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- W182465979 abstract "Facial transplantation has emerged as the next step on the reconstructive ladder forsevere facial disfigurement. Clinical issues surrounding facial tissue donation areexamined, comprising pre-transplant facial vessel delineation; pre-operative aestheticmatching; and attitudes towards donation. An anatomical study of 200 consecutivefacial and transverse facial vessels was performed using colour Doppler ultrasound.Facial vessels were measured at three landmarks and their branching patterndocumented. The facial artery main branch was detected at the lower mandibularborder in 99.5% of cases, the accompanying facial vein in 97.5%. The transversefacial artery was present in 75.5% of cases, the vein found in 58%. When the facialartery was undetectable, there was transverse facial artery dominance. When thefacial vein was absent it was replaced with a transverse facial vein. This providesvaluable pre-operative information regarding vessel status. A quantitative eleven pointskin tonal matching scheme is described using digital analysis of facial imagery.Attitudes towards tonal mismatch in facial and hand transplantation are examined intwo representative skin types. There was more scope for skin tonal mismatching inskin tone 2 (slightly tanned white) than in skin tone 6 (light golden brown)participants. Tonal mismatches were more tolerated in facial than in hand transplantsimulations in both groups. More acceptable donor tonal groups exist for males thanfemales. Targeted matching of skin tone is thus required. Attitudes and beliefs of170 transplant professionals were examined. Areas of concern included the organretrieval process; impact on the retrieval team and donor family. In-depth analysis ofa transplant donor focus group was performed; provision of information, posttransplantcontact, and post-retrieval donor facial appearance was deemed important.A method of fabricating a donor-specific artificial prosthesis within the time frame of facial graft retrieval is described. Finally, a method of framing the informed consentprocess is described." @default.
- W182465979 created "2016-06-24" @default.
- W182465979 creator A5071602459 @default.
- W182465979 date "2011-07-28" @default.
- W182465979 modified "2023-09-26" @default.
- W182465979 title "Clinical considerations in facial transplantation" @default.
- W182465979 hasPublicationYear "2011" @default.
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