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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2007, Number 1

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Cir Plast 2007; 17 (1)

The reason for a facial transplant

Sastré N

Language: Spanish
References: 16
Page: 49-54
PDF size: 536.67 Kb.


ABSTRACT

Face change has been a myth that has fascinated North American cinema. Ever since the second decade of the twentieth century up to the present, more than 70 films on this subject have been produced. In 1934, a plastic surgeon admitted to have changed John Dillinger´s appearance by means of a facelift. The surgeon was sent to prison and Dillinger died after being shot. That fascinating myth has come true with the successful partial face transplant in France. It is based on the possibility of reconstructing cheeks and oral sphincters in a single surgical time. To make an oral sphincter competent has been attained only when a portion of lips remains and the best technique - Karapandzic is used. Reconstructing the orbicular muscle when absent, has not been possible. Nevertheless, there is a large number of questions that have not been answered with the precarious experience rendered. The resulting appearance of the face with a transplant is one of those questions. Yet, there is data to think that it will not vary greatly because the face bony structure has not been changed.


REFERENCES

  1. Hayes H. Cops, Robbers and plastic surgery. Plast Reconstr Surg 1985; 76: 645.

  2. Hoover JE. Plastic surgery and criminals: The surgeon’s responsibility. Am J Surg 1935; 28: 156.

  3. Hoover JE. The practitioner’s responsibility when fugitives attempt to conceal identity by means of surgery. JAMA 1935; 104: 1663.

  4. Callé SC, Evans JT. Plastic surgery in the cinema. Plast Reconstr Surg 1994; 93: 422.

  5. Bunkis J, Mulliken JB, Upton J, Murray JE. The evolution of techniques for reconstruction of full-thickness cheek defects. Plast Reconstr Surg 1982; 70: 319.

  6. Karapandzic M. Reconstruction of the lips defects by local arterial flaps. Brit J Plast Surg 1974; 27: 93.

  7. Jabaley ME, Clement RL, Orcutt TW. Myocutaneous flaps in lip reconstruction. Plast Reconstr Surg 1977; 59: 680.

  8. Devauchelle B, Bidet L, Lengete B et al. First human face allograft: Early report. Lancet 2006; 368: 203.

  9. Morris P, Bradley A, Doyal L, Earley M, Hagen P, Milling M, Runsey N. Face transplantation: A review of the technical, immunological, psychological and clinical issues with recommendations for good practice. Transplantation 2007; 83: 109.

  10. Buncke HJ, Rose EH, Brownstein MJ, Chater NL. Successful replantation of two avulsed scalps by microvascular anastomosis. Plast Reconstr Surg 1978; 61: 666.

  11. Thomas A. Total face and scalp replantation. Plast Reconstr Surg 1998; 102: 2085.

  12. Zhou S, Chang T, Guan W, Chen K, Wang S, Cao Y, Huang W. Microsurgical replantation of the avulsed scalp: Report of six cases. J Reconstr Microsurg 1993; 9: 121.

  13. Kaixiang C, Zhou S, Kecheng J, Shanliang W, Jiasheng D, Wenyi H, Tisheng C. Microsurgical replantation of the avulsed scalp: Report of 20 cases. Plast Reconstr Surg 1996; 97: 1099.

  14. Whitaker LA, Pertschuk M. Facial skeletal contouring for aesthetic purposes. Plast Reconstr Surg 1982; 69: 245.

  15. Kanitakis J, Jullien D, Petruzzo P et al. Clinicophatologic features of graft rejection of the first human hand allograft. Transplantation 2003; 76: 688.

  16. Clarke A, Butler PEM. Facial transplantation: Adding to the reconstructive options alter severe facial injury and disease. Expert Opin Biol Ther 2005; 5: 1.




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