Chirurgie Plastique Pédiatrique CHRU Montpellier-UM1
Principle contact details
| Contact name: | Dr Michèle Bigorre (MD) |
| Address: | CHRU Montpellier - Hôpital Lapeyronie 371, Avenue du Doyen Gaston Giraud 34295 Montpellier |
| Country: | France |
| Telephone: | 33467338765 |
| Email: | m-bigorre@chu-montpellier.fr |
| Web address: | Visit website |
Other team members
| Surgeon: | Pr Guillaume Captier, Dr Christian Herlin |
| Speech therapist: | Helene Baylon, Mélanie Roger |
| Orthodontist: | Dr Caroline Baumler |
| Clinical geneticist: | Pr David Genevieve, Pr Pierre Sarda |
| Otolaryngologist: | Pr Michel Mondain, Dr Catherine Blanchet |
| Specialist nurse: | Nicole Caniven |
| Other: | Gynecoloy, prenatal echography:Pr Pierre Boulot, Dr Jean-Michel Faure, Dr Marcel BaumlerImplantologist oral surgery: Dr Patrick Marsal Dr Carl Favre de ThierrensPedodontist: Pr Marie-Christine Goldsmith, Dr Olivier Chabadel |
| Patient follow up: | Dr Bigorre and Pr Captier |
Annual case load
| Cleft palate: | 17 (mean form 2009 to 2011) |
| Cleft lip (CL) Unilateral (UCL): | 15 (mean form 2009 to 2011) |
| Bilateral (BCL): | 5 (mean form 2009 to 2011) |
| Number of syndromic cases: | 15 (mean form 2009 to 2011) Robin, CHARGE, Binder, Van der Woude, 22q11 microdeletion, Shprintzen (VCF), Chondrodysplasia |
Primary surgical protocol
Timing of first repair and type of operation.
| Complete UCLP: | Talmant protocol: cheilorhinoplasty and soft palate repair with intravelar veloplasty (according to Sommerlad) at 6 months, hard palate closure with no denuded zones between 14 to 18 months |
| Complete BCLP: | Talmant protocol: cheilorhinoplasty and soft palate repair with intravelar veloplasty (according to Sommerlad) at 6 months, hard palate closure between 14 to 18 months |
| Isolated CP: | Hard and soft palate repair with no denuded zones with intravelar veloplasty at 6 months |
Record collection protocol
| Are records routinely collected at specific ages? | Yes |
| Does this conform to WHO timing recommendations (birth, 5, 10, 15 and 20 years)? | Yes |
State coverage of costs
Are the costs of the following treatments covered by the state (free to the patient)?
| Surgery costs: | All |
| Orthodontic costs: | Part |
| Speech and language therapy costs: | All |
| Comments on the service provision: | The major problem in France is the cost of the implant and the cost of the orthodontics treatment |
Clinical research
Clinical team members who are or would like to be involved in clinical research:
| Member details: | Bigorre - Plastic pediatric surgery - Hemangioma |
Non-clinical and laboratory research
Non-clinical and laboratory team members who are or would like to be involved in clinical research:
| Member details: | Captier - Plastic pediatric surgery and Anatomy - 3D craniofacial growth |
Current research activity and data collection
| Type(s) of software used: | File maker pro (collect data) Myrian software (3D reconstruction, preoperative diagnostic) |
| Participation in other collaborations (projects): | Yes |
| Details of projects: | PHRC propranolol versus acebutolol in the treatment of the infantile hemangiomas |
| Published research papers: | Yes |
| Details of publications: | see below (published in cleft lip and palate field) |
| Research grant funding received: | Yes |
| Details of funding: | grant ANR-08-BLAN-0272-03 |
| Willing to share Powerpoint presentations: | Yes |
Potential clinical research activities
Clinical research activities interested in being involved in:
| Randomised clinical trials: | Yes |
| Inter-centre comparison of outcome: | Yes |
| Prospective study: | Yes |
| DNA collection: | Yes |
Potential laboratory based research activities
Laboratory based research activities interested in being involved in:
| Laboratory genetics/genomics research: | Yes |
| Animal models research: | Yes |
National cleft lip and palate / craniofacial scientific organisation
| Organisation details: | Yes 2 National reference Centre: Pr Phillipe Pellerin (Lille) and Pr Marie Paul Vazquez (Paris) National association of specialist in cleft treatment AFFF http:www.fente-labio-palatine.fr |