Dermatology and Plastic Surgery Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
J Reconstr Microsurg. 2012 Jan;28(1):35-42. doi: 10.1055/s-0031-1272963. Epub 2011 Mar 3.
The first clinical face allotransplantation was performed by Devauchelle et al in 2005, and currently 13 facial allotransplantations have been performed worldwide. Reports on almost half of the cases were published in the literature, focusing on technical details of facial allograft inset to the recipient face. There are only few reports describing technical details of recovery of the facial allograft from the human donor. In this article, we summarize our cadaveric studies describing the methods of facial flap recovery in the cadaveric model and as well as mock facial transplantation. Based on our experience with the first case of face transplantation, we describe the sequence of facial graft procurement from the human donor and compare similarities and differences between our case and previously published cases. Furthermore, we discuss different methods of restoration of the donor face and have outlined proposed guidelines for the sequence of donor operation for facial graft procurement.
首例临床面部同种异体移植是由 Devauchelle 等人于 2005 年完成的，目前全球已完成 13 例面部同种异体移植。近一半病例的报告已在文献中发表，重点介绍了面部同种异体移植到受者面部的技术细节。只有少数报告描述了从人类供体中回收面部同种异体的技术细节。本文总结了我们在尸体模型中描述面部皮瓣回收方法的尸体研究，以及模拟面部移植。基于我们在首例面部移植病例中的经验，我们描述了从人类供体获取面部移植物的过程，并比较了我们的病例与之前发表的病例之间的异同。此外，我们还讨论了不同的供体面部修复方法，并概述了供体手术的建议方案，以获取面部移植物。
