Long-distance care of face transplant recipients in the United States.
J Plast Reconstr Aesthet Surg
; 71(10): 1383-1391, 2018 10.
Article
em En
| MEDLINE
| ID: mdl-30244707
ABSTRACT
Promising aesthetic and functional outcomes in facial transplantation have fueled the interest of patients and providers alike. However, there are currently only 11 active face transplant centers in the United States, and only five have accumulated operative experience to date, resulting in an extremely unbalanced geographical distribution of providers. Since face transplant recipients must receive life-long follow-up, this presents unique challenges for face transplant candidates and provider teams, as long-distance travel may add considerable difficulty to pre- and post-transplant care. Furthermore, by compromising follow-up, this burden of travel may impact the ability of experienced face transplant centers to collect data, share knowledge as these patients are followed, and continue to advance the field. This article highlights the unique logistical and ethical implications of the highly probable long-distance nature of face transplant care in the United States, a challenging aspect of management that has not been previously discussed in the literature. Furthermore, we review current strategies in the long-distance management of solid organ transplantation (SOT) recipients, and propose several possibilities to help address these challenges in facial transplantation based on SOT experience.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Promover_ampliacao_atencao_especializada
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Transplante de Face
/
Acessibilidade aos Serviços de Saúde
Aspecto:
Determinantes_sociais_saude
/
Ethics
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Plast Reconstr Aesthet Surg
Ano de publicação:
2018
Tipo de documento:
Article