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Facial Plast Surg 2021; 37(06): 735-740
DOI: 10.1055/s-0041-1726443
Original Article

Maxillofacial Bony Considerations in Facial Transplantation

Aurora G. Vincent 
1   Facial Plastic Surgery Associates, Fort Worth, Texas
,
Anne E. Gunter
2   Department of Otolaryngology, Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington
,
Yadranko Ducic
1   Facial Plastic Surgery Associates, Fort Worth, Texas
,
Likith Reddy
3   Department of Oral and Maxillofacial Surgery, Texas A&M Health Science Center, Dallas, Texas
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Abstract

Alloplastic facial transplantation has become a new rung on the proverbial reconstructive ladder for severe facial wounds in the past couple of decades. Since the first transfer including bony components in 2006, numerous facial allotransplantations across many countries have been successfully performed, many incorporating multiple bony elements of the face. There are many unique considerations to facial transplantation of bone, however, beyond the considerations of simple soft tissue transfer. Herein, we review the current literature and considerations specific to bony facial transplantation focusing on the pertinent surgical anatomy, preoperative planning needs, intraoperative harvest and inset considerations, and postoperative protocols.

Keywords

facial transplantation - graft - tissue reconstruction

Note

This work does not necessarily represent the views of the U.S. Army or Department of Defense.




Publikationsverlauf

Artikel online veröffentlicht:
20. April 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
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  • References

  • 1 Guo S, Han Y, Zhang X. et al. Human facial allotransplantation: a 2-year follow-up study. Lancet 2008; 372 (9639): 631-638
    CrossrefPubMedGoogle Scholar
  • 2 Okay DJ, Genden E, Buchbinder D, Urken M. Prosthodontic guidelines for surgical reconstruction of the maxilla: a classification system of defects. J Prosthet Dent 2001; 86 (04) 352-363
    CrossrefPubMedGoogle Scholar
  • 3 Cordeiro PG, Chen CM. A 15-year review of midface reconstruction after total and subtotal maxillectomy: part I. Algorithm and outcomes. Plast Reconstr Surg 2012; 129 (01) 124-136
    CrossrefPubMedGoogle Scholar
  • 4 Brown JS, Rogers SN, McNally DN, Boyle M. A modified classification for the maxillectomy defect. Head Neck 2000; 22 (01) 17-26
    CrossrefPubMedGoogle Scholar
  • 5 Mohan R, Borsuk DE, Dorafshar AH. et al. Aesthetic and functional facial transplantation: a classification system and treatment algorithm. Plast Reconstr Surg 2014; 133 (02) 386-397
    CrossrefPubMedGoogle Scholar
  • 6 Banks ND, Hui-Chou HG, Tripathi S. et al. An anatomical study of external carotid artery vascular territories in face and midface flaps for transplantation. Plast Reconstr Surg 2009; 123 (06) 1677-1687
    CrossrefPubMedGoogle Scholar
  • 7 Yazici I, Cavusoglu T, Comert A. et al. Maxilla allograft for transplantation: an anatomical study. Ann Plast Surg 2008; 61 (01) 105-113
    CrossrefPubMedGoogle Scholar
  • 8 Alam DS, Papay F, Djohan R. et al. The technical and anatomical aspects of the World's first near-total human face and maxilla transplant. Arch Facial Plast Surg 2009; 11 (06) 369-377
    CrossrefPubMedGoogle Scholar
  • 9 Pomahac B, Lengele B, Ridgway EB. et al. Vascular considerations in composite midfacial allotransplantation. Plast Reconstr Surg 2010; 125 (02) 517-522
    CrossrefPubMedGoogle Scholar
  • 10 Rifkin WJ, David JA, Plana NM. et al. Achievements and challenges in facial transplantation. Ann Surg 2018; 268 (02) 260-270
    CrossrefPubMedGoogle Scholar
  • 11 Follmar KE, Baccarani A, Das RR. et al. Osteocutaneous face transplantation. J Plast Reconstr Aesthet Surg 2008; 61 (05) 518-524
    CrossrefPubMedGoogle Scholar
  • 12 Baccarani A, Follmar KE, Baumeister SP, Marcus JR, Erdmann D, Levin LS. Technical and anatomical considerations of face harvest in face transplantation. Ann Plast Surg 2006; 57 (05) 483-488
    CrossrefPubMedGoogle Scholar
  • 13 Prabhu V, Plana NM, Hagiwara M. et al. Preoperative imaging for facial transplant: a guide for radiologists. Radiographics 2019; 39 (04) 1098-1107
    CrossrefPubMedGoogle Scholar
  • 14 Krezdorn N, Alhefzi M, Perry B. et al. Trismus in face transplantation following ballistic trauma. J Craniofac Surg 2018; 29 (04) 843-847
    CrossrefPubMedGoogle Scholar
  • 15 Cavadas PC, Ibáñez J, Thione A. Surgical aspects of a lower face, mandible, and tongue allotransplantation. J Reconstr Microsurg 2012; 28 (01) 43-47
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 16 Khavanin N, Davidson EH, Smith RM, Macmillan A, Byrne P, Dorafshar AH. Considerations for temporomandibular joint procurement in vascularized composite allotransplantation. J Craniofac Surg 2018; 29 (07) 1742-1746
    CrossrefPubMedGoogle Scholar
  • 17 Caterson EJ, Diaz-Siso JR, Shetye P. et al. Craniofacial principles in face transplantation. J Craniofac Surg 2012; 23 (05) 1234-1238
    CrossrefPubMedGoogle Scholar
  • 18 Gordon CR, Susarla SM, Peacock ZS, Kaban LB, Yaremchuk MJ. Le Fort-based maxillofacial transplantation: current state of the art and a refined technique using orthognathic applications. J Craniofac Surg 2012; 23 (01) 81-87
    CrossrefPubMedGoogle Scholar
  • 19 Dorafshar AH, Brazio PS, Mundinger GS, Mohan R, Brown EN, Rodriguez ED. Found in space: computer-assisted orthognathic alignment of a total face allograft in six degrees of freedom. J Oral Maxillofac Surg 2014; 72 (09) 1788-1800
    CrossrefPubMedGoogle Scholar
  • 20 Gordon CR, Susarla SM, Peacock ZS. et al. Osteocutaneous maxillofacial allotransplantation: lessons learned from a novel cadaver study applying orthognathic principles and practice. Plast Reconstr Surg 2011; 128 (05) 465e-479e
    CrossrefPubMedGoogle Scholar
  • 21 Murphy RJ, Basafa E, Hashemi S. et al. Optimizing hybrid occlusion in face-jaw-teeth transplantation: a preliminary assessment of real-time cephalometry as part of the computer-assisted planning and execution workstation for craniomaxillofacial surgery. Plast Reconstr Surg 2015; 136 (02) 350-362
    CrossrefPubMedGoogle Scholar
  • 22 Hashemi S, Armand M, Gordon CR. Development and refinement of computer-assisted planning and execution system for use in face-jaw-teeth transplantation to improve skeletal and dento-occlusal outcomes. Curr Opin Organ Transplant 2016; 21 (05) 523-529
    CrossrefPubMedGoogle Scholar
  • 23 Jacobs JMS, Dec W, Levine JP. et al. Best face forward: virtual modeling and custom device fabrication to optimize craniofacial vascularized composite allotransplantation. Plast Reconstr Surg 2013; 131 (01) 64-70
    CrossrefPubMedGoogle Scholar
  • 24 Sosin M, Ceradini DJ, Levine JP. et al. Total face, eyelids, ears, scalp, and skeletal subunit transplant: a reconstructive solution for the full face and total scalp burn. Plast Reconstr Surg 2016; 138 (01) 205-219
    CrossrefPubMedGoogle Scholar
  • 25 Sosin M, Ceradini DJ, Hazen A. et al. Total face, eyelids, ears, scalp, and skeletal subunit transplant cadaver simulation: the culmination of aesthetic, craniofacial, and microsurgery principles. Plast Reconstr Surg 2016; 137 (05) 1569-1581
    CrossrefPubMedGoogle Scholar
  • 26 Lassus P, Lindford A, Vuola J. et al. The Helsinki face transplantation: surgical aspects and 1-year outcome. J Plast Reconstr Aesthet Surg 2018; 71 (02) 132-139
    CrossrefPubMedGoogle Scholar
  • 27 Siemionow MZ, Papay F, Djohan R. et al. First US near-total human face transplantation: a paradigm shift for massive complex injuries. Plast Reconstr Surg 2010; 125 (01) 111-122
    CrossrefPubMedGoogle Scholar
  • 28 Kantar RS, Ceradini DJ, Gelb BE. et al. Facial transplantation for an irreparable central and lower face injury: a modernized approach to a classic challenge. Plast Reconstr Surg 2019; 144 (02) 264e-283e
    CrossrefPubMedGoogle Scholar
  • 29 Ramly EP, Kantar RS, Diaz-Siso JR, Alfonso AR, Rodriguez ED. Computerized approach to facial transplantation: evolution and application in 3 consecutive face transplants. Plast Reconstr Surg Glob Open 2019; 7 (08) e2379
    CrossrefPubMedGoogle Scholar
  • 30 Brown EN, Dorafshar AH, Bojovic B. et al. Total face, double jaw, and tongue transplant simulation: a cadaveric study using computer-assisted techniques. Plast Reconstr Surg 2012; 130 (04) 815-823
    CrossrefPubMedGoogle Scholar
  • 31 Gordon CR, Murphy RJ, Coon D. et al. Preliminary development of a workstation for craniomaxillofacial surgical procedures: introducing a computer-assisted planning and execution system. J Craniofac Surg 2014; 25 (01) 273-283
    CrossrefPubMedGoogle Scholar
  • 32 Bernstein JM, Daly MJ, Chan H. et al. Accuracy and reproducibility of virtual cutting guides and 3D-navigation for osteotomies of the mandible and maxilla. PLoS One 2017; 12 (03) e0173111
    CrossrefPubMedGoogle Scholar
  • 33 Vincent A, Sawhney R, Ducic Y. Perioperative care of free flap patients. Semin Plast Surg 2019; 33 (01) 5-12
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 34 Roche NA, Vermeersch HF, Stillaert FB. et al. Complex facial reconstruction by vascularized composite allotransplantation: the first Belgian case. J Plast Reconstr Aesthet Surg 2015; 68 (03) 362-371
    CrossrefPubMedGoogle Scholar
  • 35 Plana NM, Malta Barbosa J, Diaz-Siso JR, Brecht LE, Rodriguez ED. Dental considerations and the role of prosthodontics and maxillofacial prosthetics in facial transplantation. J Am Dent Assoc 2018; 149 (02) 90-99
    CrossrefPubMedGoogle Scholar
  • 36 Barret JP, Serracanta J. LeFort I osteotomy and secondary procedures in full-face transplant patients. J Plast Reconstr Aesthet Surg 2013; 66 (05) 723-725
    CrossrefPubMedGoogle Scholar
  • 37 Mohan R, Fisher M, Dorafshar A. et al. Principles of face transplant revision: beyond primary repair. Plast Reconstr Surg 2014; 134 (06) 1295-1304
    CrossrefPubMedGoogle Scholar
  • 38 Aycart MA, Alhefzi M, Kueckelhaus M. et al. A retrospective analysis of secondary revisions after face transplantation: assessment of outcomes, safety, and feasibility. Plast Reconstr Surg 2016; 138 (04) 690e-701e
    CrossrefPubMedGoogle Scholar
  • 39 Wall A, Bueno E, Pomahac B, Treister N. Intraoral features and considerations in face transplantation. Oral Dis 2016; 22 (02) 93-103
    CrossrefPubMedGoogle Scholar
  • 40 Ramly EP, Kantar RS, Diaz-Siso JR, Alfonso AR, Shetye PR, Rodriguez ED. Outcomes after toothbearing maxillomandibular facial transplantation: insights and lessons learned. J Oral Maxillofac Surg 2019; 77 (10) 2085-2103
    CrossrefPubMedGoogle Scholar
  • 41 Cho KH, Papay FA, Yanof J. et al. Mixed reality and 3D printed models for planning and execution of face transplantation. Ann Surg 2020; (e-pub ahead of print) DOI: 10.1097/sla.0000000000003794.
    CrossrefPubMedGoogle Scholar