Palabras clave
Trasplante facial
Trasplante alogénico
Periodo preoperatorio
Periodo postoperatorio
Bioética
Trasplante alogénico
Periodo preoperatorio
Periodo postoperatorio
Bioética
Cómo citar
Méndez-Cárdenas, J. G., Nieto-Fernández, D., Erazo-Arteaga, M. C., Pineda-López, D. M., Quintero-Cuervo, D. Y., Santamaría-Losada, P. A., Ruiz-Moreno, C., Nieto-Bayona, M. A., Leuro-Torres, S. A., & Gómez-Rueda, M. Ángel. (2020). Trasplante facial generalidades. Médicas UIS, 33(3), 29–38. https://doi.org/10.18273/revmed.v33n3-2020003
Resumen
El trasplante facial es un alotrasplante compuesto vascularizado que busca la reconstrucción de defectos masivos faciales permitiendo la reinserción social del receptor, generando un impacto positivo sobre su calidad de vida. El objetivo de este artículo fue realizar una revisión de la literatura sobre generalidades del trasplante facial, enfocándose en los cuidados pre, intra y postoperatorios concernientes a la temática. La búsqueda bibliográfica se realizó desde el 13 de septiembre del 2018 hasta el 31 de marzo del 2019 utilizando los términos MESH “Face Transplant” y “Face Transplantation”. Aplicando los criterios de inclusión y exclusión se obtuvieron 43 artículos sobre los cuales se desarrolló la revisión. El trasplante facial es un procedimiento nuevo en el cual hay muchas áreas por explorar, sin embargo, es una alternativa prometedora a los métodos utilizados para la reconstrucción de lesiones faciales complejas, que se optimizará a medida que se extienda su uso. MÉD.UIS.2020;33(3): 29-36.
Referencias
1. Sosin M, Rodriguez ED. The Face Transplantation Update: 2016. Plast Reconstr Surg. 2016;137(6):1841–50.
2. Cammarata MJ, Jethanamest D, Rodriguez ED. Otologic considerations in a full face transplant recipient. Laryngoscope.
2018;129(9): 2008–11.
3. Topçu Ç, Uysal H, Özkan Ö, Özkan Ö, Polat Ö, Bedeloǧlu M, et al. Recovery of facial expressions using functional electrical stimulation after full-face transplantation. J Neuroeng Rehabil. 2018;15(15):1–7.
4. Sweeney N, Allen K, Miller B, Nolan T, Sheerin K. Perioperative Nursing Management of Donor and Recipient Patients Undergoing
Face Transplantation. AORN J [Internet]. 2017;106(1):8–19. Disponible en: http://dx.doi.org/10.1016/j.aorn.2017.05.004
5. Bharadia D, Sinha I, Pomahac B. Role of Facial Vascularized Composite Allotransplantation in Burn Patients. Clin Plast Surg [Internet]. 2017;44(4):857–64. Disponible en: http://dx.doi. org/10.1016/j.cps.2017.05.017
6. Wallins JS, Chandawarkar AA, Dobry A, Diaz-Siso JR, Bueno EM, Caterson EJ, et al. Craniofacial measurements of donors and recipients correlate with aesthetic outcome in virtual face transplantation. Plast Reconstr Surg. 2015;3(5):1–7.
7. Keener AB. Saving face: The search for alternatives to life-long immunosuppression for face transplants. Nat Med [Internet]. 2016;22(5):448–9. Disponible en: http://dx.doi.org/10.1038/ nm0516-448
8. Aycart MA, Pomahac B. Discussion. Plast Reconstr Surg [Internet] 2016;138(5):1080–1. Disponible en: https://doi.org/10.1097/ PRS.0000000000002717
9. Lee J. Face transplantation for the blind: more than being blind in a sighted world. J Med Ethics 2018;44(6):361–5.
10. Hashem AM, Hoffman GS, Gastman B, Bernard S, Djohan R, et al. Establishing the Feasibility of Face Transplantation in Granulomatosis With Polyangiitis. Am J Transplant. 2016;16(7):2213–23.
11. Oser ML, Nizzi MC, Zinser JL, Turk M, Epstein R, et al. Quality of Life and Psychosocial Functioning 2 Years Following Facial Transplantation. Psychosomatics [Internet]. 2018;59(6):591–600. Disponible en: https://doi.org/10.1016/j.psym.2018.04.005
12. Cogliandro A, Barone M, Salzillo R, Persichetti P. Quality of Life after Face Transplantation. Plast Reconstr Surg [Internet]. 2017;140(5):757e. Disponible en: https://doi.org/10.1097/PRS.0000000000003818
13. Sosin M, Ceradini DJ, Levine JP, Hazen A, Staffenberg DA, Saadeh PB, et al. Total face, eyelids, ears, scalp, and skeletal subunit transplant: A reconstructive solution for the full face and total scalp burn. Plast Reconstr Surg [Internet]. 2016;138(1):205–19. Disponible en:
ttps://doi.org/10.1097/PRS.0000000000002322
14. Caterson EJ, Diaz-Siso JR, Shetye P, Junker JPE, Bueno EM, et al. Craniofacial principles in face transplantation. J Craniofac Surg. 2012;23(5):1234–8.
15. Sedaghati-nia A, Gilton A, Liger C, Binhas M, Cook F, Ait- Mammar B, et al. Anaesthesia and intensive care management of face transplantation. Br J Anaesth. 2013;111(4):600–6.
16. Diaz-Siso JR, Plana NM, Schleich B, Irving H, Gelb BE, et al. Novel Donor Transfer Algorithm for Multiorgan and Facial Allograft Procurement. Am J Transplant. 2017;17(9):2496–7.
17. Kiwanuka H, Aycart MA, Bueno EM, Alhefzi M, Krezdorn N, Pomahac B. Patient Recruitment and Referral Patterns in Face Transplantation. Plast Reconstr Surg. 2016;138(1):224–31.
18. Tasigiorgos S, Kollar B, Krezdorn N, Bueno EM, Tullius SG, Pomahac B. Face transplantation—current status and future
developments. Transpl Int. 2018;31(7):677–88.
19. Nguyen LL, Naunheim MR, Hevelone ND, Diaz-Siso JR, Hogan JP, Bueno EM, et al. Cost analysis of conventional face reconstructionversus face transplantation for large tissue defects. Plast Reconstr Surg. 2015;135(1):260–7.
20. Shanmugarajah K, Hettiaratchy S, Butler PEM. Facial transplantation. Curr Opin Otolaryngol Head Neck Surg [Internet]. 2012;20(4):291–7. Disponible en: http://content. wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage& an=00020840-201208000-00012
21. Aycart MA, Alhefzi M, Kueckelhaus M, Krezdorn N, Bueno EM, Caterson EJ, et al. A Retrospective Analysis of Secondary Revisions
after Face Transplantation: Assessment of Outcomes, Safety, and Feasibility. Plast Reconstr Surg. 2016;138(4):690e-701e.
22. Pomahac B, Bueno EM, Sisk GC, Pribaz JJ. Current principles of facial allotransplantation: The Brigham and Women’s Hospital
experience. Plast Reconstr Surg. 2013;131(5):1069–76.
23. Diaz-Siso JR, Rodriguez ED. Discussion. Plast Reconstr Surg. 2015;137(1):223e-224e.
24. Marchac A, Kuschner T, Paris J, Picard A, Vazquez MP, Lantieri L. Ethical issues in pediatric face transplantation: Should we perform face transplantation in children? Plast Reconstr Surg.
2. Cammarata MJ, Jethanamest D, Rodriguez ED. Otologic considerations in a full face transplant recipient. Laryngoscope.
2018;129(9): 2008–11.
3. Topçu Ç, Uysal H, Özkan Ö, Özkan Ö, Polat Ö, Bedeloǧlu M, et al. Recovery of facial expressions using functional electrical stimulation after full-face transplantation. J Neuroeng Rehabil. 2018;15(15):1–7.
4. Sweeney N, Allen K, Miller B, Nolan T, Sheerin K. Perioperative Nursing Management of Donor and Recipient Patients Undergoing
Face Transplantation. AORN J [Internet]. 2017;106(1):8–19. Disponible en: http://dx.doi.org/10.1016/j.aorn.2017.05.004
5. Bharadia D, Sinha I, Pomahac B. Role of Facial Vascularized Composite Allotransplantation in Burn Patients. Clin Plast Surg [Internet]. 2017;44(4):857–64. Disponible en: http://dx.doi. org/10.1016/j.cps.2017.05.017
6. Wallins JS, Chandawarkar AA, Dobry A, Diaz-Siso JR, Bueno EM, Caterson EJ, et al. Craniofacial measurements of donors and recipients correlate with aesthetic outcome in virtual face transplantation. Plast Reconstr Surg. 2015;3(5):1–7.
7. Keener AB. Saving face: The search for alternatives to life-long immunosuppression for face transplants. Nat Med [Internet]. 2016;22(5):448–9. Disponible en: http://dx.doi.org/10.1038/ nm0516-448
8. Aycart MA, Pomahac B. Discussion. Plast Reconstr Surg [Internet] 2016;138(5):1080–1. Disponible en: https://doi.org/10.1097/ PRS.0000000000002717
9. Lee J. Face transplantation for the blind: more than being blind in a sighted world. J Med Ethics 2018;44(6):361–5.
10. Hashem AM, Hoffman GS, Gastman B, Bernard S, Djohan R, et al. Establishing the Feasibility of Face Transplantation in Granulomatosis With Polyangiitis. Am J Transplant. 2016;16(7):2213–23.
11. Oser ML, Nizzi MC, Zinser JL, Turk M, Epstein R, et al. Quality of Life and Psychosocial Functioning 2 Years Following Facial Transplantation. Psychosomatics [Internet]. 2018;59(6):591–600. Disponible en: https://doi.org/10.1016/j.psym.2018.04.005
12. Cogliandro A, Barone M, Salzillo R, Persichetti P. Quality of Life after Face Transplantation. Plast Reconstr Surg [Internet]. 2017;140(5):757e. Disponible en: https://doi.org/10.1097/PRS.0000000000003818
13. Sosin M, Ceradini DJ, Levine JP, Hazen A, Staffenberg DA, Saadeh PB, et al. Total face, eyelids, ears, scalp, and skeletal subunit transplant: A reconstructive solution for the full face and total scalp burn. Plast Reconstr Surg [Internet]. 2016;138(1):205–19. Disponible en:
ttps://doi.org/10.1097/PRS.0000000000002322
14. Caterson EJ, Diaz-Siso JR, Shetye P, Junker JPE, Bueno EM, et al. Craniofacial principles in face transplantation. J Craniofac Surg. 2012;23(5):1234–8.
15. Sedaghati-nia A, Gilton A, Liger C, Binhas M, Cook F, Ait- Mammar B, et al. Anaesthesia and intensive care management of face transplantation. Br J Anaesth. 2013;111(4):600–6.
16. Diaz-Siso JR, Plana NM, Schleich B, Irving H, Gelb BE, et al. Novel Donor Transfer Algorithm for Multiorgan and Facial Allograft Procurement. Am J Transplant. 2017;17(9):2496–7.
17. Kiwanuka H, Aycart MA, Bueno EM, Alhefzi M, Krezdorn N, Pomahac B. Patient Recruitment and Referral Patterns in Face Transplantation. Plast Reconstr Surg. 2016;138(1):224–31.
18. Tasigiorgos S, Kollar B, Krezdorn N, Bueno EM, Tullius SG, Pomahac B. Face transplantation—current status and future
developments. Transpl Int. 2018;31(7):677–88.
19. Nguyen LL, Naunheim MR, Hevelone ND, Diaz-Siso JR, Hogan JP, Bueno EM, et al. Cost analysis of conventional face reconstructionversus face transplantation for large tissue defects. Plast Reconstr Surg. 2015;135(1):260–7.
20. Shanmugarajah K, Hettiaratchy S, Butler PEM. Facial transplantation. Curr Opin Otolaryngol Head Neck Surg [Internet]. 2012;20(4):291–7. Disponible en: http://content. wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage& an=00020840-201208000-00012
21. Aycart MA, Alhefzi M, Kueckelhaus M, Krezdorn N, Bueno EM, Caterson EJ, et al. A Retrospective Analysis of Secondary Revisions
after Face Transplantation: Assessment of Outcomes, Safety, and Feasibility. Plast Reconstr Surg. 2016;138(4):690e-701e.
22. Pomahac B, Bueno EM, Sisk GC, Pribaz JJ. Current principles of facial allotransplantation: The Brigham and Women’s Hospital
experience. Plast Reconstr Surg. 2013;131(5):1069–76.
23. Diaz-Siso JR, Rodriguez ED. Discussion. Plast Reconstr Surg. 2015;137(1):223e-224e.
24. Marchac A, Kuschner T, Paris J, Picard A, Vazquez MP, Lantieri L. Ethical issues in pediatric face transplantation: Should we perform face transplantation in children? Plast Reconstr Surg.
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2020 Médicas UIS
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