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  -title: "La Tympanométrie"
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    <p style="text-align:justify;">Qu&rsquo;est-ce que la <strong>tympanom&eacute;trie</strong> ? Cet <a href="https://mon-centre-auditif.com/blog/comment-se-passe-un-bilan-auditif">examen m&eacute;dical de </a><strong><a href="https://mon-centre-auditif.com/blog/comment-se-passe-un-bilan-auditif">l&rsquo;oreille</a> moyenne</strong> est &agrave; d&eacute;couvrir sur Mon Centre Auditif.</p>\r\n
    \r\n
    <h2 class="h3 mb-3">Qu&rsquo;est-ce que la tympanom&eacute;trie ?</h2>\r\n
    \r\n
    <p style="text-align:justify;">En sant&eacute; de l&rsquo;audition, la tympanom&eacute;trie est un examen des oreilles pr&eacute;cis qui cible particuli&egrave;rement <strong>l&rsquo;oreille moyenne</strong>, le tympanum en latin. Plus exactement, la tympanom&eacute;trie est men&eacute;e en cas de troubles situ&eacute;s au niveau du tympan et de la conduction osseuse.</p>\r\n
    \r\n
    <p style="text-align:justify;">Le patient qui se voit prescrire une tympanom&eacute;trie ressent certains troubles de l&rsquo;audition (baisse de l&rsquo;audition, acouph&egrave;nes, sensations lourdes dans l&rsquo;oreille). On suspecte une affection ou une pathologie de l&rsquo;oreille interne. Afin de valider ou non les divers soup&ccedil;ons, le m&eacute;decin peut choisir de mener une tympanom&eacute;trie. Cet examen auditif pourra confirmer les doutes du m&eacute;decin et r&eacute;v&eacute;ler la pathologie pr&eacute;cise.</p>\r\n
    \r\n
    <p style="text-align:justify;">Pour rappel, l&rsquo;oreille est compos&eacute;e de trois parties assez distinctes :</p>\r\n
    \r\n
    <ul style="color:#77838f;">\r\n
    \t<li><strong>l&rsquo;oreille externe</strong> compos&eacute;e du lobe, du pavillon et du conduit auditif externe ;</li>\r\n
    \t<li><strong>l&rsquo;oreille moyenne</strong> compos&eacute;e du tympan, de la caisse du tympan, du marteau, de l&rsquo;enclume et de l&rsquo;&eacute;trier ;</li>\r\n
    \t<li><strong>l&rsquo;oreille interne</strong> compos&eacute;e de la cochl&eacute;e, des cellules cili&eacute;es et du nerf auditif, entre autres.</li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify;">La tympanom&eacute;trie est un examen qui &eacute;value la souplesse et la <strong>mobilit&eacute; du tympan</strong> et des osselets. Plus pr&eacute;cis&eacute;ment, c&rsquo;est un test qui mesure la pr&eacute;sence de <strong>liquide dans l&rsquo;oreille moyenne</strong>. Le <strong>r&eacute;flexe stap&eacute;dien</strong> ou <strong>r&eacute;flexe acoustique</strong> est aussi souvent &eacute;valu&eacute; lors de cet examen.</p>\r\n
    \r\n
    <h2 class="h3 mb-3">Comment se d&eacute;roule la tympanom&eacute;trie ?</h2>\r\n
    \r\n
    <p style="text-align:justify;">En quoi &ccedil;a consiste exactement ? Tout comme <a href="https://mon-centre-auditif.com/blog/bilan-auditif-a-quoi-sert-un-audiogramme?utm_source=Blog&amp;utm_content=Article-96" style="color: #377dff; text-decoration: none;" target="_blank" title="Mon Centre Auditif">l&rsquo;audiogramme</a> et <a href="https://mon-centre-auditif.com/blog/audiometrie-tonale?utm_source=Blog&amp;utm_content=Article-96" style="color: #377dff; text-decoration: none;" target="_blank" title="Mon Centre Auditif">l&#39;audiom&eacute;trie tonale</a>, la tympanom&eacute;trie est un examen auditif indolore et tr&egrave;s rapide. L&rsquo;ORL demande au patient de s&rsquo;asseoir dans une pi&egrave;ce insonoris&eacute;e.</p>\r\n
    \r\n
    <p style="text-align:justify;">Le m&eacute;decin v&eacute;rifie dans un premier temps que le canal auditif est bien d&eacute;gag&eacute; de tout corps &eacute;tranger, salet&eacute;s ou encore <a href="https://mon-centre-auditif.com/blog/bouchon-cerumen?utm_source=Blog&amp;utm_content=Article-96" style="color: #377dff; text-decoration: none;font-size: 14px;" target="_blank" title="Mon Centre Auditif">bouchons de c&eacute;rumen</a>. Si le canal est propre, le m&eacute;decin introduit une minuscule sonde dans l&rsquo;oreille. L&rsquo;examen peut alors commencer. Pour mener une tympanom&eacute;trie, le m&eacute;decin utilise un <strong>tympanom&egrave;tre</strong>. Le patient pourra constater la pr&eacute;sence de trois tubes distincts :</p>\r\n
    \r\n
    <ul style="color:#77838f;">\r\n
    \t<li>un tube produit du son,</li>\r\n
    \t<li>un tube produit de la pression,</li>\r\n
    \t<li>et un tube mesure le son renvoy&eacute; par le tympan.</li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify;">Le patient entendra certains sons, plus ou moins forts. Il pourra ressentir aussi une certaine pression semblable au moment o&ugrave; un avion d&eacute;colle. Il ne faudra ni qu&rsquo;il ne bouge ni qu&rsquo;il ne parle. Il ne doit pas non plus d&eacute;glutir pour ne pas fausser les r&eacute;sultats. La prise de mesure ne dure qu&rsquo;une poign&eacute;e de secondes dans chaque oreille. C&rsquo;est donc un examen qui ne doit ni inqui&eacute;ter ni angoisser. L&rsquo;ORL (oto-rhino-laryngologiste) multipliera s&ucirc;rement les tests et les essais afin de croiser les r&eacute;sultats et d&rsquo;obtenir un tympanogramme le plus juste et repr&eacute;sentatif possible.</p>\r\n
    \r\n
    <p style="text-align:justify;">B&eacute;b&eacute;s, enfants, adultes et personnes &acirc;g&eacute;es peuvent passer une tympanom&eacute;trie sans aucun probl&egrave;me. En revanche, les personnes poss&eacute;dant des diabolos ou des drains n&rsquo;obtiendront pas des r&eacute;sultats justes avec cet examen. C&rsquo;est aussi le cas des personnes avec un tympan perfor&eacute;.</p>\r\n
    \r\n
    <h2 class="h3 mb-3">En quoi la tympanom&eacute;trie se r&eacute;v&egrave;le utile ?</h2>\r\n
    \r\n
    <p style="text-align:justify;">Le m&eacute;decin obtient, &agrave; la suite de cet examen, des r&eacute;sultats sous forme de graphique qu&rsquo;il peut lire sur un <strong>tympanogramme</strong>. La tympanom&eacute;trie permet de r&eacute;v&eacute;ler essentiellement s&rsquo;il y a du liquide ou non dans l&rsquo;oreille moyenne et d&rsquo;en tirer certaines conclusions :</p>\r\n
    \r\n
    <ul>\r\n
    \t<li>une perforation du tympan et ainsi une perm&eacute;abilit&eacute;,</li>\r\n
    \t<li>un dysfonctionnement de la trompe d&rsquo;Eustache,</li>\r\n
    \t<li>une otite s&eacute;reuse, s&eacute;romuqueuse ou chronique,</li>\r\n
    \t<li>ou encore une luxation ou fracture des osselets.</li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify;">Apr&egrave;s cet examen auditif, le m&eacute;decin peut alors &eacute;mettre un diagnostic et proposer un traitement adapt&eacute; pour soigner et soulager le patient.</p>\r\n
    \r\n
    <h2 class="h3 mb-3">L&rsquo;importance de la tympanom&eacute;trie chez l&rsquo;enfant<sup>1</sup></h2>\r\n
    \r\n
    <p style="text-align:justify;">La tympanom&eacute;trie est importante dans le cas d&rsquo;<strong>otite moyenne aigu&euml;</strong> et d&rsquo;<strong>otite moyenne s&eacute;cr&eacute;toire</strong>. Au moindre doute et lorsque l&rsquo;otoscope n&rsquo;offre pas une visibilit&eacute; assez claire et &eacute;vidente, le m&eacute;decin peut opter pour la tympanom&eacute;trie afin d&rsquo;effectuer le diagnostic le plus s&ucirc;r possible.</p>\r\n
    \r\n
    <p style="text-align:justify;">C&rsquo;est le cas notamment pour diagnostiquer l&rsquo;otite s&eacute;romuqueuse (OSM) tra&icirc;nante. Dans ce cas, la tympanom&eacute;trie compl&egrave;te un examen audiom&eacute;trique classique (audiom&eacute;trie tonale et vocale).</p>\r\n
    \r\n
    <p style="text-align:justify;">Patience et d&eacute;licatesse sont alors les ma&icirc;tres mots face &agrave; des enfants qui auront peut-&ecirc;tre des difficult&eacute;s &agrave; garder leur calme et le silence.</p>\r\n
    \r\n
    <p style="text-align:justify;">Des g&ecirc;nes, des troubles, des inconforts ressentis ? Ou m&ecirc;me une <strong>baisse d&rsquo;audition</strong> constat&eacute;e ? Consultez un professionnel. En sant&eacute; auditive, il est important de consulter vite et t&ocirc;t afin de ne pas laisser s&rsquo;aggraver la situation. Il est essentiel de rencontrer un professionnel de sant&eacute; qui saura &eacute;valuer votre audition et vous conseiller.</p>\r\n
    \r\n
    <p style="text-align:justify;">Gr&acirc;ce &agrave; <a href="https://mon-centre-auditif.com/?utm_source=Blog&amp;utm_content=Article-96" style="color: #377dff; text-decoration: none;" target="_blank" title="Mon Centre Auditif">Mon Centre Auditif</a>, r&eacute;servez rapidement un rendez-vous pour <strong>tester votre audition</strong> aupr&egrave;s d&rsquo;un <a href="https://mon-centre-auditif.com/blog/profession-audioprothesiste?utm_source=Blog&amp;utm_content=Article-96" style="color: #377dff; text-decoration: none;" target="_blank" title="Mon Centre Auditif">audioproth&eacute;siste dipl&ocirc;m&eacute; d&rsquo;&Eacute;tat</a>. Nous r&eacute;f&eacute;ren&ccedil;ons un grand nombre de <strong>centres auditifs</strong> partout en France, au plus pr&egrave;s de chez vous. Un <a href="https://mon-centre-auditif.com/blog/comment-se-passe-un-bilan-auditif?utm_source=Blog&amp;utm_content=Article-96" style="color: #377dff; text-decoration: none;" target="_blank" title="Mon Centre Auditif">bilan auditif</a> est enti&egrave;rement gratuit et n&rsquo;engage &agrave; rien de votre part !</p>
    """
  -bodySecond: "<p style="text-align:justify;"><sup>1</sup><a href="https://www.revmed.ch/revue-medicale-suisse/2006/revue-medicale-suisse-91/la-tympanometrie-et-son-role-dans-la-prise-en-charge-des-affections-otologiques-de-l-enfant" style="color: #377dff; text-decoration: none;font-size: 14px;" target="_blank" title="Mon Centre Auditif">La tympanom&eacute;trie et son r&ocirc;le dans la prise en charge des affections otologiques de l&rsquo;enfant, La Revue M&eacute;dicale Suisse</a></p>"
  -metaTitle: "La Tympanométrie"
  -metaDescription: "Grâce à Mon Centre Auditif, apprenez tout ce qu’il faut savoir sur la tympanométrie, un examen médical de l’oreille moyenne et du tympan."
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  -keyword: "tympanométrie,oreille moyenne,tympan,audition"
  -createdAt: DateTime @1682095380 {#3832
    date: 2023-04-21 16:43:00.0 UTC (+00:00)
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  -updatedAt: DateTime @1708958221 {#3829
    date: 2024-02-26 14:37:01.0 UTC (+00:00)
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  -blogAuthor: Proxies\__CG__\App\Entity\BlogAuthor {#3872 …}
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  -blogCategory: Proxies\__CG__\App\Entity\BlogCategory {#3850 …}
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    "function" => "callListeners"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/hearing_store_locator/vendor/symfony/event-dispatcher/Debug/TraceableEventDispatcher.php"
    "line" => 154
    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/hearing_store_locator/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 196
    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\Debug\TraceableEventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/hearing_store_locator/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 184
    "function" => "filterResponse"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/hearing_store_locator/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 75
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/hearing_store_locator/vendor/symfony/http-kernel/Kernel.php"
    "line" => 202
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/hearing_store_locator/vendor/symfony/runtime/Runner/Symfony/HttpKernelRunner.php"
    "line" => 35
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\Kernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/hearing_store_locator/vendor/autoload_runtime.php"
    "line" => 35
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
  ]
  [
    "file" => "/var/www/hearing_store_locator/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/hearing_store_locator/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]

Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APPMAILER_ENABLED
"1"
APP_ENV
"dev"
APP_SECRET
"db90e28d314e7bfa7f595b29502687e0"
AUDIOWIZARD_KEY
"4kh95HMA7aQZHKRQtF9359VaT92N5F23PiG47u"
CAPITOLE_SMS_LOGIN
"Wits Media"
CAPITOLE_SMS_PWD
"36ae9205e51c8a1ec95f3e8f1773faa9895dd94f"
CORS_ALLOW_ORIGIN
"^http?://media-optin.qa.wits-media.com(:[0-9]+)?$"
DATABASE_URL
"mysql://hearing_store_locator_qa_user:9xC97bCE23v8VbeB@127.0.0.1:3306/hearing_store_locator_qa?serverVersion=mariadb-10.5.19"
DEV_EMAIL
"bertrand.dilly@gmail.com"
DEV_SMS
"0609745659"
GMAPS_API_KEY
"AIzaSyBUjvFgW9uwWovx2oI-f4JTTWqEacBaKm8"
HLR_PHONENUMBER_VALIDATION_ENABLED
"0"
HUBSPOT_ACCESS_TOKEN
"pat-eu1-eda688b6-9944-4893-aa74-d9c8c47aa361"
HUBSPOT_CLIENT_SECRET
"62eca59f-c964-49b2-8311-9e65b376d735"
JWT_PASSPHRASE
"bf73c6751808e27174a51a4ac142ee22"
JWT_PUBLIC_KEY
"%kernel.project_dir%/config/jwt/public.pem"
JWT_SECRET_KEY
"%kernel.project_dir%/config/jwt/private.pem"
MAILER_DSN
"smtp://moncentreauditif:czZsc3B3NTY3NjAw@mail.smtp2go.com:465?timeout=60&encryption=ssl&auth_mode=login"
MAINTENANCE_MODE
"0"
MEDIAOPTIN_ENABLED
"1"
MEDIAOPTIN_QUALIFICATION_CAMPAIGN_ID_CREDIT
"189"
MEDIAOPTIN_QUALIFICATION_CAMPAIGN_ID_PERF
"205"
MEDIAOPTIN_TOKEN
"d99bf3210da785a22dbff13fe27fd5344b3c03a9"
MEDIAOPTIN_URL
"http://media-optin.qa.wits-media.com/"
MESSENGER_TRANSPORT_DSN
"doctrine://default?auto_setup=0"
PHONE_VALIDATION_ENABLED
"0"
SENDINBLUE_2FA_CODE_TEMPLATE_ID
"261"
SENDINBLUE_API_KEY
"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"
SENDINBLUE_CALLBACK_REMINDER_TEMPLATE_ID
"215"
SENDINBLUE_CONTACT_LIST
"135"
SENDINBLUE_FEEDBACK_TEMPLATE_ID
"202"
SENDINBLUE_FEEDBACK_WHITELABEL_TEMPLATE_ID
"204"
SENDINBLUE_NEW_LEAD_TEMPLATE_ID
"217"
SENDINBLUE_NEW_RELATION_CENTRAL_PURCHASING_TEMPLATE_ID
"244"
SENDINBLUE_NEW_STATUS_FEEDBACK_TEMPLATE_ID
"233"
SENDINBLUE_NEW_STATUS_TEMPLATE_ID
"205"
SENDINBLUE_NEW_USER_TEMPLATE_ID
"243"
SENDINBLUE_PASSWORD_REQUEST_TEMPLATE_ID
"246"
SENDINBLUE_PAYMENT_METHOD_EXPIRATION_TEMPLATE_ID
"307"
SENDINBLUE_SEPA_DEVICE_SALE_TEMPLATE_ID
"248"
SENDINBLUE_SEPA_PAYASYOUGO_TEMPLATE_ID
"302"
SENDINBLUE_SEPA_STORE_INDEXATION_TEMPLATE_ID
"303"
SENDINBLUE_SMSBROADCAST_TEMPLATE_ID
"223"
SENDINBLUE_SPONSORSHIP_TEMPLATE_ID
"220"
SENDINBLUE_WELCOME_FREELANCER_TEMPLATE_ID
"200"
SENDINBLUE_WELCOME_FREELANCER_WHITELABEL_TEMPLATE_ID
"201"
SENDINBLUE_WELCOME_TEMPLATE_ID
"179"
SENDINBLUE_WELCOME_WHITELABEL_TEMPLATE_ID
"188"
SMS_SENDER_ENABLED
"0"
STRIPE_PRIVATE_KEY
"sk_test_eT4IeuYRj4ROIZ8A4yBEF39H00z5k8pvNj"
STRIPE_PUBLIC_KEY
"pk_test_LS3J1L0hR6twhglbFaAqbjjo00QsP8UNVt"
STRIPE_WEBHOOK_KEY
"whsec_ISNSzHEc3uaOrtFExYXbwHwTPbCcpSEG"
TWO_FACTOR_AUTHENTICATION_ENABLED
"1"
ZEROBOUNCE_API_KEY
""

Defined as regular env variables

Key Value
APP_DEBUG
"1"
CONTEXT_DOCUMENT_ROOT
"/var/www/hearing_store_locator/public"
CONTEXT_PREFIX
""
DOCUMENT_ROOT
"/var/www/hearing_store_locator/public"
GATEWAY_INTERFACE
"CGI/1.1"
HTTPS
"on"
HTTP_ACCEPT
"*/*"
HTTP_ACCEPT_ENCODING
"gzip, br, zstd, deflate"
HTTP_COOKIE
"utm=%7B%22url%22%3A%22%5C%2F_profiler%5C%2Fcac86c%22%7D"
HTTP_HOST
"mca.qa.wits-media.com"
HTTP_USER_AGENT
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PATH
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin"
PHP_SELF
"/index.php"
QUERY_STRING
""
REDIRECT_HTTPS
"on"
REDIRECT_SSL_TLS_SNI
"mca.qa.wits-media.com"
REDIRECT_STATUS
"200"
REDIRECT_URL
"/blog/tympanometrie"
REMOTE_ADDR
"216.73.216.109"
REMOTE_PORT
"13428"
REQUEST_METHOD
"GET"
REQUEST_SCHEME
"https"
REQUEST_TIME
1774256476
REQUEST_TIME_FLOAT
1774256476.0705
REQUEST_URI
"/blog/tympanometrie"
SCRIPT_FILENAME
"/var/www/hearing_store_locator/public/index.php"
SCRIPT_NAME
"/index.php"
SERVER_ADDR
"135.125.106.31"
SERVER_ADMIN
"lumiapixelweb@gmail.com"
SERVER_NAME
"mca.qa.wits-media.com"
SERVER_PORT
"443"
SERVER_PROTOCOL
"HTTP/1.1"
SERVER_SIGNATURE
"<address>Apache/2.4.66 (Debian) Server at mca.qa.wits-media.com Port 443</address>\n"
SERVER_SOFTWARE
"Apache/2.4.66 (Debian)"
SSL_TLS_SNI
"mca.qa.wits-media.com"
SYMFONY_DOTENV_VARS
"APP_ENV,APP_SECRET,DATABASE_URL,MAILER_DSN,GMAPS_API_KEY,MEDIAOPTIN_URL,MEDIAOPTIN_TOKEN,MEDIAOPTIN_QUALIFICATION_CAMPAIGN_ID_CREDIT,MEDIAOPTIN_QUALIFICATION_CAMPAIGN_ID_PERF,SENDINBLUE_API_KEY,SENDINBLUE_WELCOME_TEMPLATE_ID,SENDINBLUE_WELCOME_WHITELABEL_TEMPLATE_ID,SENDINBLUE_WELCOME_FREELANCER_TEMPLATE_ID,SENDINBLUE_WELCOME_FREELANCER_WHITELABEL_TEMPLATE_ID,SENDINBLUE_NEW_LEAD_TEMPLATE_ID,SENDINBLUE_FEEDBACK_TEMPLATE_ID,SENDINBLUE_FEEDBACK_WHITELABEL_TEMPLATE_ID,SENDINBLUE_CALLBACK_REMINDER_TEMPLATE_ID,SENDINBLUE_NEW_STATUS_TEMPLATE_ID,SENDINBLUE_NEW_STATUS_FEEDBACK_TEMPLATE_ID,SENDINBLUE_SPONSORSHIP_TEMPLATE_ID,SENDINBLUE_SMSBROADCAST_TEMPLATE_ID,SENDINBLUE_SEPA_DEVICE_SALE_TEMPLATE_ID,SENDINBLUE_SEPA_PAYASYOUGO_TEMPLATE_ID,SENDINBLUE_SEPA_STORE_INDEXATION_TEMPLATE_ID,SENDINBLUE_CONTACT_LIST,SENDINBLUE_NEW_USER_TEMPLATE_ID,SENDINBLUE_NEW_RELATION_CENTRAL_PURCHASING_TEMPLATE_ID,SENDINBLUE_PASSWORD_REQUEST_TEMPLATE_ID,SENDINBLUE_2FA_CODE_TEMPLATE_ID,SENDINBLUE_PAYMENT_METHOD_EXPIRATION_TEMPLATE_ID,CAPITOLE_SMS_LOGIN,CAPITOLE_SMS_PWD,ZEROBOUNCE_API_KEY,STRIPE_PUBLIC_KEY,STRIPE_PRIVATE_KEY,STRIPE_WEBHOOK_KEY,PHONE_VALIDATION_ENABLED,SMS_SENDER_ENABLED,APPMAILER_ENABLED,MEDIAOPTIN_ENABLED,HLR_PHONENUMBER_VALIDATION_ENABLED,DEV_EMAIL,DEV_SMS,TWO_FACTOR_AUTHENTICATION_ENABLED,CORS_ALLOW_ORIGIN,JWT_SECRET_KEY,JWT_PUBLIC_KEY,JWT_PASSPHRASE,MESSENGER_TRANSPORT_DSN,MAINTENANCE_MODE,AUDIOWIZARD_KEY,HUBSPOT_ACCESS_TOKEN,HUBSPOT_CLIENT_SECRET"