Cranial Maxillofac Trauma Reconstruction 2019; 12(02): 150-155
DOI: 10.1055/s-0038-1675844
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Autologous Reconstruction of a Face Transplant Candidate

William J. Rifkin
1  Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York
,
Justin L. Bellamy
1  Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York
,
Rami S. Kantar
1  Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York
,
Scott J. Farber
1  Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York
,
J. Rodrigo Diaz-Siso
1  Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York
,
Lawrence E. Brecht
1  Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York
2  Jonathan and Maxine Ferencz Advanced Education Program in Prosthodontics, New York University College of Dentistry, New York, New York
,
Eduardo D. Rodriguez
1  Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York
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Weitere Informationen

Publikationsverlauf

28. Juni 2018

28. September 2018

Publikationsdatum:
21. Dezember 2018 (eFirst)

Abstract

Since 2005, facial transplantation has emerged as a viable reconstructive option for the most severe defects not amenable to conventional reconstructive techniques, with promising aesthetic and functional outcomes to date. Key facial subunits and midface structures such as the eyelids, lips, and nose are now able to be successfully replaced rather than reconstructed, enabling adequate functional outcomes in even the most extensive defects. However, even in cases of severe facial disfigurement, the decision to proceed with transplantation versus autologous reconstruction remains a source of debate, with no current consensus regarding precise indications and inclusion/exclusion criteria. This report details the case of a candidate referred for face transplantation who ultimately underwent autologous facial reconstruction. Through this representative case, our objective is to clarify the criteria that make a patient a suitable face transplant candidate, as well as to demonstrate the outcomes achievable with a conventional autologous reconstruction, using a methodically planned, multistaged approach.