Restoration of the Donor after Face Graft Procurement for Allotransplantation: Report on the Technique and Outcomes of Seven Cases

Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, and the XII Medical School, Université Paris-Est Créteil, Créteil, France.
Plastic and Reconstructive Surgery (Impact Factor: 2.99). 05/2012; 129(5):1105-11. DOI: 10.1097/PRS.0b013e31824a2bf8
Source: PubMed


After organ retrieval, restoration of the donor is a legal and ethical necessity; this is particularly true in facial transplantation. However, very few data are available regarding this procedure.
This article reviews the seven facial masks produced during seven consecutive face transplants carried out at Henri Mondor Hospital in Paris, France. The time of production, morphologic outcome, and donor family feedback were recorded. Technical tips and pitfalls are also discussed.
Recording an impression of the donor's face with alginate required less than 25 minutes and, in all cases, the production of a resin mask was completed before the surgical harvesting was finished. Although all morphologic results were satisfactory or very satisfactory, the best outcomes were achieved using a total face mask, avoiding color discrepancies. Family feedback was positive, and none of the funeral ceremonies was disturbed by the procedure.
The production of a full-face resin mask is a reliable and reproducible technique. This procedure restores donor integrity and gives a very satisfactory morphologic and aesthetic outcome.
Therapeutic, IV.

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    • "Given the breadth of the field, plastic surgeons have not surprisingly always been at the forefront in pioneering and discovering new techniques and developing innovations that have had a profound impact on mankind as a whole.8–11 The fields of cardiovascular, vascular, and transplant surgery were made possible by Joseph Murray who was awarded the Nobel prize in medicine for his efforts and contributions, not dissimilar to the advent of composite tissue allotransplantation also cultivated by our field.12,13 Clearly, the life of a plastic surgeon will be one of lifelong training, exploration, and personal development. "
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