{"id":5678155,"date":"2021-01-12T16:11:46","date_gmt":"2021-01-12T15:11:46","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/ethmoidectomie-endonasale\/"},"modified":"2025-03-07T21:31:52","modified_gmt":"2025-03-07T20:31:52","slug":"endonasal-ethmoidectomy","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/endonasal-ethmoidectomy\/","title":{"rendered":"Endonasal ethmoidectomy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1619989974857{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/ethmoidectomie-endonasale.jpg?id=5675710) !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-6a13f5f0304c4\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tEndonasal ethmoidectomy\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-6a13f5f0306e6\" \n\t \n\t>\n\n\t<p>Endonasal ethmoidectomy is the removal of the ethmoidal cells, the cavities of the ethmoidal sinuses located between the eyes behind the nose. Nasosinusal polyposis, which affects between 1% and 4% of the white population and up to 15% of asthmatics, creates polyps that grow in the sinuses, mainly the ethmoid, and fill the nasal cavities. Nasosinus polyposis is the main indication for ethmoidectomy, but it may also be required in cases of benign or malignant tumors of the ethmoidal, frontal, sphenoidal or maxillary sinuses, in cases of bacterial infections resistant to medical treatment, and in cases of sinus mycosis.<\/p>\n<p>Find out more about endonasal ethmoidectomy 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-6a13f5f030921\" \n\t \n\t>\n\n\t<div id=\"post-link-5678155\" class=\"sh-link post-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('post', 5678155, 'SUMMARY', 'SUMMARY'); return false;\" aria-expanded=\"false\"><span id=\"post-toggle-5678155\">SUMMARY<\/span><\/a><\/div><div id=\"post-content-5678155\" class=\"sh-content post-content sh-hide\" style=\"display: none;\"><\/p>\n<ul>\n<li><a href=\"#publics\">Who is concerned by endonasal ethmoidectomy?<\/a> ?<\/li>\n<li><a href=\"#ethmoide\">Ethmoid and endonasal polyps<\/a><\/li>\n<li><a href=\"#objectifs\">Objectives of endonasal ethmoidectomy removal<\/a><\/li>\n<li><a href=\"#intervention\">Surgical intervention<\/a><\/li>\n<li><a href=\"#intervention\">Post-operative recovery period<\/a><\/li>\n<li><a href=\"#complications\">Complications associated with endonasal ethmoidectomy<\/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&#8221; css=&#8221;.vc_custom_1621505102509{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/indications-ethmoidectomie-endonasale.jpg?id=5675711) !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-6a13f5f030bb7\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tIndications and target audience for endonasal ethmoidectomy\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-6a13f5f030c55\" \n\t \n\t>\n\n\t<p><strong>Who is concerned by endonasal ethmoidectomy?<\/strong><\/p>\n<ul>\n<li>Adults with polyps for which medical treatment is no longer sufficient and who do not wish a simple polypectomy.<\/li>\n<li>Adults with a benign or malignant tumor of the ethmoid.<\/li>\n<li>Adults with bacterial ethmoiditis resistant to several lines of usually effective antibiotics.<\/li>\n<li>Adults with fungal sinusitis (exceptional in the ethmoid or frontal sinuses).<\/li>\n<li>Very exceptionally, children with cystic fibrosis or Woakes syndrome.<\/li>\n<\/ul>\n<p><strong>When should an endonasal ethmoidectomy be performed?<\/strong><\/p>\n<p>Endonasal ethmoidectomy should be performed in cases of:<\/p>\n<ul>\n<li>Disabling nasosinusal polyposis despite well-administered medical treatment: blocked nose that constantly runs down the nostrils and into the throat (nasal obstruction, anterior and posterior rhinorrhea), reduced or absent sense of smell (hyposmia, anosmia), repeated sneezing, sinusitis pain at the top of the skull, forehead, cheekbones, between or behind the eyes.<\/li>\n<li>Benign tumor such as inverted papilloma.<\/li>\n<li>Malignant tumors such as ethmoid adenocarcinoma or squamous cell carcinoma.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/06\/AUTO-TEST-de-QUALITE-DE-VIE-sur-les-SYMPTO\u0302MES-RHINOSINUSIENS.pdf\" target=\"_blank\" rel=\"noopener\">Self-testing quality of life for rhinosinus symptoms.<\/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_1621505120409{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;ethmoide&#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-6a13f5f030cac\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tEthmoid and endonasal polyps\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-6a13f5f030d2c\" \n\t \n\t>\n\n\t<p>The ethmoid is a single, complex bone with 2 parts called lateral masses, which are hollowed out by cavities called ethmoidal cells, analogous to the cells of monks in monasteries. This bone is located between the 2 eyes and under the anterior part of the brain, making surgery a delicate operation.<br \/>\nBilateral endonasal polyps are the expression of nasosinusal polyposis, a chronic inflammatory disease with multi-factorial causes. In the vast majority of cases, there is no precise explanation for nasosinusal polyposis, but it may reflect a more general underlying disease such as cystic fibrosis, primary ciliary dyskinesia, or immune deficiency such as naked lymphocyte syndrome or Wegener&#8217;s disease. Diagnosis of naso-sinusal polyposis is clinical, based on the presence of polyps in both nasal cavities. When associated with asthma and\/or intolerance to aspirin and non-steroidal anti-inflammatory drugs, this is known as Widal&#8217;s syndrome.Intolerance to sulfites, which are used in preserves and certain wines, notably champagne, can increase symptoms. If the nose is deformed by the polyps with a &#8220;tapir&#8221; snout appearance, this is known as Woakes syndrome.<\/p>\n<p>Classification of polyps:<\/p>\n<ul>\n<li>Stage 0: no visible polyps.<\/li>\n<li>Stage 1: polyps located in the upper middle meatus.<\/li>\n<li>Stage 2: polyps located in the lower middle meatus.<\/li>\n<li>Stage 3: polyps reaching the back of the inferior cornet.<\/li>\n<li>Stage 4: polyps reaching the body of the inferior turbinate.<\/li>\n<\/ul>\n<p>Treatment of nasosinusal polyposis is primarily medical, based on daily saline nosewashes, long-term inhaled corticosteroids and short courses of corticosteroids by mouth (maximum 2-3 per year, lasting 5-10 days). Dietary and medical adjustments are recommended.<\/p>\n<ul>\n<li>For patients with nasosinusal polyposis, it may be effective to limit intakes of food additives such as SULFITES (E150 and E220 to 228 and list of foods concerned below) and BENZOATES (E210 to E213 in soft drinks). GLUTAMATES E620 to E625, commonly found in Asian foods, are not involved.<\/li>\n<li>For patients suffering from Widal&#8217;s disease, you should also avoid taking aspirin or non-steroidal anti-inflammatory drugs, and modify your diet by favoring foods rich in omega-3 fatty acids (linseed oil, rapeseed oil, fish: anchovies, sardines, herring, salmon, tuna) to the detriment of those rich in omega-6 fatty acids (corn oil, peanuts, red meats, industrial eggs, dairy products).<\/li>\n<\/ul>\n<p><strong>Sulfite intolerance?<\/strong> Have you ever had a headache, a blocked or runny nose, or a small flush on the face after drinking just one or two glasses of sparkling or still white wine? If so, you are probably intolerant to sulfites: <a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/06\/aliments-pouvant-contenir-des-sulfites.pdf\" target=\"_blank\" rel=\"noopener\">see the list of foods to avoid.<\/a><\/p>\n<p><strong>Gluten allergy or intolerance?<\/strong> Gluten is widely present in the European diet and is contained in wheat-derived products, particularly bread (excluding sourdough). Although celiac disease and gluten allergy are specific, there is also a widespread non-celiac gluten intolerance which, in addition to digestive symptoms, can cause a runny nose and a blocked nose sensation =&gt; A gluten-free diet test lasting 15 to 30 days could help improve your symptoms if you are a gluten intolerant who is unaware of it.<\/p>\n<p><strong>Lactose intolerance?<\/strong> Lactose intolerance is very common in adults due to the disappearance of the enzyme lactase (20% of Europeans and up to 100% of South Asians and South Americans). It can also result in an increase in mucus production =&gt; A dietary exclusion test for lactose in animal milk or certain of its derivatives for 15 to 30 days could help improve your symptoms if you are lactose intolerant but don&#8217;t know it.<\/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_1621505131998{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-6a13f5f030d7b\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tObjectives of endonasal ethmoidectomy\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-6a13f5f030dd3\" \n\t \n\t>\n\n\t<ul>\n<li>Improve the sensation of a blocked nose.<\/li>\n<li>Reduce anterior and posterior rhinorrhea and their consequences (asthma attacks).<\/li>\n<li>Reduce sneezing.<\/li>\n<li>Improve the sense of smell, which is the most difficult to achieve.<\/li>\n<li>Remove benign or malignant tumors.<\/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;5675712&#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_1621505142487{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-6a13f5f030e1f\" \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-6a13f5f030e68\" \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-6a13f5f030eb2\" \n\t \n\t>\n\n\t<p>Under general anaesthetic in the operating room, the nasal cavities are cleaned with an anaesthetic, then the polyps are cut and aspirated using a protected suction blade or suitable forceps, under visual control via a rigid optic inserted into the nose. Once the nasal cavity polyps have been removed, the surgeon removes the bony partitions of the ethmoidal cells, preserving the walls in contact with the noble organs such as the eyes and brain. If necessary, the surgeon can also open the frontal and sphenoidal sinuses (the maxillary sinuses are automatically opened in the case of a complete ethmoidectomy). A healing foam gel is then placed in the 2 operated nostrils.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a13f5f030ef5\" \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-6a13f5f030f51\" \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&#8217;ll need to rest at home for 7 days, and check that there&#8217;s no bleeding from the nose or throat.<br \/>\nIf necessary, the surgeon will give you a 14-day medical leave.<br \/>\nSport is not recommended for the first 15 days, and should be resumed gradually.<br \/>\nPain is moderate. It is controlled by Class I analgesics.<br \/>\nPost-operative care at home: nosewash with saline solution, more intense than for polyposis alone, analgesics, antibiotics if required by your doctor.<br \/>\nScarring: no visible scarring.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621505155541{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/complications-ethmoidectomie-endonasale.jpg?id=5675714) !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_1619989785799{padding-right: 10% !important;padding-left: 10% !important;background-color: #0f2233 !important;}&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a13f5f030fc0\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tComplications li\u00e9es l\u2019ethmo\u00efdectomie endonasale\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-6a13f5f031047\" \n\t \n\t>\n\n\t<p>In addition to the risks inherent in any surgery involving general anaesthesia, endonasal ethmoidectomy presents rare 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 controlled 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>Blindness.<\/li>\n<li>Cerebrospinal fluid discharge.<\/li>\n<li>Meningitis.<\/li>\n<li>Facial paralysis.<\/li>\n<\/ul>\n<p>For further explanations, please consult the College of ENT&#8217;s fact sheet on endonasal ethmoidectomy:<\/p>\n<p><a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/fiche-orl-ethmoidectomie.pdf\" target=\"_blank\" rel=\"noopener\">\u2794 <span style=\"font-weight: 400;\">Ethmoidectom\u00efe<\/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_1621505163564{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-6a13f5f0310af\" \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-6a13f5f031105\" \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 ethmoidectomy 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-6a13f5f0311dc\"\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 the operation obligatory?<\/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>No, it&#8217;s a comfort operation. 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 guaranteed?<\/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, on nasal obstruction and rhinorrhea, less so on olfaction.<\/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 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. However, it can last for years, and is longer-lasting than a simple polypectomy.<\/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>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>No.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607180706824-8dcbf8b4-78ea\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Does the operation mean I can stop using nosewash and inhaled corticosteroids?<\/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>No. In fact, treatment of polyposis is never etiological (we don&#8217;t treat the cause because it&#8217;s not possible, as with diabetes, for example), whether medically or surgically. You must therefore continue to treat yourself with nosewashes and inhaled corticosteroids on a daily basis at the very least, to limit the risk of recurrence of polyp regrowth, despite the operation.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607180741537-a8917c85-446a\" 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>Endonasal ethmoidectomy 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_1621505172659{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_1622240697161{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-6a13f5f031737\" \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-6a13f5f031787\" \n\t \n\t>\n\n\t<p>Dr. Antoine Delagranda is available to answer any questions you may have about endonasal ethmoidectomy.\u00a0 Dr. Delagranda is a specialist in ENT surgery at 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-6a13f5f0317ee\"\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-6a13f5f0319c3\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tENT consultation for endonasal ethmoidectomy 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-6a13f5f031a1a\" \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 ethmoidectomy. 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-6a13f5f031a85\" \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-6a13f5f031c6a\" \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-6a13f5f031cc1\" \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_1619989974857{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/ethmoidectomie-endonasale.jpg?id=5675710) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5677714,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5678155","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 ethmoidectomy | Removal of ethmoidal cells<\/title>\n<meta name=\"description\" content=\"Dr Delagranda explains endonasal ethmoidectomy. Dr Delagranda is an ENT and cervico-facial surgeon in the Vend\u00e9e...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dr-delagranda.com\/en\/endonasal-ethmoidectomy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endonasal ethmoidectomy | Removal of ethmoidal cells\" \/>\n<meta property=\"og:description\" content=\"Dr Delagranda explains endonasal ethmoidectomy. 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