Format

Send to

Choose Destination
Plast Reconstr Surg. 2013 Feb;131(2):241-51. doi: 10.1097/PRS.0b013e3182789d38.

Total face, double jaw, and tongue transplantation: an evolutionary concept.

Author information

1
R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, University of Maryland School of Medicine, Baltimore, Md 21201, USA.

Abstract

BACKGROUND:

The central face high-energy avulsive injury has been frequently encountered and predictably managed at the R Adams Cowley Shock Trauma Center. However, despite significant surgical advances and multiple surgical procedures, the ultimate outcome continues to reveal an inanimate, insensate, and suboptimal aesthetic result.

METHODS:

To effectively address this challenging deformity, a comprehensive multidisciplinary approach was devised. The strategy involved the foundation of a basic science laboratory, the cultivation of a supportive institutional clinical environment, the innovative application of technologies, cadaveric simulations, a real-time clinical rehearsal, and an informed and willing recipient who had the characteristic deformity.

RESULTS:

After institutional review board and organ procurement organization approval, a total face, double jaw, and tongue transplantation was performed on a 37-year-old man with a central face high-energy avulsive ballistic injury.

CONCLUSIONS:

This facial transplant represents the most comprehensive transplant performed to date. Through a systematic approach and clinical adherence to fundamental principles of aesthetic surgery, craniofacial surgery, and microsurgery and the innovative application of technologies, restoration of human appearance and function for individuals with a devastating composite disfigurement is now a reality.

CLINICAL QUESTION/LEVEL OF EVIDENCE:

Therapeutic, V.

PMID:
23076416
DOI:
10.1097/PRS.0b013e3182789d38
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center