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Stratégies chirurgicales pré-implantaires et implantaires des séquelles de fentes labio-maxillo-palatines : état de l’art et analyse de cas

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(1)Stratégies chirurgicales pré-implantaires et implantaires des séquelles de fentes labio-maxillo-palatines : état de l’art et analyse de cas Franck Afota. To cite this version: Franck Afota. Stratégies chirurgicales pré-implantaires et implantaires des séquelles de fentes labiomaxillo-palatines : état de l’art et analyse de cas. Médecine humaine et pathologie. 2016. �dumas01466861�. HAL Id: dumas-01466861 https://dumas.ccsd.cnrs.fr/dumas-01466861 Submitted on 21 Feb 2017. HAL is a multi-disciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers.. L’archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d’enseignement et de recherche français ou étrangers, des laboratoires publics ou privés..

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(3) CORPS ENSEIGNANT 56. ème. Année universitaire 2015/2016. section ti : DEVELOPPEMENT, CROISSANCE ET PREVENTION. Sous-section 01 : ODONTOLOGIE PEDIATRIQUE Professeur des Universités : Mme MULLER-BOLLA Michèle Maître de Conférences des Universités : Mme JOSEPH Clara Assistant Hospitalier Universitaire : Mme PIERRE Audrey Sous-section 02 : ORTHOPEDIE DENTO-FACIALE Professeur des Universités : Mme MANIERE-EZVAN Armelle Maître de Conférences des Universités : M. FAVOT Pierre Assistante Associée-Praticien Associée : Mme OUEISS Arlette Assistant Hospitalier Universitaire : M. BUSSON Floriant Sous-section 03 : PREVENTION, EPIDEMIOLOGIE, ECONOMIE DE LA SANTE, ODONTOLOGIE LEGALE Professeur des Universités : Mme LUPI-PEGURIER Laurence Assistant Hospitalier Universitaire : Mme SOSTHE Anne Laure Assistant Hospitalier Universitaire : Mme BORSA Leslie. 57. ème. section : SCIENCES BIOLOGIQUES, MEDECINE ET CHIRURGIE BUCCALE. Sous-section 01 : PARODONTOLOGIE Maître de Conférences des Universités : M. CHARBIT Yves Maître de Conférences des Universités : Mme VINCENT-BUGNAS Séverine Assistant Hospitalier Universitaire : Mme LAMURE Julie Assistant Hospitalier Universitaire : M. RATHELOT Benjamin Sous-section 02 : CHIRURGIE BUCCALE, PATHOLOGIE ET THERAPEUTIQUE, ANESTHESIE ET REANIMATION Professeur des Universités Associées : Mme MERIGO Elisabetta Maître de Conférences des Universités : M. COCHAIS Patrice Maître de Conférences des Universités : M. SAVOLDELLI Charles Maître de Conférences des Universités : M. HARNET Jean-Claude Assistant Hospitalier Universitaire : M. PAUL Adrien Sous-section 03 : SCIENCES BIOLOGIQUES Professeur des Universités : Mme PRECHEUR SABLAYROLLES Isabelle Maître de Conférences des Universités : Mme RAYBAUD Hélène Maître de Conférences des Universités : Mme VOHA Christine. 58ème section : SCIENCES PHYSIQUES ET PHYSIOLOGIQUES ENDODONTIQUES ET PROTHETIQUES Sous-section 01 : ODONTOLOGIE CONSERVATRICE, ENDODONTIE Professeur des Universités : Mme BERTRAND Marie-France Professeur des Universités : M. MEDIONI Etienne Professeur Emérite : M. ROCCA Jean-Paul Maître de Conférences des Universités : Mme BRULAT-BOUCHARD Nathalie Assistant Hospitalier Universitaire : M. MORKOWSKI-GEMMI Thomas Assistant Hospitalier Universitaire : Mme DUVERNEUIL Laura Assistant Hospitalier Universitaire : M. GANDJIZADEH GHOUCHANI Mir-Payam Sous-section 02 : PROTHESES Professeur des Universités : Mme LASSAUZAY Claire Maître de Conférences des Universités : M. ALLARD Yves Maître de Conférences des Universités : M. LAPLANCHE Olivier Maître de Conférences des Universités : Mme POUYSSEGUR-ROUGIER Valérie Assistant Hospitalier Universitaire : Mme CERETTI Léonor Assistant Hospitalier Universitaire : M. OUDIN GENDREL Antoine Assistant Hospitalier Universitaire : M. SABOT Jean-Guy Assistant Hospitalier Universitaire : M. SAMMUT Arnaud Sous-section 03 : SCIENCES ANATOMIQUES ET PHYSIOLOGIQUES Professeur des Universités : M. BOLLA Marc Professeur des Universités : M. MAHLER Patrick Maître de Conférences des Universités : Mme EHRMANN Elodie Maître de Conférences des Universités : M. LEFORESTIER Eric Assistant Hospitalier Universitaire : Mme CANCEL Bénédicte. . . . &.

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(30) . . &$2/"hlT"5"*-)"!" ,//" 1&,+!"/>1/,W*5&))&"-/,01>,1,*&"*5&))&/"!f3+ >"U >)>/!&,$/-%&"!"-/,#&)3+1_-/=0b/ U,/1,"1/%U3,)!"))&c. . . . &$2/"hmT"5"*-)"!"!&01/ 1&,+*5&))&/"-/!&01/ 1"2/01/+0W+1/25b/U"11"$R/ %U3,)!"))&c.  YU ./ (+./ -/$$- .  +#,+ 1&,+!"0!&##>/"+101"*-0-/&*&/"0"10" ,+!&/"0R)"01"*-01"/1&&/"00,+1T. . W. +"/%&+,-)01&"S. W. 2+"/"-/&0"!") %"&),-)01&"S. W. 2+"/"-/&0"!") & 1/& ")&)"b %&/2/$& )",22)0"/cS. W. 2+" 2/"!Z2+"#&012)"-)1&+"S. W. 2+")&-,W01/2 12/"!23,&)"-,2/*>)&,/"/) ,*->1"+ "3>)&/"S . hj.

(31) W. 0) +-$.  )#-" O0) .+ ; )/;.0-'O- T*0 . .+ . +*0-0) ! )/ $'/;-' UK.  "11" "0- " ,//"0-,+! 0,23"+1 8 2+" 0"+ " !" )Z&+ &0&3" )1>/)" -/ $>+>0&"R -/ -,0&1&,++"*"+1 " 1,-&.2" ,2 -/ "51/ 1&,+U  #"/*"12/" !" )Z"0- " +Z>1+1 -0 #3,/)" 8 2+" , )20&,+ #,+ 1&,++"))"R "1 "0- " "01 3,),+1&/"*"+1 ,+0"/3> -/ )Z,/1%,!,+1&01" "+ 32" !Z2+" />%&)&11&,+ -/,1%>1&.2" b&$2/" hn&$2/" hocU %.2" -1&"+1 2/ ),/0 !" "11" >1-" 2+ "+3&/,++"*"+1 , )20)R 0.2")"11&.2" 0)R ,00"25 )3>,)&/""1-/,!,+1).2& ,+!&1&,++"/)" %,&5!" "11"/>%&)&11&,+U,1/"1/3&) 3&+0&0" ,+ "+1/"/02/)-/,)>*1&.2"!")/>%&)&11&,+-/,1%>1&.2"!"0"0- "0 02/)Z/ !"!"+1&/"U  . . &$2/"hnT5"*-)"!Z2+ 0!"0>.2"))"!"#"+1")&,W*5&)),W-)1&+"$2 %",H)Z"0- "!" )Z&+ &0&3")1>/)"0"+1"!2 D1>$2 %">1>#"/*>,/1%,!,+1&.2"*"+1U. . . &$2/"hoT5"*-)"!Z2+ 0!"0>.2"))"!"#"+1")&,W*5&)),W-)1&+",H)Z"0- "!")Z&+ &0&3" )1>/)"0"+1"!2 D1>$2 %">1>*&+1"+2U.    . . hk.

(32)               . X:(  J                        . . . hl.

(33) "0 )00&#& 1&,+0 !" #"+1"0 )&,W*5&)),W-)1&+"0 +Z&))201/"+1 -0 )"0 )*('$ .  )/$- ...*$; .U"0+,*)&"00,+1&"+!> /&1"0bjkcT W. Z$>+>0&"!Z2*,&+02+"!"+1##" 1"kpr!"0-1&"+1011"&+10!"#"+1"0 )&,W*5&)),W-)1&+"00"),+)Z>12!"!"/17")"1)UbjlcU"),+)*?*" >12!"R)Z&+0& &3")1>/)"!2 D1>!")#"+1""01)!"+1)-)20#/>.2"**"+1 0"+1"bjprcR02&3&"!")Z&+ &0&3")1>/)" ,+1/,)1>/)"bprcS. W. 0"),+ )*+1 "1 )U bjmcR )Z$>+>0&" !" )Z&+ &0&3" )1>/)" 11"&+1 llr !"0 0!"#"+1"02+&)1>/)"0U"11"$>+>0&""01!Z21+1-)20-/>0"+1".2") 1&))"!")#"+1""01&*-,/1+1"bjncS. W. )"0 +,*)&"0 !" #,/*"0T 12/,!,+1&0*" bnhr !"0 0 !" 0>.2"))"0 !" #"+1"0cR*& /,!,+1&"bjnrcR%6-,-)0&"bjhrcbjocS. W. )"0+,*)&"0!"-,0&1&,+1,2 %"+1jhr!"0 0bjocb&$2/"hpcU . . &$2/"hpT"5"*-)"!f" 1,-&"!"+1&/"!+02+ 0!"0>.2"))"!"#"+1"b)ii"010&12>"0,20)"0 #,00"0+0)"0c.  Z$>+>0&",2)Z"51/ 1&,+b-/+,*)&"!"#,/*",2!"-,0&1&,+c!")Z&+ &0&3")1>/)"R 00, &>" 25 +,*)&"0 !" )Z&+ &0&3" "+1/)" %"7 "0 -1&"+10 3 0Z"5-/&*"/ )&+&.2"*"+1 02/ )Z/ !" !"+1&/" -/ 2+ "0- "U  .2"01&,+ -,2/ )Z,/1%,!,+1&01" !" #"/*"/,2+,+ "1"0- "0"-,0""13 ,+!&1&,++"/)02&1"!")-/&0""+ %/$"bhncU  W ,&1 )Z"0- " "01 #"/*> -/ )Z,/1%,!,+1&01" b&$2/" hncR 0,23"+1 -,2/ 2+" ,//" 1&,+ !Z2+"-/,W)3>,)&"&+ &0&3"U"11"#"/*"12/"/"+!+1)Z, )20&,+06*>1/&.2""1&+01)" 3,&/"2+", )20&,+&+3"/0>"-,2/)"00>.2"))"0!"#"+1"&)1>/)"02#0&"))""01/>)&0>" "+ -/>-/1&,+ !Z2+" 3+ >" %&/2/$& )" !2 *5&))&/"U 2',2/!Z%2&R "11" #"/*"12/" !,&1?1/""5 "-1&,++"))""1&002"!Z2+"/>#)"5&,+ ,))>$&)"U  . . hm.

(34) W  ,&1 )Z"0- " "01 *&+1"+2 "1 ,##/" !" +,*/"25 3+1$"0,/1%,!,+1&.2"0 T b&$2/" hoc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hn.

(35)    Y:(  J  O    M.   .                   . . ho.

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Figure

Figure 3 : fente labiale bilatérale

Références

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