Technical and anatomical considerations of face harvest in face transplantation.
Journal Article (Journal Article)
Total face transplantation may become a reconstructive option in the treatment of patients with acquired facial deformity. Here, 2 face-harvesting techniques are presented in a fresh human cadaver model. In technique 1, the skin and soft tissue of the face is harvested by dissecting in a subgaleal, sub-SMAS, subplatysmal plane. In technique 2, the entire soft tissue and the bony structures of the midface are harvested by dissecting in a subperiosteal plane and performing a Le Fort III osteotomy. Each face was harvested successfully as a bipedicled flap based on the external carotid arteries, the external jugular veins, and the facial veins. Each of these 2 techniques is a theoretically viable approach to face harvest for composite allograft transplantation. These techniques represent the 2 extremes of which tissues can be harvested while maintaining vascular integrity. Each will address different reconstructive needs.
Full Text
Duke Authors
Cited Authors
- Baccarani, A; Follmar, KE; Baumeister, SP; Marcus, JR; Erdmann, D; Levin, LS
Published Date
- November 2006
Published In
Volume / Issue
- 57 / 5
Start / End Page
- 483 - 488
PubMed ID
- 17060726
International Standard Serial Number (ISSN)
- 0148-7043
Digital Object Identifier (DOI)
- 10.1097/01.sap.0000227486.28556.3e
Language
- eng
Conference Location
- United States