{"id":5678113,"date":"2021-03-10T15:44:07","date_gmt":"2021-03-10T14:44:07","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/sphenoidotomie\/"},"modified":"2024-02-22T08:51:22","modified_gmt":"2024-02-22T07:51:22","slug":"sphenoidotomy","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/sphenoidotomy\/","title":{"rendered":"Sphenoidotomy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1622037988340{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/sphenoidotomie-orl.jpg?id=5676474) !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-6a13c00d020dd\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tSphenoidotomy\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-6a13c00d05905\" \n\t \n\t>\n\n\t<p>The sphenoid sinuses are small (hypoplastic) in 13% of cases, or absent in 1.25% (aplasia or agenesis). Present from birth, they develop mainly between the ages of 4 and 15 within the sphenoid bone, which is located in the middle of the skull behind the ethmoid. The main reasons for opening a sphenoid sinus are antibiotic-resistant bacterial sinusitis that cannot drain naturally, mycoses, mucoceles, diagnostic biopsies and closure of spontaneous or traumatic osteomeningeal breaches.<\/p>\n<p>Find out more about endonasal sphenoidotomy from Dr. Delagranda, ENT and cervico-facial surgeon in La Roche sur Yon.<\/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-6a13c00d05acf\" \n\t \n\t>\n\n\t<div id=\"post-link-5678113\" class=\"sh-link post-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('post', 5678113, 'SUMMARY', 'SUMMARY'); return false;\" aria-expanded=\"false\"><span id=\"post-toggle-5678113\">SUMMARY<\/span><\/a><\/div><div id=\"post-content-5678113\" class=\"sh-content post-content sh-hide\" style=\"display: none;\"><\/p>\n<p>Sphenoidal sinuses<br \/>\nWho is concerned by sphenoidotomy?<br \/>\nWhen should a sphenoidotomy be performed?<br \/>\nObjectives of opening the sphenoidal sinus<br \/>\nSurgical procedures<br \/>\nPost-surgery recovery<br \/>\nComplications associated with sphenoidotomy<br \/>\nFrequently asked questions<br \/>\nAppointment<\/p>\n<p><\/div>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621506504451{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;sinus-sphenoidaux&#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-6a13c00d05cbe\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tSphenoidal 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-6a13c00d05d37\" \n\t \n\t>\n\n\t<p>The sphenoid sinuses are small (hypoplastic) in 13% of cases, or absent in 1.25% (aplasia or agenesis). Present from birth, they develop mainly between the ages of 4 and 15 within the sphenoid bone, which is located in the middle part of the skull behind the ethmoid. They drain into the posterior and medial part of the nasal cavity. The optic nerve and internal carotid artery are two very important elements located laterally to the sphenoid.<\/p>\n<p>Occasionally, the drainage zone is very narrow and, as a result of persistent inflammation, becomes totally blocked, with or without the presence of a sentinel polyp in front of the ostium. This can lead to acute or chronic sinusitis, which may not resolve despite antibiotic, anti-inflammatory and vasoconstrictive treatment.<\/p>\n<p>Mucoceles are hermetic mucous pockets originating from sinuses that can no longer drain. Not specific to the sphenoidal sinuses, mucoceles most often develop in people with previously operated nasal 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, exophthalmos, double vision (diplopia), loss of sight). Antibiotic and corticosteroid treatments can be used on an ad hoc basis in the event of early complications, before surgery is performed very rapidly. 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, that should be done regularly. Any change in the mucocele should be booked promptly.<\/p>\n<p>Spontaneous or traumatic neuromeningeal breaches can occur in the sphenoid. Some require surgical coverage, while others may resolve spontaneously or with the help of appropriate measures. A persistent symptomatic breach requires surgical coverage. Vaccination against pneumococcus and haemophilus is recommended.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621520607682{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/indications-sphenoidotomie.jpg?id=5676045) !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-6a13c00d05d92\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWho is concerned by sphenoidotomy?\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-6a13c00d05def\" \n\t \n\t>\n\n\t<p>Adults with bacterial sphenoid sinusitis resistant to several lines of usually effective antibiotics.<br \/>\nAdults with progressive or dangerous sphenoidal mucocele.<br \/>\nAdults with fungal sinusitis of the sphenoid.<br \/>\nAdults with a benign or malignant tumor of the sphenoidal sinus, which is often not confined to this sinus alone and requires biopsy or even excision.<br \/>\nAdults with persistent cerebrospinal fluid discharge, with the risk of meningitis associated with an osteomeningeal breach.<br \/>\nChildren are very exceptionally concerned by pathologies of the sphenoid sinus.<\/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_1621506524368{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-6a13c00d05e38\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWhen should a sphenoidotomy 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-6a13c00d05e91\" \n\t \n\t>\n\n\t<p>Endonasal opening of the sphenoid sinus is recommended in cases of :<\/p>\n<p>Bacterial frontal sinusitis resistant to several lines of usually effective antibiotics. Intense, pulsatile facial pain, median between the eyes or at the top of the skull, increased when the head is tilted forward, with or without fever, runny nose or not (rhinorrhea) and which may or may not be blocked (nasal obstruction).<\/p>\n<p>Sphenoidal mucocele. Mucocele is usually initially asymptomatic. Pain is rare, but double vision, paralysis of one eye, and progressive or abrupt, partial or total loss of visual acuity can also occur. These last 2 signs constitute an urgent need for consultation.<\/p>\n<p>Fungal sinusitis. Asymptomatic at first, most of the time. Signs can therefore vary widely, from no signs at all and a chance discovery on a skull scan, for example, to pain between the eyes or at the top of the skull, to a blocked nose (nasal obstruction) or runny nose (rhinorrhea).<\/p>\n<p>Benign or malignant tumor of the frontal sinus, often not limited to this single sinus. Signs can therefore be highly variable: cranial or facial pain, blocked nose (nasal obstruction), runny nose (rhinorrhea) or bleeding (epistaxis) on one side only.<\/p>\n<p>Drainage of cerebrospinal fluid through an osteomeningeal breach. In the absence of meningitis, signs are limited to a permanent or intermittent discharge of clear, sweet fluid from one side only, increased by exertion (abdominal thrust) or tilting the head forward.<\/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_1621506532291{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-6a13c00d05ed6\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tObjectives of opening the sphenoid sinus\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-6a13c00d05f21\" \n\t \n\t>\n\n\t<p>Eliminate inter-orbital or vertex (top of skull) pain.<br \/>\nEliminate mucocele compression.<br \/>\nReduce nasal discharge (anterior and posterior rhinorrhea) and its consequences.<br \/>\nStop nasal bleeding (epistaxis).<br \/>\nBiopsy a benign or malignant tumor.<br \/>\nClose an osteo-meningeal breach.<\/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;5676047&#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_1621506539797{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-6a13c00d05f68\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tSurgery and post-operative care\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-6a13c00d05fb3\" \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-6a13c00d05ff9\" \n\t \n\t>\n\n\t<p>With no visible external scar, the procedure is performed through the nasal cavity. Under general anaesthetic in the operating theatre, the nasal cavity is filled with an anaesthetic-retractant, and the ostium of the sphenoidal sinus is located by gentle upward palpation along the nasal septum behind the nasal fossa. The ostium is then enlarged with special forceps that remove the bone from the anterior wall of the sphenoid, under visual control via rigid optics inserted into the nose.\u00a0 We then penetrate the sphenoid to clean it, take samples, biopsy and close a breach if necessary.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a13c00d06037\" \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-6a13c00d0607f\" \n\t \n\t>\n\n\t<p>In the case of outpatient surgery for a simple sphenoidotomy, the patient is usually discharged home the same day, but in the case of breach closure, the hospital stay may last several days.<br \/>\nAfter hospitalization, the patient should remain at home for 7-14 days, resting and checking for bleeding from the nose or throat.<br \/>\nIf necessary, the surgeon will give you 7 to 21 days&#8217; leave from work, depending on the procedure.<br \/>\nSport is not recommended for the first 21 days, and recovery should be gradual.<br \/>\nPain is minimal. It is controlled by class II analgesics.<br \/>\nPost-operative care at home: nosewash with saline, analgesics, antibiotics if required by your doctor.<br \/>\nScarring: no visible scar<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621506549177{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-6a13c00d060bf\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tComplications associated with endonasal sphenoidal 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-6a13c00d06116\" \n\t \n\t>\n\n\t<p>In addition to the risks inherent in any surgery performed under general anaesthetic, endonasal surgery of the sphenoid sinus carries the risk of complications:<\/p>\n<p>Nasal haemorrhage (epistaxis) after the procedure, very minor, rapidly subsiding with nose-blowing and<br \/>\nnose-washing.<br \/>\nInfection.<br \/>\nBrides responsible for limiting nasal flow.<\/p>\n<p>Exceptional complications call for caution during this operation, although they can be controlled with experience and technical instruments if necessary:<\/p>\n<p>Massive hemorrhage with life-threatening consequences.<br \/>\nDouble vision (diplopia).<br \/>\nReduced visual acuity or even blindness.<br \/>\nCerebrospinal fluid discharge.<br \/>\nMeningitis.<\/p>\n<p>Please see the ENT College&#8217;s explanatory sheet on endonasal sphenoidal sinus surgery for further details:<\/p>\n<p><a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/fiche-orl-sphenoidotomie.pdf\" target=\"_blank\" rel=\"noopener\">\u2794 <span style=\"font-weight: 400;\">Sph\u00e9noidotomie par voie endonasale<\/span><\/a><\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621506557395{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-6a13c00d06156\" \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-6a13c00d06198\" \n\t \n\t>\n\n\t<p>Here is a selection of questions frequently asked by Dr Delagranda&#8217;s patients during a sphenoidotomy consultation 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-6a13c00d061e8\"\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 sphenoidal 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>Very little, and especially for less than 7 days.<\/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>Sphenoidotomy is covered by health insurance. Contact your mutual 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_1621506565046{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_1622240789583{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-6a13c00d06688\" \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-6a13c00d066d2\" \n\t \n\t>\n\n\t<p>Doctor Antoine Delagranda is available to answer any questions you may have about sphenoidotomy. Dr Delagranda is a specialist in ENT surgery at the Clinique St-Charles, La Roche sur Yon, France.<\/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-6a13c00d06754\"\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-6a13c00d06910\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tENT consultation for endonasal frontal sinus 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-6a13c00d06963\" \n\t \n\t>\n\n\t<p>Dr Antoine Delagranda will be happy to answer any questions you may have about sphenoidotomy. 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-6a13c00d069c0\" \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-6a13c00d06b72\" \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-6a13c00d06bc5\" \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_1622037988340{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/sphenoidotomie-orl.jpg?id=5676474) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5677761,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5678113","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>Endonasal sphenoidotomy | Dr 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