Product Description
This CME article highlights principles and evolving concepts in facial transplantation. The field has witnessed significant advances over the past two decades, with more than 40 face transplants reported to date. The procedure now occupies the highest rung on the reconstructive ladder for patients with extensive facial disfigurement who are not amenable to autologous reconstructive approaches, in pursuit of optimal functional and aesthetic outcomes. Indications, contraindications, and donor and recipient considerations for the procedure are discussed. The authors also review logistical, immunologic, and cost considerations of facial transplantation. Surgical approaches to allograft procurement and transplantation, in addition to technical and anatomical nuances of the procedure, are provided. Finally, the authors review aesthetic, functional, and psychosocial outcomes that have been reported to date.
Learning ObjectivesAfter viewing this course, the participant should be able to:
- Appreciate the evolution and increasing complexity of transplanted facial allografts over the past two decades.
- Discuss indications and contraindications for facial transplantation, and donor and recipient selection criteria and considerations.
- Discuss logistical, immunologic, and cost considerations in facial transplantation, in addition to emerging technologies used.
- Understand surgical approaches and anatomical and technical nuances of the procedure
- Describe aesthetic, functional, and psychosocial outcomes of facial transplantation reported to date.
Faculty
Rami S. Kantar, M.D., M.P.H.; Allyson R. Alfonso, B.S., B.A.; Gustave K. Diep, M.D.; Zoe P. Berman, M.D.; William J. Rifkin, M.D.; J. Rodrigo Diaz-Siso, M.D.; Michael Sosin, M.D.; Bruce E. Gelb, M.D.; Daniel J. Ceradini, M.D.; Eduardo D. Rodriguez, M.D., D.D.S.
Plastic and Reconstruction Surgery®Editors: Editor-in-Chief: Rod J. Rohrich, MD
Co-Editor: James M. Stuzin, MD
Section Editors: Donald H. Lalonde, MD; John YS Kim, MD
Accreditation Information
AMA PRA Category 1 CreditTM: 1.0
Patient Safety Credit: 0.5
Media:Journal Article, video
Release Date: 06/01/2021
Expiration Date: 06 /01/2024
Estimated time to complete this course: 1 hour
*Course access ends on course expiration date
Directly provided by the American Society of Plastic Surgeons® (ASPS®)
Accreditation Statement
The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation Statement
The ASPS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Intended Audience
This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.
Disclosures
Dr. Rohrich, MD is the Principal/Co-Principal Investigator of research grants awarded to the University of Texas Southwestern Medical Center, Dallas, from Medicis, Mentor, and Contura Pharmaceutical. All research funds are provided directly to UT Southwestern. Dr. Stuzin has no relevant financial relationships or affiliations to disclose. Dr. Lalonde is a consultant for ASSI Instruments. Dr. Kim and the faculty have no disclosures. All ASPS staff members managing this activity have no relevant financial relationships or affiliations to disclose. All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.
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