Curriculum Vitae

  • Licenciado en Medicina, H.U. Nantes (Francia)
  • Especialista en Cirugía Plástica y Reconstructiva, H.U. Nantes (Francia)
  • Investigación durante 20 años sobre la ventilación nasal del paciente fisurado y su impacto en el crecimiento facial
  • Presidente la Asociación Francesa de Fisuras Faciales (AFFF), 2001-2002
  • Miembro Honorario de la French Society of Plastic, Reconstructive and Aesthetic Surgery
  • Miembro Asociado de la SILPS (Societá Italiana per lo studio e la cura delle Labio-Palato-Schisi e delle malformazioni cranio-maxillo-facciali)
  • Fundador del centro labio leporino de la Clínica Jules Verne, Nantes (Francia)
  • Ponente especializado en labio leporino en más de 50 congresos por todo el mundo
  • Autor de más de 30 publicaciones científicas relacionadas con la patología de labio leporino

ABSTRACT

1 - “Anatomical and Functional Basis of Cleft Lip and Palate Treatment. Protocol of Primary Repair of a Complete Unilateral Cleft with 20 years of Follow Up"

Documents, like video of the nasal ventilation in utero and interesting cuts of cleft foetuses explain the nasal deformities, the collapse and the hypoplasia of the cleft side of the maxilla of the new born. After birth we have to understand the interplay of the different facial functions: ventilation, mastication, deglutition, speech and appearance which are both essential social functions and the necessity to respect the fundamental hierarchy between them.

The goal is to restore all the functions without any compromise at the time of the primary surgery, with a particular attention to the restoration of a nasal mode of ventilation (closure of the lip, nose and velum with intravelar veloplasty at 6 months of age).

The following step of closure of the remaining cleft of the hard palate at 18 months of age is always achieved in 2 planes without any denuded bone (since 36 years) and so without poor scaring. The third primary step of treatment is the closure of the alveolar cleft by gingivoperiosteoplasty and iliac bone graft, between 4 and 5 years of age, prepared if necessary by anterior expansion of the maxilla with a quadhelix.

The last modification of the protocol has been the introduction 20 years ago of a removable nasal retainer for the first 4 months after the first operation at 6 months of age in bilateral cleft. This very efficient precaution, immediately generalized, has transformed the quality of the nasal correction in any kind of cleft and is the obvious promise of a new age for reconstructive nasal surgery at any age and in any case.

In 2017 the consecutive oldest patients are 20 years old. They are presented with the details of the surgical and orthopaedic technique (We don’t use early preoperative orthopedics).

2 - “Primary Repair of Complete Bilateral CLP with the Nasal Breathing Approach. The Lesson Drawn from Primary Nasal Repair and its Extension to Secondary Repair and any Nasal Reconstructive Surgery"



The same protocol is achieved in unilateral and bilateral cleft. The lesson we can draw from the primary cleft nose surgery is the best guide for the secondary repair and open the way for new and outstanding possibilities in any case of reconstructive nasal surgery at any age and in any kind of deformity.