Role of Facial Vascularized Composite Allotransplantation in Burn Patients.

Abstract:

:Face transplantation can provide improved quality of life to patients with extensive burn injuries. Facial vascularized composite allotransplantation (VCA) offers a new paradigm of treatment options, serving as a powerful reconstructive tool to restore facial form and function. Although currently facial VCA patients must follow a lifelong regimen of immunosuppression medications and suffer a risk of rejection, in properly selected patients, facial VCA can be a transformative operation and can improve quality of life. Research efforts continue to optimize immunosuppression and surgical technique and serve as evidence of the procedure's growing role in reconstructive surgery for critically injured patients.

journal_name

Clin Plast Surg

authors

Bharadia D,Sinha I,Pomahac B

doi

10.1016/j.cps.2017.05.017

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

857-864

issue

4

eissn

0094-1298

issn

1558-0504

pii

S0094-1298(17)30115-3

journal_volume

44

pub_type

杂志文章,评审
  • Reconstruction of the burned breast.

    abstract::Fundamental principles of management of breast burns begin with recognition and preservation of any viable breast bud tissue. Reconstruction begins when the burned breast envelope is insufficient to allow unrestricted breast development. Complete contracture release is obtained by incision or excision of the restricti...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: MacLennan SE,Wells MD,Neale HW

    更新日期:2000-01-01 00:00:00

  • Head and neck melanoma.

    abstract::Nearly 20% of malignant melanoma in the human body occurs in the head and neck. Most studies divide the sites of origin of malignant melanoma in the head and neck into the following areas: the face, the scalp and neck, the external ear, and the eyelid or medial or lateral canthal area. Sixty-five percent of malignant ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2009.08.005

    authors: Larson DL,Larson JD

    更新日期:2010-01-01 00:00:00

  • Complex facial trauma: the evolving role of rigid fixation and immediate bone graft reconstruction.

    abstract::The problem of high velocity facial injuries with multiple facial fractures concerns the severity of the bony injury. Attempts at closed reduction of the large comminuted segments common to these fractures result in eventual bony collapse and soft tissue shrinkage. The solution to these problems lies in the early expo...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Gruss JS,Phillips JH

    更新日期:1989-01-01 00:00:00

  • Evolving concepts of craniomaxillofacial fracture management.

    abstract::Few areas in plastic surgery have changed as rapidly as the management of complex facial fractures. This article delineates five principles governing current management of the patient with injuries of the craniomaxilloficial skeleton. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Rohrich RJ,Shewmake KB

    更新日期:1992-01-01 00:00:00

  • Calf augmentation and correction of contour deformities.

    abstract::In general, augmentation of soft tissue has been a problem for plastic surgeons because of the body's protective mechanisms against foreign material, but silicone rubber implants are the author's choice of the materials currently available. The aesthetic considerations of the shape of the calf and techniques and compl...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Howard PS

    更新日期:1991-07-01 00:00:00

  • Tissue engineering of cartilage.

    abstract::The primary goal of engineering cartilage as a therapeutic approach is to restore the physiological conditions of an affected or defective tissue in the body. Cartilage tissue is distributed widely in the human body and possesses an organization related to the specific demand of a particular anatomical region. In sele...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0094-1298(03)00070-1

    authors: Randolph MA,Anseth K,Yaremchuk MJ

    更新日期:2003-10-01 00:00:00

  • Surgical management of the burned scalp.

    abstract::Alopecia from scalp burns can present psychological problems. Reconstructive surgery with rotating hair-bearing skin flaps has been useful in the rehabilitation of these patients. In many patients, one flap shift can establish an acceptable hair line. In extensive cases, multiple operations are necessary, including fr...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Paletta FX

    更新日期:1982-04-01 00:00:00

  • Soft-tissue augmentation with Fascian.

    abstract::For a century, under various implant circumstances, the propensity of pFGs to be replaced with host fibroblasts and collagen has been established. Harvested from screened human donors, Fascian is an injectable formulation of the same substance that is applicable for soft-tissue repair and augmentation. Provided in pre...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Burres S

    更新日期:2001-01-01 00:00:00

  • Contouring the hip and the abdomen.

    abstract::This article describes the surgical procedures used for the aesthetic improvements of the flanks and abdomen. A clinical classification for patient selection regarding when to use liposuction, surgery, or both, is included. Isolated flankplasty, isolated abdominoplasty, and combined flanks with abdominoplasty performe...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Baroudi R,Ferreira CA

    更新日期:1996-10-01 00:00:00

  • Orthodontic management of dentofacial skeletal deformities.

    abstract::The treatment of complex malocclusions with overriding skeletal discrepancies requires an exceptional amount of pretreatment planning. The roles of the orthodontist and the surgeon are equally important. Sufficient input from each member of the orthognathic surgical team is necessary before any patient care is deliver...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2007.05.002

    authors: Grubb J,Evans C

    更新日期:2007-07-01 00:00:00

  • The angiosomes of the body and their supply to perforator flaps.

    abstract::An angiosome is a composite block of tissue that is supplied anatomically by source (segmental or distributing) vessels that span between the skin and bone. In addition to supplying the deep tissues, the source vessels of these angiosomes supply branches to the overlying skin, which pass either between the deep tissue...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0094-1298(03)00034-8

    authors: Taylor GI

    更新日期:2003-07-01 00:00:00

  • A critical viewpoint by a general surgeon toward reconstructive surgery after mastectomy.

    abstract::Reconstructive breast surgery is accompanied by hazards, both known and unknown, which may endanger the life of the patient. On the other hand, the benefits are largely a modest gesture toward the physical and emotional adjustment. It is the duty of the physician to present all aspects of the contemplated procedure an...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Lester LJ

    更新日期:1979-01-01 00:00:00

  • Tendon transfers for radial, median, and ulnar nerve injuries: current surgical techniques.

    abstract::Tendon transfers are performed predominantly to restore hand function or balance due to injuries of the radial, median, and ulnar nerves. Current surgical techniques for the most common tendon transfers for reconstruction of radial, median, and ulnar nerve palsies are demonstrated. These techniques can also be applied...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2011.07.002

    authors: Jones NF,Machado GR

    更新日期:2011-10-01 00:00:00

  • Conceptual considerations in mandibular reconstruction.

    abstract::Microsurgical free tissue transfer allows for the immediate reconstruction of any composite mandibular defect. Most patients are candidates for reconstruction, and careful preoperative planning is an important key to success. Osteocutaneous free tissue transfer is currently the reconstructive modality of choice. The t...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Cordeiro PG,Hidalgo DA

    更新日期:1995-01-01 00:00:00

  • Pedicled perforator flaps in the trunk.

    abstract::Trunk defects can be approached through a multitude of regional flaps that can be harvested from the shoulder girdle, the epigastric axis, the paraspinal region, or the pelvic girdle. The aim of the reconstruction is to provide adequate and tension-free restoration of tissue integrity with minimal functional morbidity...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:10.1016/j.cps.2010.06.004

    authors: Hamdi M,Stillaert FB

    更新日期:2010-10-01 00:00:00

  • Immediate versus delayed reconstruction.

    abstract::Recent developments in the management of breast cancer, including axillary sentinel lymph-node biopsy, as well as the inability to reliably detect micrometastatic disease in the axillary lymph nodes either preoperatively or intraoperatively, and the increasing use of both postmastectomy radiation therapy and neoadjuva...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2006.11.006

    authors: Kronowitz SJ

    更新日期:2007-01-01 00:00:00

  • A surgical system for the correction of bony chin deformity.

    abstract::Because the chin, like the nose, occupies a prominent position in the face, it must also be assessed in planning any changes in the facial profile. For example, a large nose associated with a microgenia does not appear as large when the chin is augmented. A chin increased in the vertical dimension confers an excessive...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: McCarthy JG,Ruff GL,Zide BM

    更新日期:1991-01-01 00:00:00

  • Rigid fixation of facial osteotomies.

    abstract::Rigid fixation of facial osteotomies has had a significant effect on reducing morbidity in these patients. Any osteotomy in a patient with erupted permanent dentition previously fixed with wires and intermaxillary fixation can now be managed by metal plates and screws, eliminating or decreasing the need for the jaws t...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Munro IR

    更新日期:1989-10-01 00:00:00

  • Rigid fixation and osteotomy design in frontal orbital advancement osteotomies.

    abstract::The advantages rendered by corrective osteotomies that mobilize large segments of the craniofacial complex, including the forehead, orbits, and maxillae, exceed those of any partial correction in this particular region. This fact has been fully demonstrated in recent years by different authors. An inconvenience of ear...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Del Campo AF

    更新日期:1989-01-01 00:00:00

  • New developments in pediatric plastic surgery research.

    abstract::Pediatric plastic surgery research is a rapidly expanding field. Unique in many ways, researchers in this field stand at the union of multiple scientific specialties, including biomedical engineering, tissue engineering, polymer science, molecular biology, developmental biology, and genetics. The goal of this scientif...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2004.10.003

    authors: Nacamuli RP,Wan DC,Lenton KA,Longaker MT

    更新日期:2005-01-01 00:00:00

  • Refinements in intrathoracic use of muscle flaps.

    abstract::Intrathoracic infections associated with infection, leakage, or bleeding of the airway, lung parenchyma, esophagus, heart or great vessels is a life-threatening situation that luckily is infrequently seen. Failure to control these infections with the usual techniques can often be attributed to the presence of persiste...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Meland NB,Arnold PG,Pairolero PC,Trastek VF

    更新日期:1990-10-01 00:00:00

  • Oskar Hirsch and surgery for exophthalmos.

    abstract::Despite a better appreciation of the relationship between the eye and the thyroid gland in Graves' disease, the treatment of moderate to severe exophthalmos remains surgical. For many years, standard textbooks recommended a risky, transfrontal approach for exophthalmos that had to be performed by a neurosurgeon. A pre...

    journal_title:Clinics in plastic surgery

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: McMurry JF Jr

    更新日期:1983-10-01 00:00:00

  • Reconstruction of a pendulous breast utilizing a tissue expander.

    abstract::We have presented the evolution of our current methods of breast reconstruction, which utilize the tissue expander in a variety of ways. We strongly support the concept that expansion should occur in the subcutaneous layer of the lower thoracic region. It is, after all, the region occupied by a mature breast that has ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Versaci AD

    更新日期:1987-07-01 00:00:00

  • Dysplastic and congenital nevi.

    abstract::The dysplastic nevus, both the sporadic and familial type, has a significant association with melanoma of the skin. The congenital nevus, which ranges in size from less than 1 cm to a giant hairy nevus, are treated primarily for aesthetic reasons and, in the giant variety, are also treated as a prophylaxis against the...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Casson P,Colen S

    更新日期:1993-01-01 00:00:00

  • Syndactyly of upper limb. Morphogenesis, classification, and management.

    abstract::The distinction between primary and secondary syndactyly is made on the basis of their relation to the morphogenesis. The latter is associated with antecedent malformation which results in subsequent refusion of parts. Based on these considerations, a practical classification is suggested. The management of the variou...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Entin MA

    更新日期:1976-01-01 00:00:00

  • Indications and Controversies for Implant-Based Breast Reconstruction Utilizing Biological Meshes.

    abstract::The advent of acellular dermal matrices (ADMs) has changed the way implant reconstruction is performed and has opened the door to muscle-sparing techniques that can be performed as an NSM (nipple-sparing mastectomy) with DTI (direct to implant) with excellent cosmesis and less patient morbidity. The article discusses ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2017.08.004

    authors: Zenn MR

    更新日期:2018-01-01 00:00:00

  • Nonpigmented premalignant lesions of the skin.

    abstract::This article presents a survey of some of the nonpigmented cutaneous lesions that have the propensity or possibility to progress or transform into malignancies. For each lesion, the author discusses clinical appearance and course, histologic features, and general recommendations for treatment. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Gard D

    更新日期:1987-04-01 00:00:00

  • Tissue engineering in dentistry.

    abstract::Advances in tissue engineering provide an increased level of understanding of the mechanical and chemical stimuli that regulate tissue responses. Oral tissue engineering can be applied to recreate missing osseous or dental structures or correct orofacial deformities, changing the patient's smile, midfacial height, and...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0094-1298(03)00080-4

    authors: Earthman JC,Sheets CG,Paquette JM,Kaminishi RM,Nordland WP,Keim RG,Wu JC

    更新日期:2003-10-01 00:00:00

  • Evolution of lower lid support following lower lid/midface rejuvenation: the pretarsal orbicularis lateral canthopexy.

    abstract::An 18-month experience with an endoscopically assisted "closed" technique of modified transblepharoplasty lower lid and midface rejuvenation is presented. In the modified approach, preseptal dissection in the body of the lower lid is eliminated to decrease the incidence of septal scarring and lower lid retraction. The...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Hester TR Jr

    更新日期:2001-10-01 00:00:00

  • New reconstructive procedure for brachial plexus injury.

    abstract::The double free-muscle transfer technique has restored prehension in patients following complete avulsion of the brachial plexus. This achievement was almost inconceivable as recently as several years ago and has now given new hope for these patients to be able to use their otherwise useless limbs. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Doi K

    更新日期:1997-01-01 00:00:00