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Verfasst von:Kückelhaus, Maximilian [VerfasserIn]   i
 Turk, M. [VerfasserIn]   i
 Kumamaru, K. K. [VerfasserIn]   i
 Wo, L. [VerfasserIn]   i
 Bueno, E. M. [VerfasserIn]   i
 Lian, C. G. [VerfasserIn]   i
 Alhefzi, M. [VerfasserIn]   i
 Aycart, M. A. [VerfasserIn]   i
 Fischer, Sebastian [VerfasserIn]   i
 Girolami, U. De [VerfasserIn]   i
 Murphy, G. F. [VerfasserIn]   i
 Rybicki, F. J. [VerfasserIn]   i
 Pomahac, B. [VerfasserIn]   i
Titel:Transformation of face transplants
Titelzusatz:volumetric and morphologic graft changes resemble aging after aacial allotransplantation
Verf.angabe:M. Kueckelhaus, M. Turk, K. K. Kumamaru, L. Wo, E. M. Bueno, C. G. Lian, M. Alhefzi, M. A. Aycart, S. Fischer, U. De Girolami, G. F. Murphy, F. J. Rybicki and B. Pomahac
Jahr:2016
Umfang:11 S.
Fussnoten:Gesehen am 03.06.2020 ; First published: 07 December 2015
Titel Quelle:Enthalten in: American journal of transplantation
Ort Quelle:Oxford [u.a.] : Wiley-Blackwell, 2001
Jahr Quelle:2016
Band/Heft Quelle:16(2016), 3, Seite 968-978
ISSN Quelle:1600-6143
Abstract:Facial allotransplantation restores normal anatomy to severely disfigured faces. Although >30 such operations performed worldwide have yielded promising short-term results, data on long-term outcomes remain scarce. Three full-face transplant recipients were followed for 40 months. Severe changes in volume and composition of the facial allografts were noted. Data from computed tomography performed 6, 18 and 36 months after transplantation were processed to separate allograft from recipient tissues and further into bone, fat and nonfat soft tissues. Skin and muscle biopsies underwent diagnostic evaluation. All three facial allografts sustained significant volume loss (mean 19.55%) between 6 and 36 months after transplant. Bone and nonfat soft tissue volumes decreased significantly over time (17.22% between months 6 and 18 and 25.56% between months 6 and 36, respectively), whereas fat did not. Histological evaluations showed atrophy of muscle fibers. Volumetric and morphometric changes in facial allografts have not been reported previously. The transformation of facial allografts in this study resembled aging through volume loss but differed substantially from regular aging. These findings have implications for risk-benefit assessment, donor selection and measures counteracting muscle and bone atrophy. Superior long-term outcomes of facial allotransplantation will be crucial to advance toward future clinical routine.
DOI:doi:10.1111/ajt.13544
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1111/ajt.13544
 Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/ajt.13544
 DOI: https://doi.org/10.1111/ajt.13544
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:acute
 chronic
 clinical research
 practice
 rejection
 subclinical
 vascularized composite and reconstructive transplantation
K10plus-PPN:1699294291
Verknüpfungen:→ Zeitschrift

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