Regional Cleft Lip and Palate Center
Principle contact details
| Contact name: | Gian Luca Gatti |
| Address: | Via Roma, 67 56126 Pisa PI - Italy |
| Country: | Italy |
| Telephone: | 39050996777 |
| Email: | glgatti@gmail.com |
| Web address: | Visit website |
Other team members
| Surgeon: | Gian Luca Gatti (Plastic Surgeon) Alessandro Giacomina (Plastic Surgeon) |
| Speech therapist: | Renata Salvadorini |
| Orthodontist: | Sara Bigagli |
| Clinical geneticist: | Benedetta Toschi |
| Otolaryngologist: | Francesca Forli |
| Psychologist: | Ciro Conversano |
| Other: | Beate Kuppers - anesthesiologist and pediatrician |
Support group
| Support group contact name: | AISMEL - OnlusVia Montanara, 14 56012 Cascina, PisaMail: aismel.info@gmail.comhttp://www.labiopalatoschisi.eu/ |
Annual case load
| Cleft palate: | 10 +/- |
| Cleft lip & palate (CLP) Unilateral (UCLP): | +/- 50 |
| Bilateral (BCLP): | +/- 20 |
Primary surgical protocol
Timing of first repair and type of operation.
| Complete UCLP: | 2,5/3 months - Modified Tennison technique |
| Complete BCLP: | 2,5/3 months - Mulliken technique |
| Isolated CP: | 6 months - Bardach technique |
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: | All |
| Speech and language therapy costs: | All |
| Comments on the service provision: | In Italy all the cost are provided by the NHS. However families can decide if they want to go to a private practice. |
Clinical research
Clinical team members who are or would like to be involved in clinical research:
| Member details: | we would be happy to be involved in inter-centre comparisons, cohort studies, clinical trials. Gian Luca Gatti - plastic surgeon Alessandro Giacomina - plastic surgeon Luca Rosato - plastic surgeon Beate Kuppers - anesthesiologist Sara Bigagli - orthodontist |
Current research activity and data collection
| Type(s) of software used: | Excel and Word. |
| Published research papers: | Yes |
| Details of publications: | Scand J Plast Reconstr Surg Hand Surg. 2010 Apr;44(2):88-95. doi: 10.3109/02844310903569378. Effect of lip adhesion on maxillary arch alignment and reduction of a cleft's width before definitive cheilognathoplasty in unilateral and bilateral complete cleft lip. Gatti GL1, Lazzeri D, Romeo G, Balmelli B, Massei A. Cleft Palate Craniofac J. 2009 Nov;46(6):621-8. doi: 10.1597/08-085.1. Epub 2009 May 16. Bone regeneration and periosteoplasty: a 250-year-long history. Lazzeri D1, Gatti GL, Romeo G, Balmelli B, Massei A. Cleft Palate Craniofac J. 2008 Nov;45(6):587-91. doi: 10.1597/07-026.1. Epub 2007 Aug 21. Dystrophic-like alterations characterize orbicularis oris and palatopharyngeal muscles in patients affected by cleft lip and palate. Lazzeri D1, Viacava P, Pollina LE, Sansevero S, Lorenzetti F, Balmelli B, Funel N, Gatti GL, Naccarato AG, Massei A. Thyroid. 2004 Aug;14(8):584-8. Genetic analysis of TTF-2 gene in children with congenital hypothyroidism and cleft palate, congenital hypothyroidism, or isolated cleft palate. Tonacchera M1, Banco M, Lapi P, Di Cosmo C, Perri A, Montanelli L, Moschini L, Gatti G, Gandini D, Massei A, Agretti P, De Marco G, Vitti P, Chiovato L, Pinchera A. |
| 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: | silpsitalia@yahoo.it http://www.silps.it/ |
Total number of cases per annum
| Total cases per annum: | 90 +/- |