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Surgical Aspects of a Lower Face, Mandible, and Tongue Allotransplantation

2011; Thieme Medical Publishers (Germany); Volume: 28; Issue: 01 Linguagem: Inglês

10.1055/s-0031-1284236

1098-8947

Pedro C. Cavadas, Javier Maupoey, Alessandro Thioné,

Reconstructive Surgery and Microvascular Techniques

Face transplantation is a novel treatment for the reconstruction of massive facial defects. To date 13 cases have been performed. The technical aspects of a composite lower face transplantation including the tongue, floor of the mouth, and most of the mandible are detailed. The transplantation was performed in August 2009 in an HIV-positive, postoncologic patient. A preparatory surgery for nerve identification was performed. Facial composite tissue was procured after cardiac cessation. Revascularization was performed to the right subclavian artery with an internal shunt between the internal carotid arteries. At 16 months posttransplantation the patient is swallowing, without evidence of malignancy recurrence or HIV replication.