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Hadjiandreou M, Pafitanis G, Butler PM. Outcomes in facial transplantation - a systematic review. Br J Oral Maxillofac Surg 2024; 62:404-414. [PMID: 38637216 DOI: 10.1016/j.bjoms.2024.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Revised: 02/22/2024] [Accepted: 02/24/2024] [Indexed: 04/20/2024]
Abstract
Facial transplantations have become a clinical reality as the last reconstructive option in severely disfigured patients. To date, clinical outcomes remain unclear. The purpose of this paper was to analyse the outcomes in facial transplantation (FT) and determine the risks and benefits of FT based on short- and long-term outcomes. An electronic literature search was performed across PubMed, EMBASE and the Cochrane Central Register for Controlled Trials (CENTRAL) databases to capture all the relevant records relating to outcomes in FTs from 2005 to 2021. Articles for inclusion were decided upon pre-defined inclusion and exclusion criteria. A total of 48 FTs has been performed to date. A total of 90 studies met the eligibility criteria and were included in the outcome analysis. Studies were analysed based on each of the 48 cases and outcomes categorised into short-term (<36 months) and long-term (>36 months) outcomes. Primary outcomes included patient and graft survival and secondary outcomes included functional, surgical revision events, immunological, medical complications, aesthetics, psychosocial and quality of life. Mortality rate, infection and malignancy incidence remain high, and patients should be fully informed of the potential life-threatening complications. FTs improve outcomes such as quality of life and psychosocial recovery in the short- and long-term. Outcomes remain under-reported in peer-review journals.
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Affiliation(s)
- Michalis Hadjiandreou
- UCL Division of Surgery and Interventional Science, Royal Free Hospital, London, UK; Department of Plastic Surgery, Emergency Care and Trauma Division, The Royal London Hospital, Barts Health NHS Trust, London, UK.
| | - Georgios Pafitanis
- Department of Plastic Surgery, Emergency Care and Trauma Division, The Royal London Hospital, Barts Health NHS Trust, London, UK; University of Cyprus, Nicosia, Cyprus
| | - Peter M Butler
- UCL Division of Surgery and Interventional Science, Royal Free Hospital, London, UK
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Petruzzo P, Kanitakis J, Sardu C, Bassiri Gharb B, Morelon E, Amer H, Barret J, Burt J, Brandacher G, Gomez T, Kay S, Kaminska D, Kaufman CL, Kumar DS, Iglesias M, Iyer S, Landin L, Lanzetta M, Lassus P, Levin S, Papay F, Pomahac B, Sassu P, Satbhai NG, Talbot S. VCA in the Era of the COVID-19 Pandemic. Transplantation 2022; 106:690-692. [PMID: 35333847 PMCID: PMC8942593 DOI: 10.1097/tp.0000000000004041] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 10/27/2021] [Accepted: 11/16/2021] [Indexed: 12/16/2022]
Affiliation(s)
- Palmina Petruzzo
- Department of Transplantation, Hôpital Edouard Herriot, HCL, Lyon, France
- Department of Surgery, University of Cagliari, Cagliari, Italy
| | - Jean Kanitakis
- Department of Dermatology, Hôpital Edouard Herriot, HCL, Lyon, France
| | - Claudia Sardu
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | | | - Emmanuel Morelon
- Department of Transplantation, Hôpital Edouard Herriot, HCL, Lyon, France
- Université Claude Bernard, Lyon 1, Lyon, France
| | - Hatem Amer
- Division of Nephrology and Hypertension, The William J von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic, Rochester, NY
| | - Juan Barret
- Department of Plastic Surgery and Burns, Hospital Universitari Vall d'Hebron, Department of Surgery, Barcelona, Spain
| | - James Burt
- St Vincent's Hospital Melbourne, Melbourne, Australia
| | - Gerald Brandacher
- Department of Plastic and Reconstructive Surgery, Johns Hopkins University, School of Medicine, Baltimore, MD
| | - Tomas Gomez
- Virgen del Rocío University Hospital, Andalusian Health Service, and Ibis- Biomedicine Institute of Sevilla, Seville, Spain
| | - Simon Kay
- Department of Plastic and Reconstructive Surgery, Leeds General Infirmary, Leeds, United Kingdom
| | - Dorotha Kaminska
- Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland
| | - Christina L Kaufman
- Department of Cardiovascular and Thoracic Surgery. University of Louisville, Louisville, KY
| | - Dinesh S Kumar
- Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| | - Martin Iglesias
- Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán," Mexico City, Mexico
| | - Subramania Iyer
- Plastic/Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India
| | - Luis Landin
- Plastic and Reconstructive Surgery FIBHULP/IdiPAz Hospital Universitario "La Paz", Madrid, Spain
| | | | - Patrick Lassus
- Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Scott Levin
- Department of Orthopaedic Surgery, Department of Surgery (Plastic Surgery), University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA
| | - Francis Papay
- Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH
| | - Bohdan Pomahac
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - Paolo Sassu
- Department of Hand Surgery, Sahlgrenska University Hospital, University of Gothenburg, The Sahlgrenska Academy, Institute of Clinical Sciences, Gothenburg, Sweden
| | - Nilesh G Satbhai
- Department of Plastic, Hand and Reconstructive Microsurgery, Global Hospital, Parel, Mumbai, India
| | - Simon Talbot
- Division of Plastic Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, MA
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