Facial Transplantation

Author:

Horen Sydney R.1ORCID,Lopez Joseph2,Dorafshar Amir H.1

Affiliation:

1. Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL

2. Division of Plastic Surgery, Yale University, New Haven, Connecticut

Abstract

AbstractFacial transplantation represents a unique surgical solution for challenging facial injury patterns in which conservative reconstructive techniques fail to provide a satisfactory functional and aesthetic result. With advances in the field of vascularized composite allotransplantation over the past 15 years, more than 40 of these procedures have been performed worldwide with two recent reports of facial re-transplantation. In this article we discuss the multidisciplinary approach that is required for successful transplantation as well as the surgical techniques used and postoperative management. With ongoing research, recent technological innovation, and increased efforts to promote greater generalizability and transparency in this field, patients with these complex injuries will continue to see improvements in their treatment options, and thus quality of life.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

Reference46 articles.

1. Facial transplantation: the first 9 years;S Khalifian;Lancet,2014

2. The face transplantation update: 2016;M Sosin;Plast Reconstr Surg,2016

3. Face, upper extremity, and concomitant transplantation: potential concerns and challenges ahead;M Z Siemionow;Plast Reconstr Surg,2010

4. The miracle of face transplantation after 10 years;M Siemionow;Br Med Bull,2016

5. Nasal unit transplantation: a cadaveric anatomical feasibility study;A H Dorafshar;J Reconstr Microsurg,2017

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