Dikarev Alexey S, Vartanyan Seyran A, Martirosyan Alexander A, Zemlin Ivan A, Kudzaev Kazbek U, Sergeev Igor S, Vartanyan Robert S, Dryga Daniel U, Vlasova Irina O, Gorgoma Elen V, Bilyak Anna V, Anthoniadis Spartak S, Rudenok Daniel U, Kletshenko Elena I
From the Maxillofacial Surgery Department, Emergency Hospital, Ministry of Health of Krasnodar Region, Krasnodar.
Maxillofacial Surgery Department, Children's State Clinical Hospital, Ministry of Health of Krasnodar Region, Krasnodar.
Plast Reconstr Surg Glob Open. 2025 Jun 24;13(6):e6906. doi: 10.1097/GOX.0000000000006906. eCollection 2025 Jun.
Treatment and rehabilitation of patients with posttraumatic, contaminated, lacerated wounds present a complex challenge. The concept of delayed, multistage treatment, as well as the rehabilitation protocols for pediatric patients is associated with a series of reconstructive procedures, one of which is face transplantation; however, it remains an unresolved issue to date due to the development of immunologic tissue intolerance by the recipient, as well as various psychosocial rehabilitation challenges. The challenge of successful pediatric replantation creates interest in the global medical community to develop generalized algorithms for managing patients with posttraumatic subtotal facial defects. This case report demonstrated the experience of the first posttraumatic subtotal facial replantation less than 12 hours after injury in a pediatric patient in Russia. The goal of this work was to show the algorithm used in the case of a pediatric posttraumatic subtotal facial defect in hopes of aiding the future development of such guidelines.
创伤后受污染撕裂伤患者的治疗与康复是一项复杂的挑战。延迟多阶段治疗的概念以及儿科患者的康复方案与一系列重建手术相关，其中之一是面部移植；然而，由于接受者出现免疫组织不耐受以及各种心理社会康复挑战，这一问题至今仍未得到解决。成功进行儿科再植的挑战引发了全球医学界对制定创伤后面部部分缺损患者综合管理算法的兴趣。本病例报告展示了俄罗斯一名儿科患者在受伤后不到12小时进行首次创伤后面部部分再植的经验。这项工作的目的是展示在儿科创伤后面部部分缺损病例中使用的算法，以期有助于此类指南的未来发展。
