Allogreffe de face et implantologie basale (implant-disques à appuis corticaux)

Méningaud, Jean-Paul; Donsimoni, J.-M.; Lantieri, Laurent

doi:10.1016/j.stomax.2009.09.008

Cited by 13 publications

(3 citation statements)

References 6 publications

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“…Two patients died. The first one underwent FT in China during 2006 and died 27 months after transplantation (15). The other one was the first patient to receive a simultaneous face and bilateral hands transplant in France during 2009 and died 2 months after transplantation due to septic shock (19).…”

Section: Resultsmentioning

confidence: 99%

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Facial transplantation: A concise update

Infante-Cossio

Barrera-Pulido²,

Gómez-Cía³

et al. 2013

Med Oral

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Objectives: Update on clinical results obtained by the first worldwide facial transplantation teams as well as review of the literature concerning the main surgical, immunological, ethical, and follow-up aspects described on facial transplanted patients. Study design: MEDLINE search of articles published on “face transplantation” until March 2012. Results: Eighteen clinical cases were studied. The mean patient age was 37.5 years, with a higher prevalence of men. Main surgical indication was gunshot injuries (6 patients). All patients had previously undergone multiple conventional surgical reconstructive procedures which had failed. Altogether 8 transplant teams belonging to 4 countries participated. Thirteen partial face transplantations and 5 full face transplantations have been performed. Allografts are varied according to face anatomical components and the amount of skin, muscle, bone, and other tissues included, though all were grafted successfully and remained viable without significant postoperative surgical complications. The patient with the longest follow-up was 5 years. Two patients died 2 and 27 months after transplantation. Conclusions: Clinical experience has demonstrated the feasibility of facial transplantation as a valuable reconstructive option, but it still remains considered as an experimental procedure with unresolved issues to settle down. Results show that from a clinical, technical, and immunological standpoint, facial transplantation has achieved functional, aesthetic, and social rehabilitation in severely facial disfigured patients. Key words:Face transplantation, composite tissue transplantation, face allograft, facial reconstruction, outcomes and complications of face transplantation.

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Section: Resultsmentioning

confidence: 99%

“…3). Meningoud et al (15) reported a successful case of dental implant placement and dental prosthesis manufacture, arguing that oral rehabilitation was necessary in transplant patients to achieve a functional and aesthetic improvement as well as a normal social reintegration.…”

Section: Discussionmentioning

confidence: 99%

Facial transplantation: A concise update

Infante-Cossio

Barrera-Pulido²,

Gómez-Cía³

et al. 2013

Med Oral

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“…3–5 With inclusion of these bone segments, special attention should be dedicated to the position of the upper and/or lower jaw in relation to the recipient’s skull base, healing of the bone, and condition of dentition over time to avoid problems with mastication, swallow, speech, airway, and facial aesthetics. Significant complications have been reported in bone-containing composite facial allografts, including malocclusion, 6 trismus, 7 tooth decay, 8 and speech impairment. 9 The aim of this study was to review both the worldwide and Cleveland Clinic face transplant experience, and evaluate skeletal and dental outcomes following transplantation of midface- and/or mandible-containing allografts.…”

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confidence: 99%

Skeletal and Dental Outcomes after Facial Allotransplantation: The Cleveland Clinic Experience and Systematic Review of the Literature

Coombs

Gharb

Tuncer

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: Most of the literature surrounding face transplantation focuses on technique, immunology, and psychology. Dental and skeletal outcomes remain persistently underreported. This study critically examined the worldwide face transplant experience to evaluate such outcomes. Methods: A systematic review of all composite allografts containing midface and/or mandible was performed. Dental and skeletal complications were recorded. Formal imaging and photographs available in the literature were analyzed using skeletal measurements, soft-tissue cephalometrics, and the Angle classification. Outcomes of our face transplant patients, including condylar assessment and airway volume measurements, is also presented. Results: Twenty-five patients received allografts containing midface (n = 7) or mandible (n = 2), whereas 16 contained a double-jaw. All midface-only transplants developed skeletal deformity; 57 percent developed a palatal fistula. Both partial and full arch transplantation patients developed skeletal deformity. Among double-jaw transplants, 69 percent developed palatal fistula or floor-of-mouth dehiscence, 66 percent developed malocclusion, 50 percent developed trismus, and 31 percent required corrective orthognathic surgery. In 40 percent of patients, malocclusion recurred after corrective orthognathic surgery. Forty percent of all patients developed dental cavities or periodontal disease. All of our patients received midface and/or mandible. One patient required corrective orthognathic surgery. Midfacial segments showed clockwise rotation. Airway volumes decreased over time. Conclusions: Skeletal and dental complications remain extremely common after facial allotransplantation involving either single- or double-jaw composites. Corrective orthognathic surgery and dental extraction is often necessitated. These data will aid face transplant teams during surgical planning and preoperative counseling. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

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