Advances in microsurgery and immunosuppression have allowed for facial reconstruction at a qualitatively new level with facial composite tissue allografts. Although donor tissue recovery is unique for each patient, transplantation of the maxilla and overlying soft tissues will be a frequent indication. Vascularity of the maxilla and palate, supplied by facial arteries alone, has been a concern. Based on cadaver dissections and a clinical case, vascular considerations for transplantation of the entire midface are discussed.
Affiliations
Harvard Medical School, BostonDepartement of surgery, division of plastic and reconstructive surgery
Pomahac, B., Lengelé, B., Ridgway, E. B., Matros, E., Andrews, B. T., Cooper, J. S., Kutz, R., & Pribaz, J. J. (2010). Vascular considerations in composite midfacial allotransplantation. Plastic and Reconstructive Surgery, 125(2), 517-522. https://doi.org/10.1097/PRS.0b013e3181c82e6f (Original work published 2010)