Craniomaxillofacial Allotransplantation: Achievements and Future Challenges

摘要

Traditional reconstructive techniques have struggled to restore form and function in cases of massive facial trauma. A growing number of centers are attempting to make reconstructive craniomaxillofacial transplantation a mainstream technique. In this chapter, we review the worldwide clinical experience and lessons learned from previous transplants. Increasing efforts are being applied towards the use of computer-based surgical and orthognathic planning to mitigate the inherent complexity of these cases. As comfort is gained with the technical aspects of harvest, inset, and anastomosis, the benchmark for success will be moved beyond allograft survival into measurements of functionality and appearance.