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Bât. D1 - 6 rue de la Milétrie – TSA 51115 - 86073 POITIERS CEDEX 9 - France

(05.49.45.43.43 - 7 05.49.45.43.05

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Année universitaire 2015 - 2016

LISTE DES ENSEIGNANTS DE MEDECINE

Professeurs des Universités-Praticiens Hospitaliers

AGIUS Gérard, bactériologie-virologie (surnombre jusqu’en 08/2018)

ALLAL Joseph, thérapeutique

BATAILLE Benoît, neurochirurgie

BRIDOUX Frank, néphrologie

BURUCOA Christophe, bactériologie – virologie

CARRETIER Michel, chirurgie générale

CHEZE-LE REST Catherine, biophysique et médecine nucléaire

CHRISTIAENS Luc, cardiologie

CORBI Pierre, chirurgie thoracique et cardio-vasculaire

DEBAENE Bertrand, anesthésiologie réanimation

DEBIAIS Françoise, rhumatologie

DROUOT Xavier, physiologie

DUFOUR Xavier, Oto-Rhino-Laryngologie

EUGENE Michel, physiologie (surnombre jusqu’en 08/2016)

FAURE Jean-Pierre, anatomie

FRITEL Xavier, gynécologie-obstétrique

GAYET Louis-Etienne, chirurgie orthopédique et traumatologique

GICQUEL Ludovic, pédopsychiatrie

GILBERT Brigitte, génétique

GOMBERT Jean-Marc, immunologie

GOUJON Jean-Michel, anatomie et cytologie pathologiques

GUILHOT-GAUDEFFROY François, hématologie et transfusion

GUILLET Gérard, dermatologie

GUILLEVIN Rémy, radiologie et imagerie médicale

HADJADJ Samy, endocrinologie et maladies métaboliques

HAUET Thierry, biochimie et biologie moléculaire

HERPIN Daniel, cardiologie

HOUETO Jean-Luc, neurologie

INGRAND Pierre, biostatistiques, informatique médicale

JAAFARI Nematollah, psychiatrie d’adultes

JABER Mohamed, cytologie et histologie

JAYLE Christophe, chirurgie thoracique t cardio-vasculaire

KARAYAN-TAPON Lucie, cancérologie

KEMOUN Gilles, médecine physique et réadaptation (en détachement)

KITZIS Alain, biologie cellulaire

KRAIMPS Jean-Louis, chirurgie générale

LECRON Jean-Claude, biochimie et biologie moléculaire

LELEU Xavier, hématologie

LEVARD Guillaume, chirurgie infantile

LEVEQUE Nicolas, bactériologie-virologie

LEVEZIEL Nicolas, ophtalmologie

LEVILLAIN Pierre, anatomie et cytologie pathologiques (surnombre jusqu’en 08/2018)

MACCHI Laurent, hématologie

MARECHAUD Richard, médecine interne

MAUCO Gérard, biochimie et biologie moléculaire

MEURICE Jean-Claude, pneumologie

MIGEOT Virginie, santé publique

MILLOT Frédéric, pédiatrie, oncologie pédiatrique

MIMOZ Olivier, anesthésiologie – réanimation

NEAU Jean-Philippe, neurologie

ORIOT Denis, pédiatrie

PACCALIN Marc, gériatrie

PAQUEREAU Joël, physiologie (jusqu’au 31/10/2015)

PERAULT Marie-Christine, pharmacologie clinique

PERDRISOT Rémy, biophysique et médecine nucléaire

PIERRE Fabrice, gynécologie et obstétrique

POURRAT Olivier, médecine interne (surnombre jusqu’en 08/2018)

PRIES Pierre, chirurgie orthopédique et traumatologique

RICCO Jean-Baptiste, chirurgie vasculaire

RICHER Jean-Pierre, anatomie

RIGOARD Philippe, neurochirurgie

ROBERT René, réanimation

ROBLOT France, maladies infectieuses, maladies tropicales

ROBLOT Pascal, médecine interne

RODIER Marie-Hélène, parasitologie et mycologie

SENON Jean-Louis, psychiatrie d'adultes (surnombre jusqu’en 08/2017)

SILVAIN Christine, hépato-gastro- entérologie

SOLAU-GERVAIS Elisabeth, rhumatologie

TASU Jean-Pierre, radiologie et imagerie médicale

THIERRY Antoine, néphrologie

THILLE Arnaud, réanimation

TOUGERON David, gastro-entérologie

TOURANI Jean-Marc, cancérologie

WAGER Michel, neurochirurgie

! I!

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Bât. D1 - 6 rue de la Milétrie – TSA 51115 - 86073 POITIERS CEDEX 9 - France

(05.49.45.43.43 - 7 05.49.45.43.05

Maîtres de Conférences des Universités-Praticiens Hospitaliers

ALBOUY-LLATY Marion, santé publique

BEBY-DEFAUX Agnès, bactériologie – virologie

BEN-BRIK Eric, médecine du travail

BILAN Frédéric, génétique

BOURMEYSTER Nicolas, biologie cellulaire

CASTEL Olivier, bactériologie - virologie – hygiène

CREMNITER Julie, bactériologie – virologie

DAHYOT-FIZELIER Claire, anesthésiologie – réanimation

DIAZ Véronique, physiologie

FAVREAU Frédéric, biochimie et biologie moléculaire

FRASCA Denis, anesthésiologie – réanimation

HURET Jean-Loup, génétique

LAFAY Claire, pharmacologie clinique

PERRAUD Estelle, parasitologie et mycologie (ex-CATEAU)

RAMMAERT-PALTRIE Blandine, maladies infectieuses

SAPANET Michel, médecine légale

SCHNEIDER Fabrice, chirurgie vasculaire

THUILLIER Raphaël, biochimie et biologie moléculaire Professeur des universités de médecine générale

GOMES DA CUNHA José Professeurs associés de médecine générale

BINDER Philippe

BIRAULT François

VALETTE Thierry Maîtres de Conférences associés de médecine générale

ARCHAMBAULT Pierrick

BOUSSAGEON Rémy

FRECHE Bernard

GIRARDEAU Stéphane

GRANDCOLIN Stéphanie

PARTHENAY Pascal

VICTOR-CHAPLET Valérie Enseignants d'Anglais

DEBAIL Didier, professeur certifié

JORDAN Stephen, maître de langue étrangère

SASU Elena, contractuelle enseignante

Professeurs émérites

DORE Bertrand, urologie (08/2016)

GIL Roger, neurologie (08/2017)

MAGNIN Guillaume, gynécologie-obstétrique (08/2016)

MARCELLI Daniel, pédopsychiatrie (08/2017)

MENU Paul, chirurgie thoracique et cardio-vasculaire (08/2017)

Professeurs et Maîtres de Conférences honoraires

ALCALAY Michel, rhumatologie

ARIES Jacques, anesthésiologie-réanimation

BABIN Michèle, anatomie et cytologie pathologiques

BABIN Philippe, anatomie et cytologie pathologiques

BARBIER Jacques, chirurgie générale (ex-émérite)

BARRIERE Michel, biochimie et biologie moléculaire

BECQ-GIRAUDON Bertrand, maladies infectieuses, maladies tropicales (ex-émérite)

BEGON François, biophysique, médecine nucléaire

BOINOTCatherine, hématologie – transfusion

BONTOUX Daniel, rhumatologie (ex-émérite)

BURIN Pierre, histologie

CASTETS Monique, bactériologie -virologie – hygiène

CAVELLIER Jean-François, biophysique et médecine nucléaire

CHANSIGAUD Jean-Pierre, biologie du développement et de la reproduction

CLARAC Jean-Pierre, chirurgie orthopédique

DABAN Alain, cancérologie radiothérapie (ex-émérite)

DAGREGORIO Guy, chirurgie plastique et reconstructrice

DESMAREST Marie-Cécile, hématologie

DEMANGE Jean, cardiologie et maladies vasculaires

FAUCHERE Jean-Louis, bactériologie-virologie (ex-émérite)

FONTANEL Jean-Pierre, Oto-Rhino Laryngologie (ex-émérite)

GOMBERT Jacques, biochimie

GRIGNON Bernadette, bactériologie

GUILLARD Olivier, biochimie et biologie moléculaire

JACQUEMIN Jean-Louis, parasitologie et mycologie médicale

KAMINA Pierre, anatomie (ex-émérite)

KLOSSEK Jean-Michel, Oto-Rhino-Laryngologie

LAPIERRE Françoise, neurochirurgie (ex-émérite)

LARSEN Christian-Jacques, biochimie et biologie moléculaire

MAIN de BOISSIERE Alain, pédiatrie

MARILLAUD Albert, physiologie

MORICHAU-BEAUCHANT Michel, hépato-gastro-entérologie

MORIN Michel, radiologie, imagerie médicale

POINTREAU Philippe, biochimie

REISS Daniel, biochimie

RIDEAU Yves, anatomie

SULTAN Yvette, hématologie et transfusion

TALLINEAU Claude, biochimie et biologie moléculaire

TANZER Joseph, hématologie et transfusion (ex-émérite)

TOUCHARD Guy, néphrologie

VANDERMARCQ Guy, radiologie et imagerie médicale

! J!

Remerciements !

!A mon maître et président du jury Monsieur le Professeur Xavier Dufour Professeur d’oto-rhino-laryngologie et chirurgie cervico-faciale Vous me faites l’honneur de présider le jury de cette thèse. Vous m’avez accueillie comme interne dans votre service, où j’ai pu bénéficier de votre enseignement théorique et chirurgical. Veuillez croire en ma reconnaissance et mon respect.

A mon maître et juge Madame le Professeur Brigitte Gilbert Professeur de génétique Vous avez accepté de juger ce travail. Soyez remerciée de l’honneur que vous nous faites et veuillez croire en l’assurance de ma reconnaissance et mon respect.

A mon maître et juge Monsieur le Professeur Christophe Vincent Professeur d’oto-neurochirurgie (CHR de Lil le ) Vous m’avez accueillie en dernier semestre dans votre service où j’ai bénéficié de votre enseignement médical et de vos qualités chirurgicales, ce qui m’aura permis d’approfondir et perfectionner mes connaissances en otologie. Vous avez accepté de juger ce travail. Soyez-en remercié et veuillez croire en ma reconnaissance et mon respect.

A mon maître et juge Monsieur le Docteur Jiad Mcheik, Praticien hospital ier de chirurgie pédiatrique Tu as connu mes premiers points de suture et j’ai bénéficié pendant ces six premiers mois de ton enseignement de chirurgie pédiatrique, notamment celui des fentes labio-palatines qui nous mène à ce travail aujourd’hui. Tu as accepté de juger ce travail. Reçois mes remerciements et mon respect pour cela.

A mon maître et directeur de thèse Monsieur le Docteur Jean-Pascal Lebreton Praticien hospital ier d’oto-rhino-laryngologie Ta rigueur et ton enseignement m’ont permis d’avoir une formation ORL complète et riche mais aussi et surtout de découvrir l’otologie qui me tient tant à cœur aujourd’hui. Ton soutien m’a amené à écrire ce travail. Sois assuré de ma reconnaissance et de mon respect.

A Hélène Lebrun-Losl ier Praticien hospital ier d’oto-rhino-laryngologie Ta rigueur et ton investissement personnel au travail ont été une grande source d’inspiration pour ma pratique. La confiance que tu m’as portée m’a fait beaucoup progresser. Sois assurée de ma profonde gratitude et de toute mon amitié.

! 4!

A Nathalie Girault Praticien hospital ier de phoniatrie Je te dois mes connaissances sur les troubles de la voix et de la déglutition. Je te remercie du temps que tu m’as accordé en m’enseignant ton savoir. Sois assurée de toute mon amitié.

A mes chefs et anciens chefs Catherine Gohler, Fouad Aajaji, Anne-Laure Capitaine, Vincent Clert, Karim Ouaz, Bertrand Fouillet, Guillaume Allano, Sami Turki, Jean-Paul Trijolet, Nicolas-Xavier Bonne, Sophie Achard, Guillaume Dedieu

A toute l ’équipe d’ORL, de chirurgie maxil lo-faciale et dentaire de l ’hôpital du Taaone à Papeete A mes co-internes et anciens co-internes Ludwig, Justine, Louis, Vincent, Denis, Samy, Marion, Julie G., Eliette, Julie S., Martin, Marine, Quentin, Antoine, Emmanuel Sans qui le quotidien d’interne serait bien difficile. Votre soutien et votre présence ont souvent permis d’embellir mes journées.

Aux secrétaires d’ORL de Poitiers et de Lil le , aux secrétaires de chirurgie pédiatrique Aux IDE, IBODE, IADE, AS, ASH, référents logist iques, survei l lants Aux ORL qui ont accepté de répondre à mon questionnaire de recueil de données. Aux enfants atteints de fentes palatines et à leurs parents qui ont gentiment accepté de répondre par téléphone à mes questions … Un grand merci !

! K!

A mes amis Natacha, Emilie, Louise, Elsa, Marie-Laure, Robin, Marie-Pierre, Géraldine Dont le soutien a été pour moi si précieux pendant ces longues années d’étude. Merci à Amélie pour ses conseils en statistiques. A ma famil le Oncles, tantes, cousins, grands-parents Qui m’ont encouragée et soutenue dans cette voie. Une pensée toute particulière pour ma grand-mère Renée que je regrette beaucoup ne pas voir assise dans l’assemblée mais qui reste présente dans mon cœur. A mes parents Qui m’ont aidée, soutenue, poussée dans cette voie difficile et pourtant que j’ai choisie. Je vous suis tant reconnaissante de votre amour qui m’a permis de gravir les marches jusqu’à ce jour. Je vous dédie ce travail. A mon frère Romain De trois ans mon cadet et pourtant Docteur avant moi ! Ta sagesse et ton amour m’ont été d’un grand soutien dans les moments de doute. Reçois toute ma gratitude d’avoir pu grandir à tes côtés. Je te dédie ce travail.

A mon frère Antoine

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ATT1

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"#"#"!

En présence des Maîtres de cette école, de mes chers condisciples et

devant l'effigie d'Hippocrate, je promets et je jure d'être fidèle aux lois de

l'honneur et de la probité dans l'exercice de la médecine. Je donnerai mes soins

gratuits à l'indigent et n'exigerai jamais un salaire au-dessus de mon travail.

Admis dans l'intérieur des maisons mes yeux ne verront pas ce qui s'y passe ; ma

langue taira les secrets qui me seront confiés, et mon état ne servira pas à

corrompre les mœurs ni à favoriser le crime. Respectueux et reconnaissant envers

mes Maîtres, je rendrai à leurs enfants l'instruction que j'ai reçue de leurs pères.

Que les hommes m'accordent leur estime si je suis fidèle à mes promesses !

Que je sois couvert d'opprobre et méprisé de mes confrères si j'y manque !

"#"#"!

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