Total Face and Scalp Replantation

Thomas, Alan; Obed, Vijay A.; Murarka, Anil; Malhotra, Gopal

doi:10.1097/00006534-199811000-00041

Cited by 66 publications

(28 citation statements)

References 4 publications

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“…[9][10][11][12] Diğer yazarlar birden fazla damara anastomoz yapmak gerekliliğini savunurlar. [13][14][15][16][17][18] Hasta sayısının yeterli olmaması nedeniyle, anastomoz sayısınının yeterliliği üzerinde bir çalışma yapmak ve kesin bir yargıya varmak zordur. Ancak Cheng ve arkadaşları 20 olgudan oluşan serilerinde çoklu damar anastomozunun daha iyi sonuçlar verdiğini vurgulamıştır.…”

Section: Discussionunclassified

“…Bu çalışmadan sonra Buncke ve arkadaşları [4] Van Beek ve Zook [5] ve diğer başka yazarlar [6][7][8] kendi başarılı deneyimlerini sunmuşlardır ve skalp avülsiyonlarında mikrocerrahi ile replantasyon günümüzde kullanılan seçkin tedavi yöntemi halini almıştır. [9][10][11][12][13][14][15][16][17] Ancak, ekstremite amputasyonlarındakinin tersine kulak, burun, skalp gibi dokuların replantasyonu vasküler yapılarının boyutlarının küçüklüğü ve de bunların yaralanmalarının natürüne bağlı zedelenmeleri nedeniyle, birçok mikrocerrahi kliniğinde elde edilen tecrübelere rağmen, günümüzde halen zorluk arzeder.…”

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A succesful replantation of total scalp, forehead, left ear, eyebrows and upper eyelids amputation and 6-year follow-up results

Özkan

Bektas²,

Cinpolat³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Section: Discussionunclassified

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A succesful replantation of total scalp, forehead, left ear, eyebrows and upper eyelids amputation and 6-year follow-up results

Özkan

Bektas²,

Cinpolat³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…49,50 In the first, replantation was performed in two pieces, based on the medial canthal vein and the facial vein and artery on the right side, and the labial artery with its vein and superficial temporal artery and two concomitant veins on the left side. Three years after replantation, the patient recovered satisfactory animation of the oral musculature and profound growth of hair on the scalp.…”

Section: Total Face and Scalp Replantationsmentioning

confidence: 99%

“…Three years after replantation, the patient recovered satisfactory animation of the oral musculature and profound growth of hair on the scalp. 49 In the second case, the face was avulsed as one piece, including the entire scalp, right ear, forehead, eyebrows, right cheek, nose, and upper lip. This replantation was based only on a single superficial temporal artery and two veins.…”

Section: Total Face and Scalp Replantationsmentioning

confidence: 99%

Facial Transplantation

Siemionow

Külahçi

2007

Seminars in Plastic Surgery

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The face has functional and aesthetic importance. It represents the most identifiable aspect of an individual's physical being. Its role in a person's identity and ability to communicate can therefore not be overstated. The face also plays an important role in certain functional needs such as speech, communicative competence, eye protection, and emotional expressiveness. The latter function bears significant social and psychological import, because two thirds of our communication takes place through nonverbal facial expressions. Accordingly, the significance of reconstruction of the face is indisputable. Yet despite application of meticulous techniques and the development of innovative approaches, full functional and aesthetic reconstruction of the face remains challenging. This is because optimal reconstruction of specialized units of the face have to address both the functional and aesthetic roles of the face.

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“…Outcome with conventional reconstructive techniques, including skin grafts, local flaps, tissue expansion and free tissue transfers, as well as skin substitute, is rarely considered satisfactory with regard to both function and cosmesis (13). However, as demonstrated by the success reported for two cases of total face and scalp replantation for traumatic defects, these objectives can, in theory, be achieved with reconstruction using facial skin (14,15). This should not be surprising, because it is in keeping with the pre-eminent objective of reconstructive surgery, which is to replace like with like.…”

mentioning

confidence: 99%

Composite tissue allotransplantation of the face: Decision analysis model

Cugno¹,

Sprague²,

Duku³

2007

CAN J PLAST SURG

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BACKGROUND: Facial composite tissue allotransplantation is a potential reconstructive option for severe facial disfigurement. The purpose of the present investigation was to use decision analysis modelling to ascertain the expected quality-adjusted life years (QALYs) gained with face transplantation (versus remaining in a disfigured state) in an effort to assist surgeons with the decision of whether to adopt this procedure. STUDY DESIGN: The probabilities of potential complications associated with facial allotransplantation were identified by a comprehensive review of kidney and hand transplant literature. A decision analysis tree illustrating possible health states for face allotransplantation was then constructed. Utilities were obtained from 30 participants, using the standard gamble and time trade-off measures. The utilities were then translated into QALYs, and the expected QALYs gained with transplantation were computed. RESULTS: Severe facial deformity was associated with an average of 7.34 QALYs. Allotransplantation of the face imparted an expected gain in QALYs of between 16.2 and 27.3 years. CONCLUSIONS: The current debate within the medical community surrounding facial composite tissue allotransplantation has centred on the issue of inducing a state of immunocompromise in a physically healthy individual for a non-life-saving procedure. However, the latter must be weighed against the potential social and psychological benefits that transplantation would confer. As demonstrated by a gain of 26.9 QALYs, participants' valuation of quality of life is notably greater for face transplantation with its side effects of immunosuppression than for a state of uncompromised physical health with severe facial disfigurement.

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Total Face and Scalp Replantation

Cited by 66 publications

References 4 publications

A succesful replantation of total scalp, forehead, left ear, eyebrows and upper eyelids amputation and 6-year follow-up results

A succesful replantation of total scalp, forehead, left ear, eyebrows and upper eyelids amputation and 6-year follow-up results

Facial Transplantation

Composite tissue allotransplantation of the face: Decision analysis model

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