Facial transplantation: A concise update
Med. oral patol. oral cir. bucal (Internet)
; 18(2): 263-271, mar. 2013. ilus, tab
Article
en En
| IBECS
| ID: ibc-112396
Biblioteca responsable:
ES1.1
Ubicación: BNCS
ABSTRACT
Objectives:
Update on clinical results obtained by the first worldwide facial transplantation teams as well as review of the literature concerning the main surgical, immunological, ethical, and follow-up aspects described on facial transplanted patients. Studydesign:
MEDLINE search of articles published on face transplantation until March 2012.Results:
Eighteen clinical cases were studied. The mean patient age was 37.5 years, with a higher prevalence of men. Main surgical indication was gunshot injuries (6 patients). All patients had previously undergone multiple conventional surgical reconstructive procedures which had failed. Altogether 8 transplant teams belonging to 4 countries participated. Thirteen partial face transplantations and 5 full face transplantations have been performed. Allografts are varied according to face anatomical components and the amount of skin, muscle, bone, and other tissues included, though all were grafted successfully and remained viable without significant postoperative surgical complications. The patient with the longest follow-up was 5 years. Two patients died 2 and 27 months after transplantation.Conclusions:
Clinical experience has demonstrated the feasibility of facial transplantation as a valuable reconstructive option, but it still remains considered as an experimental procedure with unresolved issues to settle down. Results show that from a clinical, technical, and immunological standpoint, facial transplantation has achieved functional, aesthetic, and social rehabilitation in severely facial disfigured patients (AU)
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Colección:
06-national
/
ES
Base de datos:
IBECS
Asunto principal:
Cara
/
Trasplante Facial
/
Neoplasias de Cabeza y Cuello
/
Traumatismos Craneocerebrales
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Aspecto:
Ethics
Límite:
Humans
Idioma:
En
Revista:
Med. oral patol. oral cir. bucal (Internet)
Año:
2013
Tipo del documento:
Article