Créteil, France From the Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, and the XII Medical School, Université Paris-Est Créteil.
Plast Reconstr Surg. 2012 May;129(5):1105-1111. doi: 10.1097/PRS.0b013e31824a2bf8.
After organ retrieval, restoration of the donor is a legal and ethical necessity; this is particularly true in facial transplantation. However, very few data are available regarding this procedure.
This article reviews the seven facial masks produced during seven consecutive face transplants carried out at Henri Mondor Hospital in Paris, France. The time of production, morphologic outcome, and donor family feedback were recorded. Technical tips and pitfalls are also discussed.
Recording an impression of the donor's face with alginate required less than 25 minutes and, in all cases, the production of a resin mask was completed before the surgical harvesting was finished. Although all morphologic results were satisfactory or very satisfactory, the best outcomes were achieved using a total face mask, avoiding color discrepancies. Family feedback was positive, and none of the funeral ceremonies was disturbed by the procedure.
The production of a full-face resin mask is a reliable and reproducible technique. This procedure restores donor integrity and gives a very satisfactory morphologic and aesthetic outcome.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
在进行器官获取后，对供体进行修复是一项合法且符合伦理的要求，这在面部移植中尤为如此。然而，关于这个过程，我们目前只有非常有限的数据。
本文回顾了法国巴黎亨利·蒙多医院连续进行的 7 例面部移植中所制作的 7 个面部面具。记录了制作时间、形态结果以及供体家属的反馈。同时也讨论了技术要点和陷阱。
使用藻酸盐对供体面部进行印模的时间不到 25 分钟，并且在所有情况下，树脂面具的制作都在手术采集完成之前完成。尽管所有的形态学结果都是令人满意或非常满意的，但使用全脸面具可以避免颜色差异，从而获得最佳效果。家属的反馈是积极的，而且没有一个葬礼仪式受到该程序的干扰。
制作全脸树脂面具是一种可靠且可重复的技术。该程序恢复了供体的完整性，并获得了非常满意的形态和美学效果。
临床问题/证据水平：治疗性，IV 级。
