• Annals of plastic surgery · Sep 2011

    Review

    Concomitant face and hand transplantation: perfect solution or perfect storm?

    • Chad R Gordon, Fatih Zor, Curtis Cetrulo, Gerald Brandacher, Justin Sacks, and W P Andrew Lee.
    • Division of Plastic and Reconstructive Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA. cgordon5@partners.org
    • Ann Plast Surg. 2011 Sep 1;67(3):309-14.

    AbstractFace and hand composite tissue allotransplantations have evolved into a promising subset of reconstructive transplant surgery due to recent advances in immunotherapy. Concomitant composite tissue allotransplantation, which involves a variable combination of facial (myocutaneous versus osteomyocutaneous) and upper extremity (ie, various levels) composite subtypes, has been performed infrequently at this time. In this review, we will describe many reasons as to why this field remains unexplored. Undoubtedly, future investigation is warranted to investigate the potential advantages and disadvantages of using this approach versus a staged manner for alloreconstruction and to identify the complexities of cortical reorganization and rehabilitation in this setting.

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