{"id":482,"date":"2025-06-05T10:44:01","date_gmt":"2025-06-05T08:44:01","guid":{"rendered":"https:\/\/recette.sfmds-sommeil.org\/?p=482"},"modified":"2025-07-02T15:10:32","modified_gmt":"2025-07-02T13:10:32","slug":"interview-du-docteur-bernard-fleury-pneumologue-president-de-la-sfmds","status":"publish","type":"post","link":"https:\/\/sfmds-sommeil.org\/?p=482","title":{"rendered":"Interview du Docteur Bernard Fleury, Pneumologue, Pr\u00e9sident de la SFMDS"},"content":{"rendered":"\t\t
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30 octobre 2012<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Interview du Docteur Bernard Fleury, Pneumologue, Pr\u00e9sident de la SFMDS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Interview du Docteur Bernard Fleury, Pneumologue, Pr\u00e9sident de la SFMDS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Il y a 30 ans, le jeune sp\u00e9cialiste en pneumologie que j\u2019\u00e9tais a eu la chance de voir s\u2019ouvrir un vaste et nouveau champ d\u2019investigation m\u00e9dicale, l\u2019exploration des troubles respiratoires du sommeil. Le ronflement souvent plaisant\u00e9 s\u2019av\u00e9rait le sympt\u00f4me d\u2019une pathologie grave, le syndrome d\u2019apn\u00e9es du sommeil. Au fil des ann\u00e9es, notre connaissance sur la pr\u00e9valence de la maladie, sur ses cons\u00e9quences graves domin\u00e9es par la somnolence diurne et les maladies cardiovasculaires (Hypertension art\u00e9rielle, insuffisance coronarienne, accident vasculaire c\u00e9r\u00e9bral, trouble du rythme cardiaque) ont fait prendre conscience de la place de choix du syndrome d\u2019apn\u00e9es du sommeil parmi les grands probl\u00e8mes de sant\u00e9 publique. Selon une \u00e9tude r\u00e9cente r\u00e9alis\u00e9e par l\u2019Institut de Veille Sanitaire (la pr\u00e9valence des sympt\u00f4mes \u00e9vocateurs de syndrome d\u2019apn\u00e9es du sommeil dans la population g\u00e9n\u00e9rale fran\u00e7aise \u00e9tait de 4,9 % [IC 95 %: 4,5\u20135,3] (hommes 7,3 %, femmes 2,8 %). Cette pr\u00e9valence des sympt\u00f4mes \u00e9vocateurs de syndrome d\u2019apn\u00e9es du sommeil \u00e9tait de 8 % chez les hypertendus et de 11 % chez les ob\u00e8ses. Il faut noter que seuls 15% de ces sujets, a priori apn\u00e9iques, avaient b\u00e9n\u00e9fici\u00e9 d\u2019une exploration. Il reste donc un important travail d\u2019information sur cette maladie, \u00e0 la fois aupr\u00e8s du public mais aussi des soignants \u00e0 faire.<\/p>

Personnellement, mon activit\u00e9 professionnelle, s\u2019est progressivement orient\u00e9e vers un exercice uniquement consacr\u00e9 \u00e0 la prise en charge de cette pathologie.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Pourquoi avez-vous d\u00e9cid\u00e9 avec des confr\u00e8res odontologistes et ORL et chirurgiens maxillo-faciaux de cr\u00e9er la Soci\u00e9t\u00e9 Fran\u00e7aise de M\u00e9decine Dentaire du Sommeil ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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La collaboration interdisciplinaire entre les m\u00e9decins impliqu\u00e9s dans la prise encharge des troubles du sommeil, les odontologistes (dentistes-orthodontistes), stomatologistes, les ORL et les chirurgiens maxillo-faciaux est n\u00e9cessaire pour une prise en charge optimale de ces patients. Le traitement de l\u2019obstruction pharyng\u00e9e intermittente favoris\u00e9e par le sommeil qui sous tend le ronflement et les apn\u00e9es repose soit sur un traitement pneumatique (la Ventilation en Pression Positive Continue), soit sur une approche chirurgicale de la luette et\/ou des amygdales, soit sur une avanc\u00e9e de la mandibule, permanente gr\u00e2ce \u00e0 une chirurgie d\u2019avanc\u00e9e maxillo-mandibulaire ou transitoire durant le sommeil gr\u00e2ce \u00e0 une orth\u00e8se d\u2019avanc\u00e9e mandibulaire.<\/p>

Le r\u00f4le des odontologistes est capital. Ils sont les seuls en mesure de prendre en charge la r\u00e9alisation et la surveillance du traitement par orth\u00e8se d\u2019avanc\u00e9e mandibulaire. Ils assurent la pr\u00e9paration orthodontique \u00e0 la chirurgie d\u2019avanc\u00e9e bi-maxillaire.<\/p>

C\u2019est pourquoi, dans un premier temps, nous avons cr\u00e9e il y a trois ans, un Dipl\u00f4me Inter Universitaire (UFR d’Odontologie Garanci\u00e8re-Paris VII, H\u00f4pital Saint Antoine-Paris VI, CHU d\u2019Angers) pour donner \u00e0 nos confr\u00e8res odontologistes une formation th\u00e9orique et pratique \u00e0 la prise en charge de ces patients.<\/p>

Il faut ajouter un r\u00f4le de pr\u00e9vention tr\u00e8s important d\u00e9volu aux odontologistes : reconna\u00eetre chez l\u2019enfant les anomalies morphologiques maxillo-mandibulaires dont on sait qu\u2019elles aboutiront chez l\u2019adulte au d\u00e9veloppement des obstructions pharyng\u00e9es it\u00e9ratives du syndrome d\u2019apn\u00e9es du sommeil.<\/p>

Face \u00e0 ces r\u00e9alit\u00e9s et \u00e0 l\u2019int\u00e9r\u00eat croissant des diff\u00e9rents sp\u00e9cialistes pour cette activit\u00e9 interdisciplinaire, nous avons d\u00e9cid\u00e9 de cr\u00e9er un lieu d\u2019\u00e9changes scientifiques et de formation : la Soci\u00e9t\u00e9 Fran\u00e7aise de M\u00e9decine Dentaire du Sommeil. L\u2019anciennet\u00e9 de mon implication dans la prise en charge clinique de cette maladie et de mon activit\u00e9 de recherche m\u2019ayant permis de tisser des liens \u00e9troits avec les sp\u00e9cialistes fran\u00e7ais des troubles du sommeil ont motiv\u00e9 ma d\u00e9signation comme Pr\u00e9sident de la Soci\u00e9t\u00e9.<\/p>

Quels sont vos objectifs imm\u00e9diats ?
L\u2019objectif du pr\u00e9sident est bien sur de convaincre le plus grand nombre possible de nos confr\u00e8res de nous rejoindre pour que cette soci\u00e9t\u00e9 soit rapidement une soci\u00e9t\u00e9 vivante lieu d\u2019\u00e9changes interdisciplinaires intenses et constructifs, qu\u2019elle puisse permettre \u00e0 une information fond\u00e9e sur les preuves scientifiques de se r\u00e9pandre dans notre communaut\u00e9 de soignants, qu\u2019elle puisse promouvoir des \u00e9tudes rigoureuses et des r\u00e8gles de bonne pratiques reconnues.<\/p>

Dans l\u2019imm\u00e9diat, notre \u00e9nergie se concentre d\u2019une part, sur l\u2019organisation la r\u00e9union inaugurale du 10 mai 2012 au cours de laquelle sera pr\u00e9sent\u00e9e notre jeune soci\u00e9t\u00e9 \u00e0 l\u2019occasion de la remise des dipl\u00f4mes aux deux premi\u00e8res promotions du DIU TOSSAOS et d\u2019autre part sur la pr\u00e9paration de la premi\u00e8re journ\u00e9e scientifique de la Soci\u00e9t\u00e9, le 22 novembre 2012 dans le cadre du Congr\u00e8s annuel du Sommeil \u00e0 Bordeaux.<\/p>

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t< Retour aux interviews<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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30 octobre 2012 Interview du Docteur Bernard Fleury, Pneumologue, Pr\u00e9sident de la SFMDS Interview du Docteur Bernard Fleury, Pneumologue, Pr\u00e9sident de la SFMDS Il y a 30 ans, le jeune […]<\/p>\n","protected":false},"author":1,"featured_media":484,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-482","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-interviews"],"yoast_head":"\nInterview du Docteur Bernard Fleury, Pneumologue, Pr\u00e9sident de la SFMDS - SFMDS Soci\u00e9t\u00e9 Fran\u00e7aise de M\u00e9decine du Sommeil<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sfmds-sommeil.org\/?p=482\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Interview du Docteur Bernard Fleury, Pneumologue, Pr\u00e9sident de la SFMDS - 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