Vascularized Composite Allografts: Procurement, Allocation, and Implementation

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Donor facial composite allograft recovery operation: Cleveland and Boston experiences. Plast Reconstr Surg. 2012;129(3):461e–7e. doi:10.1097/PRS.0b013e31824129d7. A report on the practical approach towards VCA procurement, showing the similarities but also the differences between two major transplant programs. Vercler CJ. Ethical issues in face transplantation. Virtual Mentor. 2010;12(5):378–82. doi:10.1001/virtualmentor.2010.12.5.jdsc1-1005. Hartman RG. Face value: challenges of transplant technology. Am J Law Med. 2005;31(1):7–46. Tan, Pearlie WW, Patel AS, Taub PJ, et al. Cultural perspectives in facial allotransplantation. Eplasty. 2012;12:e39. This study gives an interesting insight into the impact of cultural and religious differences on the attitude towards VCA transplantation and how this might be taken into account when trying to foster VCA donation. Siemionow MZ, Rampazzo A, Gharb BB. Addressing religious and cultural differences in views on transplantation, including composite tissue allotransplantation. Ann Plast Surg. 2011;66(4):410–5. doi:10.1097/SAP.0b013e3182121db9. Gordon CR, Siemionow M, Zins J. Composite tissue allotransplantation: a proposed classification system based on relative complexity. Transplant Proc. 2009;41(2):481–4. doi:10.1016/j.transproceed.2009.01.025. Pomahac B. Establishing a composite tissue allotransplantation program. J Reconstr Microsurg. 2012;28(1):3–6. doi:10.1055/s-0031-1285823. Pomahac B, Becker YT, Cendales L, et al. Vascularized composite allotransplantation research: the emerging field. Am J Transplant. 2012;12(4):1062–3. doi:10.1111/j.1600-6143.2011.03900.x. Schuind F, Abramowicz D, Schneeberger S. Hand transplantation: the state-of-the-art. J Hand Surg Eur. 2007;32(1):2–17. doi:10.1016/j.jhsb.2006.09.008. Banegas RN, Moreno R, Duggal A, et al. Surgical aspects of donor hand recovery for transplantation. J Reconstr Microsurg. 2012;28(1):21–6. doi:10.1055/s-0031-1285824. An overview of the key elements in upper-limb procurement. Schneeberger S, Morelon E, Landin L. Vascularized composite allotransplantation: a member of the transplant family? Transplantation. 2012;93(11):1088–91. doi:10.1097/TP.0b013e318254ad8a. Ulusal BG, Ulusal AE, Ozmen S, et al. A new composite facial and scalp transplantation model in rats. Plast Reconstr Surg. 2003;112(5):1302–11. doi:10.1097/01.PRS.0000079823.84984.BB. Unal S, Agaoglu G, Zins J, et al. New surgical approach in facial transplantation extends survival of allograft recipients. Ann Plast Surg. 2005;55(3):297–303. Baccarani A, Follmar KE, Erdmann D, et al. Face transplantation surgical options and open problems in cadaveric models: a review article. Microsurgery. 2013;33(3):239–46. doi:10.1002/micr.22083. Excellent overview of the current status of face transplantation including issues that need special attention. Baccarani A, Follmar KE, Baumeister SP, et al. Technical and anatomical considerations of face harvest in face transplantation. Ann Plast Surg. 2006;57(5):483–8. doi:10.1097/01.sap.0000227486.28556.3e. Siemionow M, Agaoglu G, Unal S. A cadaver study in preparation for facial allograft transplantation in humans: part II. Mock facial transplantation. Plast Reconstr Surg. 2006;117(3):876–85. doi:10.1097/01.prs.0000204876.27481.fc. discussion 886-8. Baccarani A, Follmar KE, Das RR, et al. A pilot study in sub-SMAS face transplantation: defining donor compatibility and assessing outcomes in a cadaver model. Plast Reconstr Surg. 2007;119(1):121–9. doi:10.1097/01.prs.0000245078.66513.c0. Meningaud J, Benjoar M, Hivelin M, et al. Procurement of total human face graft for allotransplantation: a preclinical study and the first clinical case. Plast Reconstr Surg. 2010;126(4):1181–90. doi:10.1097/PRS.0b013e3181ec2089. Meningaud J, Paraskevas A, Ingallina F, et al. Face transplant graft procurement: a preclinical and clinical study. Plast Reconstr Surg. 2008;122(5):1383–9. doi:10.1097/PRS.0b013e3181882146. Alam DS, Papay F, Djohan R, et al. The technical and anatomical aspects of the World's first near-total human face and maxilla transplant. Arch Facial Plast Surg. 2009;11(6):369–77. doi:10.1001/archfacial.2009.80. Siemionow M, Ozturk C. Donor operation for face transplantation. J Reconstr Microsurg. 2012;28(1):35–42. doi:10.1055/s-0031-1272963. Meningaud J, Hivelin M, Benjoar M, et al. The procurement of allotransplants for ballistic trauma: a preclinical study and a report of two clinical cases. Plast Reconstr Surg. 2011;127(5):1892–900. doi:10.1097/PRS.0b013e31820e915a. This article describes in depth the different steps in face procurement and is accompanied by several very instructive video clips that are freely accessible via the internet. Siemionow M, Ozturk C. An update on facial transplantation cases performed between 2005 and 2010. 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