{"id":5678214,"date":"2020-10-20T16:51:56","date_gmt":"2020-10-20T14:51:56","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/?page_id=5678214"},"modified":"2024-02-22T07:53:51","modified_gmt":"2024-02-22T06:53:51","slug":"adenoidectomy","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/adenoidectomy\/","title":{"rendered":"Adenoidectomy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1619558830516{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/04\/adenoidectomie.jpg?id=5675538) !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-69d6ec8a5c84c\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tAdenoidectomy\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-69d6ec8a5cae8\" \n\t \n\t>\n\n\t<p>Surgery of the adenoids or adenoidectomy, is a surgical procedure consisting of removing the adenoids. The operation is performed under general anesthesia by an ENT surgeon, and requires a one-day hospitalization.<\/p>\n<p>This operation is mainly performed on children aged 3 and over. However, it should be borne in mind that this tissue can grow back during childhood and we may have to operate again if the symptoms reappear. The indications for very young children must therefore be carefully considered. Adults are very rarely concerned.<\/p>\n<p>Discover below the explanations on adenoidectomy of Dr. Delagranda, ENT surgeon in La Roche-sur-Yon, Vend\u00e9e.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1619517732583{padding-top: 4vh !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-69d6ec8a5cd30\" \n\t \n\t>\n\n\t<div id=\"post-link-5678214\" class=\"sh-link post-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('post', 5678214, 'SUMMARY', 'SUMMARY'); return false;\" aria-expanded=\"false\"><span id=\"post-toggle-5678214\">SUMMARY<\/span><\/a><\/div><div id=\"post-content-5678214\" class=\"sh-content post-content sh-hide\" style=\"display: none;\"><\/p>\n<ul>\n<li><a href=\"#objectifs\">Objectives of adenoid vegetation surgerys<\/a><\/li>\n<li><a href=\"#vegetations-adenoides\">Adenoid vegetations<\/a><\/li>\n<li><a href=\"#indications\">When should adenoids be removed?<\/a><\/li>\n<li><a href=\"#intervention\">The surgery<\/a><\/li>\n<li><a href=\"#intervention\">Postoperative convalescence period<\/a><\/li>\n<li><a href=\"#complications\">Complications related to vegetation surgery<\/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_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; css=&#8221;.vc_custom_1621501897004{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-69d6ec8a709f4\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tObjectives of adenoid 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-69d6ec8a70b14\" \n\t \n\t>\n\n\t<p>Surgery for adenoids has a number of objectives:<\/p>\n<ul>\n<li>Restoring breathing through the nose.<\/li>\n<li>Limit the number of painful ear infections.<\/li>\n<li>Limit the number and duration of chronic ear infections and thus participate in maintaining good hearing (gesture then often coupled with a paracentesis or an application of aerator \/ trans tympanic drains).<\/li>\n<li>Facilitate the work of orthodontists and speech-language pathologists.<\/li>\n<li>Making an exceptional diagnosis of cancer pathology.<\/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;5675540&#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_1621500072366{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;vegetations-adenoides&#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-69d6ec8a70bb7\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tAdenoids\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-69d6ec8a70c63\" \n\t \n\t>\n\n\t<p>Adenoids are located in the nasopharynx or nasopharynx or cavum behind the nasal cavity. Polylobed mass consisting of lymphoid tissue, their volume is extremely variable depending on the person. Normally, they decrease in size after childhood and almost disappear in adulthood.\u00a0 Their function is to help the body form defenses against infections.This mechanism is especially useful in early childhood.<\/p>\n\t\n<\/div>[vc_single_image image=&#8221;5674673&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; css=&#8221;.vc_custom_1619555020480{padding-top: 1vh !important;padding-bottom: 1vh !important;}&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-69d6ec8a70cef\" \n\t \n\t>\n\n\t<p>On the other hand, they can become a source of inconvenience due to too a large volume or repeated or chronic infections. The vegetations can hinder the ventilation of the middle ear which is done through the Eustachian tube whose orifice is in the cavum, causing chronic or acute otitis repeatedly.<\/p>\n<p>Removing them does not pose an immune problem afterwards. The diagnosis of hypertrophy of the vegetations is made at any age simply in consultation with the help of a nasofibroscope, it is no longer necessary to resort to an X-ray<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621501914852{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/04\/indications-chirurgie-vegetations.jpg?id=5675545) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;indications&#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-69d6ec8a70d67\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tIn which cases to remove vegetation?\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-69d6ec8a70e03\" \n\t \n\t>\n\n\t<ul>\n<li>Vegetation that is too voluminous leads to a difficulty breathing through the nose day and night, with fatigue in children or adults. The patient then has his mouth open permanently to breathe.<\/li>\n<li>Vegetations that are too large and inflammatory or infected lead to acute otitis media with significant pain or chronic otitis so-called serous or seromucosal with hearing loss and school impact<\/li>\n<li>Too large adenoids can defeat orthodontic treatment and modify the dentofacial growth because the child does not breathe through the nose and keeps his mouth open at all times.<\/li>\n<li>Too large adenoids can defeat speech therapy because the child does not breathe through the nose and his soft palate is embarrassed. The child then speaks with a nascent voice.<\/li>\n<li>Adenoids in adults, especially if the appearance is unusual (color, tone, volume, bleeding) may be the site of a rare malignant tumor (lymphoma, pharyngeal carcinoma related to Epstein Barr virus)<\/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_1621501925383{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-69d6ec8a70e82\" \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-69d6ec8a70f31\" \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-69d6ec8a70fb7\" \n\t \n\t>\n\n\t<p>Vegetation surgery is performed in 15 minutes using a curette passed through the mouth under general anesthesia with or without tracheal intubation. The removal of adenoids is coupled with another surgery three times out of four such as removal of the tonsils or gestures on the eardrums such as paracentesis or placement of trans tympanic drains.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;][vc_raw_html]JTNDZGl2JTIwaWQlM0QlMjJjb252YWxlc2NlbmNlJTIyJTNFJTNDJTJGZGl2JTNF[\/vc_raw_html]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-69d6ec8a7101c\" \n\t \n\t>\n\t\n\t\n\t\n\t<h3 class=\"title\">\n\t\tPostoperative 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-69d6ec8a71093\" \n\t \n\t>\n\n\t<p>The return home is done the same day as part of the outpatient hospitalization.The pain is very small. There may be small bleeding from the nose or blood-tinged sputum in the days that follow.<br \/>\nAbsence from school for 48 hours<br \/>\nPost-operative care at home: The child will need to do regular saline nose washes to rinse the nose and cavum. A nasal spray may be prescribed for the postoperative period and mild analgesics<br \/>\nScar: no visible scar.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621501938814{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/04\/instruments-chirurgie-adenoidectomie.jpg?id=5675547) !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-69d6ec8a710f5\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tComplications related to adenoid 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-69d6ec8a71171\" \n\t \n\t>\n\n\t<p>In addition to the risks inherent in any surgery with general anesthesia, adenoidectomy presents risks of rare complications:<\/p>\n<ul>\n<li>Hemorrhage during surgery<\/li>\n<li>Dislocation of teeth<\/li>\n<li>Small mouth wounds<\/li>\n<li>Inhalation if the child is not intubated (less and less common)<\/li>\n<\/ul>\n<p>Please consult the explanatory sheet of the college of ENT on adenoidectomy for further explanations:<\/p>\n<p><a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/fiche-orl-adenoidectomie-enfant.pdf\" target=\"_blank\" rel=\"noopener\">Ad\u00e9no\u00efdectomie chez l&#8217;enfant<\/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_1621501948866{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-69d6ec8a711cf\" \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-69d6ec8a71241\" \n\t \n\t>\n\n\t<p>Here is a selection of questions frequently asked by Dr Delagranda&#8217;s patients during pre-operative consultations for adenoidectomy.<\/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-69d6ec8a712be\"\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>Why remove adenoids?<\/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>When they are very hypertrophied causing obstruction to the passage of air from the nose and other complications: otitis with persistent hearing loss, voice changes, dentofacial growth disorders, permanently open mouth.<\/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>When to remove vegetation?<\/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>Between 2 and 7 years old for most patients<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264450-ed4b6523-622c\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>How does a vegetation operation take place?<\/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>Under general anesthesia with intubation, on an outpatient basis with some exceptions.<\/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>Can vegetation grow back?<\/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, because the surgeon is forced to leave some lymphoid tissue during the operation and external antigenic stimulation can lead to regrowth.<\/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>Fees and coverage of the intervention<\/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 operation of adenoids is taken into account by health insurance. Contact your mutual insurance company to find out how to cover any fee overruns.<\/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_1621501956896{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_1622240376753{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-69d6ec8a71b17\" \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-69d6ec8a71bb4\" \n\t \n\t>\n\n\t<p>Dr Antoine Delagranda will be happy to answer any questions you may have about vegetation 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-69d6ec8a71c5a\"\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 appointement 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-69d6ec8a71d09\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tENT consultation for adenoidectomy 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-69d6ec8a71da5\" \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 vegetation 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-69d6ec8a71e38\" \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-69d6ec8a71f23\" \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-69d6ec8a71fda\" \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; 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