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Burn reconstruction — Future perspectives: Facial transplantation

  • Chapter
Handbook of Burns

Abstract

Only a few fields in burn care are a greater challenge than the management of the burned face. The aesthetic and functional outcomes are critical to the patients’ daily lives and are intimately related to their self-esteem. Many variables contribute to the ultimate aesthetic outcome, including the extent and depth of the injury, and preservation of critical areas, such as the oral commissure, mental crease, and canthal region. We will discuss face allotransplantation as an option for patients with severe facial burn injuries.

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References

  1. Achauer BM, Hewitt CW, Black KS, Martinez SE, Waxman KS, Ott RA, Furnas DW (1986) Long-term skin allograft survival after short-term cyclosporin treatment in a patient with massive burns. Lancet 1(8471): 14–15

    Article  PubMed  CAS  Google Scholar 

  2. Achauer BM (1992) Reconstructing the burned face. Clin Plast Surg 19: 623–636

    PubMed  CAS  Google Scholar 

  3. Angrigiani C, Grilli D (1997) Total face reconstruction with one free flap. Plast Reconstr Surg 99: 1566–1575

    Article  PubMed  CAS  Google Scholar 

  4. Baumeister S, Koller M, Dragu A, Germann G, Sauerbier M (2005) Principles of microvascular reconstruction in burn and electrical burn injuries. Burns 31: 92–98

    Article  PubMed  CAS  Google Scholar 

  5. Benmeir P, Neuman A, Weinberg A, Rotem M, Eldad A, Lusthaus S, Kaplan H, Wexler MR (1991) Reconstruction of a completely burned nose by a free dorsalis pedis flap. Br J Plast Surg 44: 570–571

    Article  PubMed  CAS  Google Scholar 

  6. Bernard SL (2000) Reconstruction of the burned nose and ear. Clin Plast Surg 27: 97–112

    PubMed  CAS  Google Scholar 

  7. Bhandari PS (1998) Total ear reconstruction in postburn deformity. Burns 24: 661–670

    Article  PubMed  CAS  Google Scholar 

  8. Birgfeld CB, Low DW (2006) Total face reconstruction using a preexpanded, bilateral, extended, parascapular free flap. Ann Plast Surg 56: 565–568

    Article  PubMed  CAS  Google Scholar 

  9. Celikoz B, Deveci M, Duman H, Nisanci M (2001) Reconstruction of facial defects and burn scars using large size freehand full-thickness skin graft from lateral thoracic region. Burns 27: 174–178

    Article  PubMed  CAS  Google Scholar 

  10. Devauchelle N, Badet L, Lengele B, Morelon E, Testelin S, Michallet M, D’Hauthuille C, Dubernard JM (2006) First human face allograft: early report. Lancet 368: 203–209

    Article  PubMed  Google Scholar 

  11. Donelan MB (2007) Reconstruction of head and neck. In: Herndon D (ed) Total burn care, 3rd edn. Elsevier, pp 701–718, ISBN: 978-1-4160-3274-8

    Google Scholar 

  12. Dubernard JM, Owen E, Herzberg G, Lanzetta M, Martin X, Kapila H, Dawahra M, Hakim NS (1999) Human hand allograft: report on first 6 months. Lancet 353: 1315–1320

    Article  PubMed  CAS  Google Scholar 

  13. Engrav L, Donelan MB (1997) Face burns: Acute care and reconstruction. Operative Techniques in Plastic and Reconstructive Surgery 4: 53–85

    Article  Google Scholar 

  14. Feldman JJ (1990) Facial burns. In: McCarthy JG (ed) Plastic surgery, vol 3. Philadelphia, PA, Saunders, pp 2153–2236

    Google Scholar 

  15. Guo S, Han Y, Zhnag X Lu B, Yi C, Zhang H, Ma X, Wang D, Yang L, Fan X, Liu Y, Lu K, Li H (2008) Human facial allotransplantation: A-2 year follow-up study. Lancet 372: 631–638

    Article  PubMed  Google Scholar 

  16. Lantieri L, Meningaud JP, Grimbert P, Bellivier F, Lefaucheur JP, Ortonne N, Benjoar MD, Lang P, Wolkenstein P (2008) Repair of the lower and middle parts of the face by composite tissue allotransplantation in a patient with massive plexiform neurofibroma: a 1-year follow-up study. Lancet 372: 639–645

    Article  PubMed  Google Scholar 

  17. Latifoglu O, Ayhan S, Atabay K (1999) Total face reconstruction: Skin graft versus free flap. Plast Reconstr Surg 103: 1076–1078

    PubMed  CAS  Google Scholar 

  18. Mangubat EA (2008) Scalp reconstruction and repair. Facial Plast Surg 24: 428–445

    Article  PubMed  CAS  Google Scholar 

  19. Mathes DW, Kumar N, Ploplys E (2009) A survey of North American burn and plastic surgeons on their current attitudes toward facial transplantation. J Am Coll Surg 208: 1051–1058

    Article  PubMed  Google Scholar 

  20. Ninkovic M, Moser-Rumer A, Ninkovic M, Spanio S, Rainer C, Gurunluoglu R (2004) Anterior neck reconstruction with pre-expanded free groin and scapular flaps. Plast Reconstr Surg 113: 61–68

    Article  PubMed  Google Scholar 

  21. Parment K, Zetterberg A, Ernerudh J, Bakteman K, Steinwall I, Sjoberg F (2007) Long-term immunosuppression in burned patients assessed by in vitro neutrophil oxidative burst (Phagoburst). Burns 33: 865–871

    Article  PubMed  Google Scholar 

  22. Parrett BM, Pomahac B, Orgill DP, Pribaz (2007) The role of free-tissue transfer for head and neck burn reconstruction. Plast Reconstr Surg 120: 1871–1878

    Article  PubMed  CAS  Google Scholar 

  23. Prasad JK, Bowden ML, Thomson PD (1991) A review of the reconstructive surgery needs of 3167 survivors of burn injury. Burns 17: 302–305

    Article  PubMed  CAS  Google Scholar 

  24. Pribaz JJ, Weiss DD, Mulliken JB, Eriksson E (1999) Prelaminated free flap reconstruction of complex central facial defects. Plast Reconstr Surg 104: 357–365

    Article  PubMed  CAS  Google Scholar 

  25. Rosenthal JS (1992) The thermally injured ear: A systematic approach to reconstruction. Vogt PM. Clin Plast Surg 19: 645–661

    CAS  Google Scholar 

  26. Santanelli F, Grippaudo FR, Ziccardi P, Onesti MG (1997) The role of pre-expanded free flaps in revision of burn scarring. Burns 23: 620–625

    Article  PubMed  CAS  Google Scholar 

  27. Sassoon EM, Codner MA (1999) Eyelid reconstruction. Operative Techniques in Plastic and Reconstructive Surgery 6: 250–264

    Article  Google Scholar 

  28. Siemionow M, Papay F, Alam D, Bernard S, Djohan R, Gordon C, Hendrickson M, Lohman R, Eghtesad B, Coffman K, Kodish E, Paradis C, Avery R, Fung J (2009) Near-total human face transplantation for a severely disfigured patient in the USA. Lancet 374: 203–209

    Article  PubMed  Google Scholar 

  29. Siemionow M, Papay F, Djohan R, Bernard S, Gordon CR, Alam D, Hendrickson M, Lohman R, Eghtesad B, Fung J (2009) First U. S. near-total human face transplantation-a paradigm shift for massive complex injuries. Plast Reconstr Surg Nov 13 [Epub ahead of print]

    Google Scholar 

  30. Spence RJC (2008) The challenge of reconstruction for severe facial burn deformity. Plast Surg Nurs 28: 71–76

    PubMed  Google Scholar 

  31. Teot L, Cherenfant E, Otman S, Giovannini UM (2000) Prefabricated vascularised supraclavicular flaps for face resurfacing after postburns scarring. Lancet 355: 1695–1696

    Article  PubMed  CAS  Google Scholar 

  32. Wilhelmi BJ, Kang RH, Movassaghi K, Ganchi PA, Lee WP (2003) First successful replantation of face and scalp with single-artery repair: model for face and scalp transplantation. Ann Plast Surg 50: 535–540

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Cleveland Clinic, 9500 Euclid Avenue, A-60, Cleveland, OH, 44 195, USA

    Maria Siemionow M. D., Ph. D., D. Sc

  2. Department of Plastic Surgery, Gulhane Military Medical Academy, Etlik, Ankara, Turkey

    Fatih Zor

Authors
  1. Maria Siemionow M. D., Ph. D., D. Sc
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  2. Fatih Zor
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Corresponding author

Correspondence to Maria Siemionow M. D., Ph. D., D. Sc .

Editor information

Editors and Affiliations

  1. Plastische, Aesthetische und Rekonstruktive Chirurgie, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria

    Lars-Peter Kamolz M.D., M.Sc

  2. Sunnybrook Health Sciences Centre, Department of Surgery, Division of Plastic Surgery, University of Toronto, Sunnybrook Research Institute, Toronto, ON, Canada

    Marc G. Jeschke M.D., Ph.D.

  3. Universitätsklinikum Erlangen, Plastisch- und Handchirurgische Klinik, Erlangen, Germany

    Raymund E. Horch M.D., Ph.D.

  4. Evangelische Elisabeth Klinik Krankenhausbetriebs gGmbH, Berlin, Germany

    Markus Küntscher M.D., Ph.D.

  5. Prednosta Kliniky popálenin, a rekonstrukcní chirurgie, FN Brno, Czech Republic

    Pavel Brychta M.D., Ph.D., C.Sc.

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© 2012 Springer-Verlag/Wien

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Siemionow, M., Zor, F. (2012). Burn reconstruction — Future perspectives: Facial transplantation. In: Kamolz, LP., Jeschke, M.G., Horch, R.E., Küntscher, M., Brychta, P. (eds) Handbook of Burns. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0315-9_26

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  • DOI: https://doi.org/10.1007/978-3-7091-0315-9_26

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0314-2

  • Online ISBN: 978-3-7091-0315-9

  • eBook Packages: MedicineMedicine (R0)

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