“LE TREFLE” L’équipe de traitement des fentes labio palatines d’Ecully, Clinique du Val d’Ouest (Lyon)

Principle contact details

Contact name:Dr Isabelle James
Address:Clinique du Val d'Ouest 39
Chemin de la Vernique
69130 Ecully
Country:France
Telephone:+33472193399
Email:i.james@valdouest.fr
Web address:Visit website

Map of location


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Other team members

Surgeon:Dr I.JamesDr T.Kraft, Dr JD Brouland, Dr P.Pierrillas
Speech therapist:MmeA.S.Goyet
Orthodontist:Pr J.J Aknin, Dr J Godeneche
Clinical geneticist:DrM.Rossi
Otolaryngologist:Dr F.Sevin, Dr D Demolin, MmeBPleynet
Specialist nurse:MmeP.Costanzo
Psychologist:Dr D.Combourieux echo dg prenatal Dr MF Polette pedodontiste
Other:Dr James is in charge of pluridisciplinary consultation ; patients are seen every year or less if necessary, at each review we make sure that all Xrays, clinical photos or scanographic controls are done, and reporting is standardized, usb key with medical datas is given to parents

Support group

Support group address:Le Trefle : Mme Sauzay
Telephone: +33675603607
E-mail: swann.sauzay@free.fr
Website: trefle69.free.fr

Annual case load

Cleft palate:20
Pierre Robin:6
Cleft lip (CL) Unilateral (UCL):25
Bilateral (BCL):9
Number of syndromic cases:10 ( di george, kabuki, déletion ch 3 ,EEC, francheschetti, holoprosencephaly,van der wood, orodigitofacial)

Primary surgical protocol

Timing of first repair and type of operation.

Complete UCLP:At 3monthes: veloplasty sommerlad+lip,nose malek, talemant on the nose ,at 6 or 8 monthes hard palate closure talemant
Complete BCLP:At 3monthes: veloplasty sommerlad+lip,nose malek, talemant on the nose ,at 6 or 8 monthes hard palate closure talemant
Isolated CP:All in one at 3 monthes if possible , if not veloplasty at 3 and hard palate at 6 monthes

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

Clinical research

Clinical team members who are or would like to be involved in clinical research:

Member details:I.James - Pediatric surgery - clinical comparison between teams
P.Pierrillas - Maxillofacial surgery -
J.Godeneche - orthodontics - orthodontic equipements

Non-clinical and laboratory research

Non-clinical and laboratory team members who are or would like to be involved in clinical research:

Member details:M.Rossi - genetics - correlation between genes and phenotypes of clefts

Current research activity and data collection

Participation in inter-centre studies:Yes
Details of studies:Evaluation à 5 ans des enfants porteurs de fentes labiopalatines totales…( paris strasbourg ecully grenoble) C.Dissaux……fellow in strasbourg
Participation in other collaborations (projects):Yes
Details of projects:Sequence de pierre robin prise en charge orthophonique précoce Dr James Maitre de mémoire
Evaluation orthophonique de 30 enfants porteurs de fentes labiopalatines avant toute rééducation orthophonique à 3ans Dr James Maitre de mémoire
Willing to share Powerpoint presentations:Yes

Potential clinical research activities

Clinical research activities interested in being involved in:

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

National cleft lip and palate / craniofacial scientific organisation

Organisation details:the AFFF ( association francophone des fentes faciales)
This association had been created 10 years ago we meet for congress every other year; in france rare decease are treated in reference and competence centers in each region, about 15 centers we are one of these