Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Plastic surgeons countdown first full facial transplantation

02.03.2006


First studies reveal next steps in historic procedure



Even after news of the first partial facial transplantation performed in France spread around the world, plastic surgeons have continued to research how to make the first full facial transplantation a reality. In the first peer-reviewed, scientific studies of their kind, U.S. plastic surgeons demonstrated how to successfully complete a full facial tissue transplantation from one human body to another, reports the March issue of Plastic and Reconstructive Surgery® (PRS), the official medical journal of the American Society of Plastic Surgeons (ASPS).

"For the first time, we have scientific data that takes us beyond traditional reconstructive techniques and partial facial transplantation," said ASPS President Bruce Cunningham, MD. "What we thought of as a possibility – reconstructing the entire face of someone with a severe facial disfigurement, in one surgery, from one complete facial skin flap taken from a donor – is no longer just theory, but will become an actuality."


"Through these particular studies we have determined that full facial tissue transplantation is a successful approach in helping patients horribly disfigured by burns, accidents and other trauma," said study lead author Maria Siemionow, MD, director of plastic surgery research at the Cleveland Clinic. "The transplantation of a facial tissue flap from one cadaver to another has allowed us to do the following: estimate the time it takes to perform this particular transplantation, perfect our technique and visually confirm that a facial tissue flap is a match when covering severe burns and other trauma."

Although traditional methods for facial reconstruction, which include skin grafts and flaps, are reliable and effective techniques for reconstructing the face, they may not be ideal, according to the studies. It is nearly impossible to match the skin quality, texture and color of the face with any other tissue available on the body. In addition, it takes multiple grafts and surgeries to successfully reconstruct the entire face. Many patients are left with a patchy, unfavorable appearance, including large scars and mismatched skin. The studies found the only way to surgically match facial skin texture, pliability and color is through facial transplantation.

"There is no doubt that facial transplantation can improve the quality of life for patients, however, facial transplantation will not replace traditional techniques," said Rod Rohrich, MD, editor of PRS. "This is an exciting time in plastic surgery, but it is important to remember that, at least in the near future, facial transplantation will be a last resort procedure performed on carefully selected patients on a case-by-case basis."

In the studies, doctors used cadavers to perform mock facial transplantations in order to outline the necessary steps to transplant a human face. Through these trials, they were able to visually show the full extent of the procedure’s outcome.

During the procedure it took surgeons approximately five hours to perform the mock facial transplantation, this did not include vessel and nerve repair. In living recipients, the authors estimate the total length of surgery will be approximately 11-15 hours.

"Plastic surgeons have historically been at the forefront of transplantation medicine," said Dr. Cunningham. "The first successful hand transplantation was performed by a plastic surgeon in 1998, as was the first kidney transplant in 1954. The idea of tissue transplantation has opened a new era in this field of medicine."

LaSandra Cooper | EurekAlert!
Further information:
http://www.plasticsurgery.org

More articles from Health and Medicine:

nachricht Study tracks inner workings of the brain with new biosensor
16.08.2018 | Rheinische Friedrich-Wilhelms-Universität Bonn

nachricht Foods of the future
15.08.2018 | Georg-August-Universität Göttingen

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: It’s All in the Mix: Jülich Researchers are Developing Fast-Charging Solid-State Batteries

There are currently great hopes for solid-state batteries. They contain no liquid parts that could leak or catch fire. For this reason, they do not require cooling and are considered to be much safer, more reliable, and longer lasting than traditional lithium-ion batteries. Jülich scientists have now introduced a new concept that allows currents up to ten times greater during charging and discharging than previously described in the literature. The improvement was achieved by a “clever” choice of materials with a focus on consistently good compatibility. All components were made from phosphate compounds, which are well matched both chemically and mechanically.

The low current is considered one of the biggest hurdles in the development of solid-state batteries. It is the reason why the batteries take a relatively long...

Im Focus: Color effects from transparent 3D-printed nanostructures

New design tool automatically creates nanostructure 3D-print templates for user-given colors
Scientists present work at prestigious SIGGRAPH conference

Most of the objects we see are colored by pigments, but using pigments has disadvantages: such colors can fade, industrial pigments are often toxic, and...

Im Focus: Unraveling the nature of 'whistlers' from space in the lab

A new study sheds light on how ultralow frequency radio waves and plasmas interact

Scientists at the University of California, Los Angeles present new research on a curious cosmic phenomenon known as "whistlers" -- very low frequency packets...

Im Focus: New interactive machine learning tool makes car designs more aerodynamic

Scientists develop first tool to use machine learning methods to compute flow around interactively designable 3D objects. Tool will be presented at this year’s prestigious SIGGRAPH conference.

When engineers or designers want to test the aerodynamic properties of the newly designed shape of a car, airplane, or other object, they would normally model...

Im Focus: Robots as 'pump attendants': TU Graz develops robot-controlled rapid charging system for e-vehicles

Researchers from TU Graz and their industry partners have unveiled a world first: the prototype of a robot-controlled, high-speed combined charging system (CCS) for electric vehicles that enables series charging of cars in various parking positions.

Global demand for electric vehicles is forecast to rise sharply: by 2025, the number of new vehicle registrations is expected to reach 25 million per year....

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

LaserForum 2018 deals with 3D production of components

17.08.2018 | Event News

Within reach of the Universe

08.08.2018 | Event News

A journey through the history of microscopy – new exhibition opens at the MDC

27.07.2018 | Event News

 
Latest News

Air pollution leads to cardiovascular diseases

21.08.2018 | Ecology, The Environment and Conservation

Researchers target protein that protects bacteria's DNA 'recipes'

21.08.2018 | Life Sciences

A paper battery powered by bacteria

21.08.2018 | Power and Electrical Engineering

VideoLinks
Science & Research
Overview of more VideoLinks >>>