the connective level, it is said to be in &#8220;overlay or onlay&#8221;.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a1348e2d712a\" \n\t \n\t>\n\t\n\t\n\t\n\t<h3 class=\"title\">\n\t\tPost-surgery recovery period\t<\/h3>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d718b\" \n\t \n\t>\n\n\t<p>In the case of outpatient surgery, the patient returns home the same day.<br \/>\nAfter hospitalization, you must remain at home for 10 days, resting and not putting any liquid in your ear other than the prescribed drops.<br \/>\nThe surgeon will give you 10 to 15 days off work.<br \/>\nSport is not recommended for the first 15 days, and should be resumed gradually.<br \/>\nSwimming and diving are not recommended until your surgeon has advised you.<br \/>\nFlying is not recommended for 2 months.<br \/>\nPain is slight, sometimes increased when chewing. It is soothed by class I analgesics such as paracetamol, and usually disappears within a week.<br \/>\nPost-operative care at home: ear drops to keep the healing dressing moist and effective, ear protection, analgesics, nursing care of scar.<br \/>\nScar: barely visible scar in front (1-1.5 cm hidden behind the hairline) or behind the ear (2-2.5 cm).<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621514888746{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/chirurgie-tympan.jpg?id=5675699) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;complications&#8221;][vc_column][vc_empty_space height=&#8221;120px&#8221;][vc_row_inner][vc_column_inner width=&#8221;7\/12&#8243; css=&#8221;.vc_custom_1607095018746{padding-right: 10% !important;padding-left: 10% !important;background-color: rgba(255,255,255,0.95) !important;*background-color: rgb(255,255,255) !important;}&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a1348e2d71d9\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tComplications associated with myringoplasty\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d7233\" \n\t \n\t>\n\n\t<p>In addition to the risks inherent in any surgery involving general anesthesia, myringoplasty also presents risks of complications or failure:<\/p>\n<ul>\n<li>Like any graft, it may fail to book and necrose, leading to failure to close the perforation.<\/li>\n<li>Appearance of mild, temporary taste disorders, such as the erroneous perception of a metallic taste.<\/li>\n<li>Narrowing of the auditory canal due to retractive scarring.<\/li>\n<li>No or minimal hearing gain despite closure of the eardrum, as the graft cannot perfectly reproduce the elastic qualities of the original eardrum.<\/li>\n<\/ul>\n<p>Please consult the ENT College&#8217;s explanatory sheet on myringoplasty for further explanations and a description of the exceptional complications (link).<\/p>\n<p><a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/fiche-orl-myringoplastie.pdf\" target=\"_blank\" rel=\"noopener\">\u2794 <span style=\"font-weight: 400;\">Myringoplastie : chirurgie des perforations tympaniques<\/span><\/a><\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;120px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621514900046{padding-top: 8vh !important;padding-bottom: 10vh !important;}&#8221; el_id=&#8221;questions&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a1348e2d727a\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tFrequently asked questions\t<\/h2>\n\n\t\t\t<div class=\"divider\"><\/div>\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d72c2\" \n\t \n\t>\n\n\t<p>Here is a selection of questions frequently asked by Dr Delagranda&#8217;s patients during myringoplasty consultations in La Roche-sur-Yon.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-accordion-s\u0441 accordion-box  outline\" \n\tid=\"norebro-custom-6a1348e2d72fe\"\n\tdata-norebro-accordion=\"0\"\n\t \n\t>\n\n\t<div id=\"1605017264328-06613f59-3c90\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>How do I know when to undergo eardrum surgery?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Contact your ENT surgeon for advice.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264387-ae52c0b0-c778\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>What type of graft will I be offered?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>This will depend on the size of the perforation. Smaller ones can be repaired with a \u02ddfat plug \u02dd, larger ones with fascia or cartilage depending on the size and recurrent nature of the perforation, and hearing.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264450-ed4b6523-622c\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>How is myringoplasty performed?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Myringoplasty is performed under general anesthesia with tracheal intubation in 60-90 minutes, depending on the difficulties involved (reaming of the auditory canal).<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607181181696-2c504641-4d75\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Fees and coverage of the procedure<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Myringoplasty is covered by the French health insurance system. Contact your health insurance company to find out whether any extra fees will be covered.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div>\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1621514907367{background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;rdv&#8221;][vc_column parallax=&#8221;content-moving&#8221; parallax_image=&#8221;5676558&#8243; css=&#8221;.vc_custom_1622270895862{padding-top: 20vh !important;padding-bottom: 20vh !important;}&#8221;][vc_row_inner][vc_column_inner css=&#8221;.vc_custom_1619469911864{padding-right: 7% !important;padding-left: 7% !important;}&#8221; offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a1348e2d776b\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tDo you have a question? Need more information?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d77b7\" \n\t \n\t>\n\n\t<p>Dr Antoine Delagranda will be happy to answer any questions you may have about myringoplasty. Dr Delagranda is a specialist in ENT surgery at the Clinique Saint Charles in La Roche-sur-Yon in the Vend\u00e9e.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-button-sc btn-wrap text-center\" \n\tid=\"norebro-custom-6a1348e2d7817\"\n\t \n\t>\n\n\t<a href=\"#consultation\" \n\t\tclass=\"btn  btn-outline btn-large\">\n\n\t\t\n\t\t\n\t\t<span class=\"text\">\n\t\t\tMake an appointment with Dr Delagranda\t\t<\/span>\n\n\t\t\n\t\t\n\t\t\t<\/a>\n\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; el_id=&#8221;consultation&#8221;][vc_column offset=&#8221;vc_col-lg-offset-0 vc_col-lg-12 vc_col-md-offset-0 vc_col-md-12 vc_col-sm-offset-0 vc_col-xs-12&#8243;][vc_row_inner css=&#8221;.vc_custom_1619533987520{padding-top: 8vh !important;padding-bottom: 6vh !important;}&#8221;][vc_column_inner offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a1348e2d79a5\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tENT consultation for myringoplasty in Vend\u00e9e\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a1348e2d79fb\" \n\t \n\t>\n\n\t<p style=\"text-align: center;\">Dr Antoine Delagranda will be happy to answer any questions you may have about myringoplasty. Dr Delagranda is a specialist in ENT surgery at the Clinique Saint Charles in La Roche-sur-Yon in the Vend\u00e9e.<\/p>\n\t\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;30&#8243; equal_height=&#8221;yes&#8221; el_class=&#8221;upper-layer&#8221; css=&#8221;.vc_custom_1636446388832{padding-right: 10% !important;padding-bottom: 8vh !important;padding-left: 10% !important;}&#8221; el_id=&#8221;rdv&#8221;][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088904656{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a1348e2d7a5a\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-geolocalize-01\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Medical office<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\tClinique Saint Charles<br \/>\n11 boulevard Ren\u00e9 Levesque<br \/>\n85016 La Roche-sur-Yon<br \/>\nVend\u00e9e\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;10px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088917620{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a1348e2d7c37\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-calendar\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Secretary for appointment<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\t+33(0)2 51 44 44 85<br \/>\nMonday to Friday<br \/>\n9am-12pm \/ 2pm-6pm\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][vc_empty_space height=&#8221;25px&#8221; el_class=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088929872{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a1348e2d7c8d\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-clock\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Opening hours<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\tClinic reception<br \/>\nMonday to Friday<br \/>\n8am-12.30pm \/ 1.30pm-6.30pm<br \/>\nClosed : Sat \/ Sun\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1619986354790{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/myringoplastie.jpg?id=5675703) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5677712,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5678068","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Myringoplasty | Eardrum surgery for simple 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