{"id":5678106,"date":"2021-03-10T21:58:18","date_gmt":"2021-03-10T20:58:18","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/sinusotomie-frontale\/"},"modified":"2024-02-22T08:02:17","modified_gmt":"2024-02-22T07:02:17","slug":"frontal-sinusotomy","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/frontal-sinusotomy\/","title":{"rendered":"Frontal sinusotomy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1621515650433{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/sinusotomie-frontale.jpg?id=5675990) !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-69f3e2959f302\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tFrontal sinusotomy\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-69f3e2959f78c\" \n\t \n\t>\n\n\t<p>The frontal sinuses are the most difficult sinuses to treat surgically by the endonasal route, as they are located plumb to the eyes, i.e. laterally and very slightly posterior to the nostril orifices in vertical projection. The orientation of their &#8220;naso-fronta&#8221; drainage channels in the nose is therefore from front to back and from outside to inside, in another sinus, the ethmoid. To open the frontal sinus, the ethmoidal sinus must first be opened. Working with optics angled at 30\u00b0 or even 70\u00b0 increases the difficulty, as the surgeon is not working in the axis of his optics. Specific instruments with very pronounced angles must also be used. The main reasons for opening one or both frontal sinuses are antibiotic-resistant bacterial sinusitis, which cannot drain naturally, and mucoceles.<br \/>\nMycoses and benign or malignant tumors are much rarer indications in these sinus.<\/p>\n<p>Find out more about endonasal frontal sinus openings from Dr. Delagranda, ENT and cervico-facial 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-69f3e2959faaa\" \n\t \n\t>\n\n\t<div id=\"post-link-5678106\" class=\"sh-link post-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('post', 5678106, 'SUMMARY', 'SUMMARY'); return false;\" aria-expanded=\"false\"><span id=\"post-toggle-5678106\">SUMMARY<\/span><\/a><\/div><div id=\"post-content-5678106\" class=\"sh-content post-content sh-hide\" style=\"display: none;\"><\/p>\n<ul>\n<li><a href=\"#sinus-frontaux\">Frontal sinuses, conflicts, mucoceles, Draf-Lothrop<\/a><\/li>\n<li><a href=\"#publics\">Who is concerned by the opening of the frontal sinus or frontal sinusotomy?<\/a><\/li>\n<li><a href=\"#indications\">When should a frontal sinus opening or frontal sinusotomy be performed?<\/a><\/li>\n<li><a href=\"#objectifs\">Objectives of frontal sinus opening<\/a><\/li>\n<li><a href=\"#intervention\">Surgical procedures<\/a><\/li>\n<li><a href=\"#intervention\">Post-surgery recovery<\/a><\/li>\n<li><a href=\"#complications\">Complications associated with frontal sinus opening or frontal sinusotomy<\/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_1621506852754{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;sinus-frontaux&#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-69f3e2959fd1d\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tFrontal sinuses, conflicts, mucoceles, Draf-Lothrop\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-69f3e2959fdca\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tFrontal sinuses\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-69f3e2959fe6f\" \n\t \n\t>\n\n\t<p>The frontal sinuses are sinuses located above the eyes, often asymmetrical, poorly developed in 4% of cases (hypoplasia) and even absent in 5% of cases (aplasia or agenesis). They arise from an invagination of the ethmoidal sinus at the embryonic stage, which explains why they drain into the ethmoid. Present from birth, they develop most rapidly from the age of 6. Their main roles are to act as a sounding board for the voice, to help warm, humidify and filter the air breathed in, and to lighten the face while giving it the capacity to absorb violent shocks, without affecting the noble organ that is the brain. Indeed, in the event of an accident, an anterior fracture of the frontal sinus is preferable to a perforation of the brain.<\/p>\n<p>The nasofrontal drainage canal is larger than 3 mm, and the frontal ostium is smaller. The frontal sinus drains directly into the ethmoidal sinus, but in different ways. Occasionally, the drainage zone between several ethmoidal cells is very narrow and, as a result of persistent inflammation, becomes totally blocked. This can lead to acute or chronic sinusitis, which may remain unresolved despite antibiotic and anti-inflammatory treatment. In such cases, traditional opening surgery, as described below, or <a href=\"https:\/\/www.dr-delagranda.com\/ballon-sinusien\/\">the use of balloons<\/a> may be required.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-69f3e2959fef2\" \n\t \n\t>\n\t\n\t\n\t\n\t<h3 class=\"title\">\n\t\tMucoceles\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-69f3e2959ff8c\" \n\t \n\t>\n\n\t<p>Mucoceles are hermetic mucous pockets originating from sinuses that can no longer drain. Not specific to the frontal sinuses (they are also found in the ethmoid and more rarely in other sinuses), they are quite common in the frontal sinuses because their drainage passes through a narrow canal. Mucoceles most often develop in people with previously operated nasosinus polyposis. Filled with mucus permanently secreted by the mucocele walls, they tend to grow inexorably, as the mucus cannot evacuate. The rate of growth of mucoceles varies from person to person, but it can lead to progressive deformation of the bone over months or years, until rupture occurs, sometimes with serious consequences (meningitis, brain abscess or empyema, exophthalmos, double vision, reduction or loss of sight). Antibiotic and corticosteroid treatments can be used on an ad hoc basis in the event of early complications, prior to rapid surgery. Mucoceles are merely the translation of an underlying problem that may never be resolved, so they can recur, sometimes years later. Mucoceles are monitored by MRI, and should be done regularly. Any change in the mucocele should be booked promptly.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-69f3e295a000d\" \n\t \n\t>\n\t\n\t\n\t\n\t<h3 class=\"title\">\n\t\tDraf-Lothrop\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-69f3e295a0099\" \n\t \n\t>\n\n\t<p>Draf and Lothrop are the names of surgeons who have described operations on the frontal sinus, creating classifications based on the degree of opening required in relation to the medical context.<\/p>\n<p><a href=\"https:\/\/link.springer.com\/chapter\/10.1007%2F3-540-27607-6_24\" target=\"_blank\" rel=\"noopener\"><em>Classification de draf<\/em><\/a><\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621515794495{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/indications-sinusotomie-frontale.jpg?id=5675993) !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-69f3e295a0114\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWho is concerned by endonasal frontal sinus 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-69f3e295a01ae\" \n\t \n\t>\n\n\t<ul>\n<li>Adults with bacterial frontal sinusitis resistant to several lines of usually effective antibiotics.<\/li>\n<li>Adults with a progressive or dangerous mucocele.<\/li>\n<li>Adults with a benign or malignant tumor of the frontal sinus, which is often not limited to this sinus alone.<\/li>\n<li>Adults with fungal sinusitis, which is nevertheless exceptional in the frontal sinuses.<\/li>\n<li>Children are very exceptionally concerned by frontal sinus pathologies.<\/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_1621506883141{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;indications&#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-69f3e295a0229\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWhen should endonasal surgery of the frontal sinus be performed?\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-69f3e295a02bc\" \n\t \n\t>\n\n\t<p>Endonasal opening of the frontal sinus should be performed in cases of :<\/p>\n<p><strong>Bacterial frontal sinusitis resistant to several lines of usually effective antibiotics :<\/strong> intense, pulsatile frontal pain, predominant on one side, increased when the head is tilted forward, with or without fever, runny or stuffy nose (rhinorrhea), which may or may not be blocked (nasal obstruction) on one side only.<\/p>\n<p><strong>Frontal mucocele<\/strong> <strong>:<\/strong> mucocele is usually initially asymptomatic. Pain is rare, but a deformity of the forehead, an eye protruding from its socket (exophthalmia), double vision and a progressive or abrupt, partial or total loss of visual acuity can also be observed. These last 3 signs constitute an emergency to consult.<\/p>\n<p><strong>Benign or malignant tumor of the frontal sinus, often not limited to this sinus alone :<\/strong> signs can therefore be highly variable: cranial or facial pain, blocked nose (nasal obstruction) that runs (rhinorrhea) or bleeds (epistaxis) on one side only.<\/p>\n<p><strong>Fungal sinusitis, which is exceptional in the frontal sinuses :<\/strong> asymptomatic at first, most of the time. Signs can therefore vary widely, from no signs at all and an incidental finding on a skull scan, for example, to frontal pain, blocked nose (nasal obstruction) and runny nose (rhinorrhea) on one side only.<\/p>\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_1621506890028{padding-top: 6vh !important;padding-bottom: 6vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;objectifs&#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-69f3e295a0332\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tObjectives of endonasal frontal sinus 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-69f3e295a03e6\" \n\t \n\t>\n\n\t<ul>\n<li>Eliminate frontal or cranial pain.<\/li>\n<li>Eliminate ocular compression by a frontal or fronto-ethmoidal mucocele.<\/li>\n<li>Improve the sensation of a blocked nose.<\/li>\n<li>Reduce nasal discharge (anterior and posterior rhinorrhea) and its consequences.<\/li>\n<li>Stop nasal bleeding (epistaxis).<\/li>\n<li>Remove benign or malignant tumors.<\/li>\n<\/ul>\n<p>Spontaneous osteomeningeal breaches are rare in the frontal sinus, whereas traumatic breaches are more frequent. The endonasal approach is not always possible for frontal sinus breaches, and an external bi-coronal or superciliary approach is sometimes necessary.<\/p>\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;5675997&#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_1621506901865{padding-top: 8vh !important;padding-bottom: 8vh !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-69f3e295a0460\" \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-69f3e295a04e2\" \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-69f3e295a0562\" \n\t \n\t>\n\n\t<p>With no externally visible scar (except for a possible 2 mm scar on the forehead for temporary placement of a brow nail), the procedure is performed through the nasal cavity. Under general anaesthetic in the operating theatre, the nasal cavities are cleaned with an anaesthetic-retractant, then the ethmoidal cell walls are removed with suitable forceps, under visual control using rigid optics inserted into the nose, keeping the walls in contact with noble organs such as the eyes and brain.\u00a0 Depending on the indication, it may be necessary, with the help of neuronavigation, to mill the bone behind the nose and remove an upper, anterior part of the nasal septum (without external aesthetic repercussions). A mucosal transposition flap can be made within the nose itself. A healing foam gel is then placed in the 2 operated nostrils, and in some cases a semi-rigid silicone sizing is applied, to be removed at a later stage.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-69f3e295a05cc\" \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-69f3e295a065a\" \n\t \n\t>\n\n\t<p>In the case of outpatient surgery, the patient usually returns home the same day.<br \/>\nAfter hospitalization, you will need to rest at home for 7-14 days, and check that there is no bleeding from the nose or throat.<br \/>\nIf necessary, the surgeon will give you 14 to 21 days off work, depending on the procedure.<br \/>\nSport is not recommended for the first 21 days, and recovery should be gradual.<br \/>\nPain is moderate. It is controlled by class II analgesics.<br \/>\nPost-operative care at home: saline nosewash, analgesics, antibiotics if required by your doctor. Removal of silicone sizer in consultation on the date set by the surgeon.<br \/>\nScarring: no visible scarring unless a brow nail has been inserted (2 mm punctiform scar between the eyebrows).<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621506912980{padding-top: 8vh !important;padding-bottom: 8vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;complications&#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-69f3e295a06cd\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tComplications associated with endonasal frontal sinus surgery\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-69f3e295a0770\" \n\t \n\t>\n\n\t<p>In addition to the risks inherent in any surgery involving general anesthesia, endonasal surgery of the frontal sinus carries the risk of complications:<\/p>\n<ul>\n<li>Nasal haemorrhage (epistaxis) after the procedure, which is very minor and rapidly subsides with nose-blowing and nose-washing.<\/li>\n<li>Infection.<\/li>\n<li>Tearing.<\/li>\n<li>Bridles responsible for limiting nasal flow.<\/li>\n<\/ul>\n<p>Exceptional complications add to the difficulty of this operation, but they can be managed with experience and technical instruments such as neuronavigation:<\/p>\n<ul>\n<li>Compressive intra-orbital hematoma.<\/li>\n<li>Double vision (diplopia).<\/li>\n<li>Decreased visual acuity or even blindness.<\/li>\n<li>Cerebrospinal fluid discharge.<\/li>\n<li>Meningitis.<\/li>\n<\/ul>\n<p>The frontal sinus has the peculiarity of being able to close up slowly, which is not a complication but an inconstant postoperative evolution that can be embarrassing and make a distant surgical revision necessary.<\/p>\n<p>For further explanations, please consult the College of ENT&#8217;s explanatory sheet on endonasal frontal sinus surgery:<\/p>\n<p><a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/fiche-orl-sinusotomie-frontale.pdf\" target=\"_blank\" rel=\"noopener\">\u2794 S<span style=\"font-weight: 400;\">inusotomie frontale : chirurgie des infections r\u00e9cidivantes, chroniques, des mucoc\u00e8les<\/span><\/a><\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621506922943{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-69f3e295a07df\" \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-69f3e295a085b\" \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 endonasal frontal sinus 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-69f3e295a08cb\"\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>Is surgery compulsory?<\/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>Yes, in general, indications for frontal sinus surgery require certainty and are not made lightly, but the surgeon advises and the patient decides.<\/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>Is the effect long-lasting?<\/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>Yes, but it varies from case to case and cannot be predicted, especially in the case of mucoceles which may recur. The case of benign and malignant tumors is specific and will be discussed in consultation.<\/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>Is it painful?<\/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>Quite little, and especially for less than 7 days, but class II analgesics are sometimes necessary due to the fractured bone.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264576-d1a35267-9612\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Fees and coverage 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>Endonasal frontal sinus surgery is covered by the French health insurance system. Contact your health insurance company to find out how much coverage there is for any extra fees.<\/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_1621506929474{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_1622240833898{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-69f3e295a119f\" \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-69f3e295a1232\" \n\t \n\t>\n\n\t<p>Dr Antoine Delagranda will be happy to answer any questions you may have about endonasal frontal sinus 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_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-button-sc btn-wrap text-center\" \n\tid=\"norebro-custom-69f3e295a12c7\"\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-69f3e295a163a\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tENT consultation for a frontal sinusotomy 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-69f3e295a16d6\" \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 endonasal frontal sinus 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-69f3e295a1752\" \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-69f3e295a1adb\" \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-69f3e295a1b89\" \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_1621515650433{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/sinusotomie-frontale.jpg?id=5675990) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5677751,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5678106","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>Frontal sinusotomy | Endonasal opening of the 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