Clinical Considerations for Vascularized Composite Allotransplantation of the Eye

被引:11
作者
Davidson, Edward H. [1 ]
Wang, Eric W. [2 ]
Yu, Jenny Y. [3 ]
Fernandez-Miranda, Juan C. [4 ]
Wang, Dawn J. [1 ]
Li, Yang [1 ,5 ]
Miller, Maxine [1 ]
Sivak, Wesley N. [1 ]
Bourne, Debra [1 ]
Wang, Hongkun [1 ]
Solari, Mario G. [1 ]
Schuman, Joel S. [3 ]
Washington, Kia M. [1 ,6 ]
机构
[1] Univ Pittsburgh, Sch Med, Dept Plast Surg, Pittsburgh, PA USA
[2] Univ Pittsburgh, Sch Med, Dept Otolaryngol, Pittsburgh, PA USA
[3] Univ Pittsburgh, Sch Med, Dept Ophthalmol, Pittsburgh, PA 15261 USA
[4] Univ Pittsburgh, Sch Med, Dept Neurosurg, Pittsburgh, PA 15261 USA
[5] Fourth Mil Med Univ, Xijing Hosp, Dept Plast & Reconstruct Surg, Xian, Peoples R China
[6] Pittsburgh VA Healthcare Syst, Pittsburgh, PA USA
基金
美国国家卫生研究院;
关键词
Composite tissue allotransplantation; eye transplant; face transplant; reconstructive transplantation; vascularized composite allotransplantation; RETINAL GANGLION-CELLS; MESENCHYMAL STEM-CELLS; CILIARY NEUROTROPHIC FACTOR; PERFUSED MAMMALIAN EYE; FACE TRANSPLANTATION; VISUAL-CORTEX; SWINE MODEL; TOLERANCE; ALLOGRAFTS; SURVIVAL;
D O I
10.1097/SCS.0000000000002985
中图分类号
R61 [外科手术学];
学科分类号
摘要
Vascularized composite allotransplantation represents a potential shift in approaches to reconstruction of complex defects resulting from congenital differences as well as trauma and other acquired pathology. Given the highly specialized function of the eye and its unique anatomical components, vascularized composite allotransplantation of the eye is an appealing method for restoration, replacement, and reconstruction of the nonfunctioning eye. Herein, we describe conventional treatments for eye restoration and their shortcomings as well as recent research and events that have brought eye transplantation closer to a potential clinical reality. In this article, we outline some potential considerations in patient selection, donor facial tissue procurement, eye tissue implantation, surgical procedure, and potential for functional outcomes.
引用
收藏
页码:1622 / 1628
页数:7
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