{"id":5678082,"date":"2020-12-11T18:35:26","date_gmt":"2020-12-11T17:35:26","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/paracentese-aerateurs-drains-transtympaniques\/"},"modified":"2024-02-22T08:15:15","modified_gmt":"2024-02-22T07:15:15","slug":"paracentese-and-aerators-or-tympanic-drains","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/paracentese-and-aerators-or-tympanic-drains\/","title":{"rendered":"Paracentese and aerators or tympanic drains"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1619939219546{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/aerateurs-transtympaniques.jpg?id=5675684) !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-69f3cf2c99e99\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tParacentese and aerators or tympanic drains\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-69f3cf2c99fe8\" \n\t \n\t>\n\n\t<p>Paracentesis is the act of opening the eardrum performed by the ENT surgeon. This incision is made in the lower and anterior part of the eardrum to limit the risk of touching an ossicle. Tympanic drains or aerators also commonly called Yoyo or diabolos are placed through the eardrum in the paracentesis with one side in the ear canal and one in the middle ear. The purpose of tympanic drains is to ventilate the middle ear, artificially through the tympanic membrane to replace the Eustachian tube, so they are always hollow to let air pass from the outside to the middle ear. The middle ear is a cavity dug into the temporal bone (the part of this bone where the ear is located is called the rock), filled with air coming from the nasopharynx through the Eustachian tube.<\/p>\n<p>There are several types of aerators: The 2 most common are hourglass-shaped diabolos that fall off on their own after a few months and T-shaped tubes that stay in place. The middle ear behind the eardrum is frequently a source of problems, especially in children. Poor ventilation can lead to liquid effusions or retraction of the eardrum which can have long-term repercussions. The purpose of the aerator is not to let the fluid pass from the ear to the outside but rather to allow a draining of the liquid through the eustachian tube and \/ or to balance the pressures on both sides of the eardrum so that it can vibrate freely.<\/p>\n<p>Find out more about transtympanic aerator from Dr Delagranda, an ENT surgeon in La Roche-sur-Yon in the Vend\u00e9e.<\/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-69f3cf2c9a0c1\" \n\t \n\t>\n\n\t<div id=\"post-link-5678082\" class=\"sh-link post-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('post', 5678082, 'SUMMARY', 'SUMMARY'); return false;\" aria-expanded=\"false\"><span id=\"post-toggle-5678082\">SUMMARY<\/span><\/a><\/div><div id=\"post-content-5678082\" class=\"sh-content post-content sh-hide\" style=\"display: none;\"><\/p>\n<ul>\n<li><a href=\"#publics\">Who is affected by paracentesis and transtympanic drains?<\/a><\/li>\n<li><a href=\"#oreille-moyenne\">Middle ear<\/a><\/li>\n<li><a href=\"#objectifs\">Objectives of transtympanic drains<\/a><\/li>\n<li><a href=\"#intervention\">The surgery<\/a><\/li>\n<li><a href=\"#intervention\">Post-operative convalescence period<\/a><\/li>\n<li><a href=\"#complications\">Complications related to paracentesis and transtympanic aerator placement<\/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_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; css=&#8221;.vc_custom_1621514581407{padding-top: 6vh !important;padding-bottom: 6vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;publics&#8221;][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-lg-offset-0 vc_col-lg-6 vc_col-md-offset-0 vc_col-md-6 vc_col-sm-offset-0 vc_col-xs-12&#8243; css=&#8221;.vc_custom_1619517220506{padding-right: 7% !important;padding-left: 7% !important;background-color: #0f2233 !important;}&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-69f3cf2c9a36f\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tPublic and indication for paracentesis and\/or transtympanic drains?\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-69f3cf2c9a45b\" \n\t \n\t>\n\n\t<p>Paracentesis and tympanic drains concerned :<\/p>\n<ul>\n<li>Adults in preventive especially to avoid tympanic retractions<\/li>\n<li>Children mainly before 8 years in curative for persistent otitis<\/li>\n<\/ul>\n<p>Simple paracentesis is indicated in case of :<\/p>\n<ul>\n<li>Failure of medical treatment to eliminate acute liquid effusion in the middle ear with discomfort and impact on hearing.<\/li>\n<li>Paracentesis with tympanic aerators is indicated in case of.<\/li>\n<li>Repeated acute infectious otitis to limit pain.<\/li>\n<li>Serous chronic otitis (chronic inflammation) to restore hearing.<\/li>\n<li>Retraction of the eardrum to restore hearing and avoid future complications such as destruction of the ossicles and cholesteatomas.<\/li>\n<\/ul>\n\t\n<\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-xs-12&#8243; css=&#8221;.vc_custom_1619517230925{padding-top: 8vh !important;padding-right: 7% !important;padding-bottom: 8vh !important;padding-left: 7% !important;background-color: #0f2233 !important;}&#8221;][vc_single_image image=&#8221;5675686&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621514591504{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;oreille-moyenne&#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-69f3cf2c9a507\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tMiddle ear\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-69f3cf2c9a5d1\" \n\t \n\t>\n\n\t<p>The middle ear is a cavity of 0.3-1.2 ml in volume, dug into the temporal bone (the part of this bone where the ear is located is called the rock), filled with air from the nasopharynx through the Eustachian tube. It contains the 3 ossicles: the hammer, the anvil and the stirrup. To function at best the eardrum and ossicles need to be free of movement (without liquid effusion in the middle ear) and the gas pressure must be identical on 2 sides of the eardrum. When there is chronic otitis, there may be fluid that interferes with the movements of the ossicles, or a change in gas pressure leading to retractions of the eardrum which induces hearing loss. To supplement the Eustachian tube in its role of aeration, the ENT can resort to the installation of a tympanic aerator.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621514600377{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/chirurgie-aerateur-transtympanique.jpg?id=5675691) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;objectifs&#8221;][vc_column][vc_empty_space height=&#8221;120px&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1619938823688{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-69f3cf2c9a66d\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tObjectives of paracentesis and placement of transtympanic aerators\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-69f3cf2c9a758\" \n\t \n\t>\n\n\t<ul>\n<li>Avoid long-term complications in adults (tympanic retraction, cholesteatoma, hearing loss).<\/li>\n<li>Restore hearing, especially for children at a crucial age for language and school acquisition.<\/li>\n<\/ul>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#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_1621514606718{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-69f3cf2c9a7ed\" \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-69f3cf2c9a8a9\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tThe surgery\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-69f3cf2c9a95f\" \n\t \n\t>\n\n\t<p>The short procedure is performed under general anaesthesia for children, and sometimes under local anaesthesia for adults, on an outpatient basis. Inserted through the external auditory canal, the surgeon makes a 3-mm incision in the tympanic membrane, known as the paracentesis. This small incision enables the liquid behind the eardrum to be aspirated and, if necessary, a sample to be taken for bacteriological analysis. The surgeon then inserts the aerator into the eardrum. It is held in place by its retentive shape.<br \/>\nThere are several types of aerator, chosen by the surgeon according to the expected duration of treatment.<\/p>\n<p>Most of the time, aerators are used in conjunction with removal of the adenoids to optimize airflow through the internal orifice of the Eustachian tube. Tonsils may also be removed.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;20px&#8221;][vc_single_image image=&#8221;5677119&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-69f3cf2c9a9f6\" \n\t \n\t>\n\t\n\t\n\t\n\t<h3 class=\"title\">\n\t\tPost-operative convalescence 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-69f3cf2c9aac0\" \n\t \n\t>\n\n\t<p>The patient is discharged home the same day as part of an outpatient hospitalization program. Pain is minimal and disappears the same day. A more or less dirty or blood-tinged discharge from the ear may occur in the immediate aftermath of the operation.<br \/>\nEar drops may be prescribed for a few days.<br \/>\nYour surgeon will see you again approximately one month after surgery..<br \/>\nAerators last from 6 months to two years, sometimes longer depending on the type (diabolo, T Tube). A second installation is sometimes necessary when the pathology recurs.<br \/>\nNo visible scar.<br \/>\n48H school absence.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621514614134{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/materiel-paracentese.jpg?id=5675688) !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-69f3cf2c9ab42\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tComplications related to paracentesis and transtympanic aerator placement\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-69f3cf2c9ac2c\" \n\t \n\t>\n\n\t<ul>\n<li>The main risk is early expulsion or obstruction of the aerator, leading to a possible recurrence of the initial pathology, which needs to be re-treated. Obstruction of the aerator can be resolved by the use of a product to be placed in the duct at home.<\/li>\n<li>Certain types of drains carry a risk of residual tympanic perforation, due to their size and depending on the condition of the tympanic membrane at the time of drain insertion. In 2-5% of cases, a small perforation persists after the aerator has fallen out. In most cases, this hole closes naturally and spontaneously over time, without intervention, but if it persists for more than six months, the ENT surgeon may suggest closing it with a tympanic transplant.<\/li>\n<li>A slight depression of the eardrum may appear where the aerator was located, but this has no impact on hearing.<\/li>\n<\/ul>\n<p>Please refer to the College of ENT&#8217;s explanatory sheet on transtympanic aerators for further details :<\/p>\n<p><a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/fiche-orl-aerateurs-trans-tympaniques.pdf\" target=\"_blank\" rel=\"noopener\">\u2794 <span style=\"font-weight: 400;\">Paracent\u00e8se et a\u00e9rateurs transtympaniques : chirurgie des otites de l\u2019enfant<\/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_1621514619470{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-69f3cf2c9acb7\" \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-69f3cf2c9ad85\" \n\t \n\t>\n\n\t<p>Here is a selection of questions frequently asked by Dr Delagranda&#8217;s patients during consultations for transtympanic aerator surgery 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-69f3cf2c9adfa\"\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>Can I swim with aerators?<\/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 is not recommended, but bathing without head submersion can be tolerated, with protective plugs, a bathing cap and removable Watearproof-type protection.<\/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>Do aerators need to be removed?<\/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>Some fall out on their own, while others can be removed at the consultation when the ENT doctor deems it useful or necessary.<\/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 payment for 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>The fitting of transtympanic aerators is covered by health insurance. Contact your mutual 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_1621514630948{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_1622270863118{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-69f3cf2c9b11f\" \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-69f3cf2c9b1f1\" \n\t \n\t>\n\n\t<p>Dr Antoine Delagranda will be happy to answer any questions you may have about the fitting of transtympanic aerators. Dr Delagranda is a specialist in ENT surgery at the Clinique Saint Charles in La Roche-sur-Yon, 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-69f3cf2c9b28f\"\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-69f3cf2c9b37c\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tENT consultation for transtympanic aerator surgery 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-69f3cf2c9b437\" \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 transtympanic aerator surgery. 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-69f3cf2c9b4db\" \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-69f3cf2c9b5df\" \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-69f3cf2c9b6a3\" \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_1619939219546{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/aerateurs-transtympaniques.jpg?id=5675684) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5677704,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5678082","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Paracentesis and transtympanic aerators or 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