Facial Transplantation: Principles and Evolving Concepts.

Autor:	Kantar RS; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Alfonso AR; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Diep GK; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Berman ZP; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Rifkin WJ; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Diaz-Siso JR; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Sosin M; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Gelb BE; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Ceradini DJ; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health., Rodriguez ED; From the Hansjörg Wyss Department of Plastic Surgery and the Transplant Institute, New York University Langone Health.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2021 Jun 01; Vol. 147 (6), pp. 1022e-1038e.
DOI:	10.1097/PRS.0000000000007932
Abstrakt:	Learning Objectives: After studying this article, the participant should be able to: 1. Appreciate the evolution and increasing complexity of transplanted facial allografts over the past two decades. 2. Discuss indications and contraindications for facial transplantation, and donor and recipient selection criteria and considerations. 3. Discuss logistical, immunologic, and cost considerations in facial transplantation, in addition to emerging technologies used. 4. Understand surgical approaches and anatomical and technical nuances of the procedure. 5. Describe aesthetic, functional, and psychosocial outcomes of facial transplantation reported to date. Summary: This CME article highlights principles and evolving concepts in facial transplantation. The field has witnessed significant advances over the past two decades, with more than 40 face transplants reported to date. The procedure now occupies the highest rung on the reconstructive ladder for patients with extensive facial disfigurement who are not amenable to autologous reconstructive approaches, in pursuit of optimal functional and aesthetic outcomes. Indications, contraindications, and donor and recipient considerations for the procedure are discussed. The authors also review logistical, immunologic, and cost considerations of facial transplantation. Surgical approaches to allograft procurement and transplantation, in addition to technical and anatomical nuances of the procedure, are provided. Finally, the authors review aesthetic, functional, and psychosocial outcomes that have been reported to date. (Copyright © 2021 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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