Current Indications for Hand and Face Allotransplantation
Abstract There is growing excitement centered on the possibilities of composite tissue allotransplantation (CTA) in many medical centers around the United States. As CTA programs begin to form, criteria to guide patient selection for these highly complex procedures is warranted. At this time the con...
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| Veröffentlicht in: | Transplantation proceedings 2009-03, Vol.41 (2), p.495-498 |
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| container_title | Transplantation proceedings |
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| creator | Hollenbeck, S.T Erdmann, D Levin, L.S |
| description | Abstract There is growing excitement centered on the possibilities of composite tissue allotransplantation (CTA) in many medical centers around the United States. As CTA programs begin to form, criteria to guide patient selection for these highly complex procedures is warranted. At this time the contraindications for CTA are more easily defined than the indications. What is clear is that a thorough multidisciplinary evaluation of each individual patient will be needed to determine the global impact and complexity of the defect. The role of the surgeon is to identify the feasibility of the CTA reconstruction and balance this with a complete knowledge of conventional reconstructive techniques. Conventional treatments may be used in place of CTA or as salvage for CTA failure. |
| doi_str_mv | 10.1016/j.transproceed.2009.01.065 |
| format | Article |
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As CTA programs begin to form, criteria to guide patient selection for these highly complex procedures is warranted. At this time the contraindications for CTA are more easily defined than the indications. What is clear is that a thorough multidisciplinary evaluation of each individual patient will be needed to determine the global impact and complexity of the defect. The role of the surgeon is to identify the feasibility of the CTA reconstruction and balance this with a complete knowledge of conventional reconstructive techniques. 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As CTA programs begin to form, criteria to guide patient selection for these highly complex procedures is warranted. At this time the contraindications for CTA are more easily defined than the indications. What is clear is that a thorough multidisciplinary evaluation of each individual patient will be needed to determine the global impact and complexity of the defect. The role of the surgeon is to identify the feasibility of the CTA reconstruction and balance this with a complete knowledge of conventional reconstructive techniques. Conventional treatments may be used in place of CTA or as salvage for CTA failure.</description><subject>Biological and medical sciences</subject><subject>Facial Transplantation - methods</subject><subject>Fingers - transplantation</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Graft Rejection - immunology</subject><subject>Hand - surgery</subject><subject>Hand Transplantation</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Patients - classification</subject><subject>Physicians</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Specialties, Surgical</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tissue, organ and graft immunology</subject><subject>Transplantation, Homologous - methods</subject><subject>Treatment Failure</subject><subject>Treatment Outcome</subject><issn>0041-1345</issn><issn>1873-2623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1r3DAQhkVoSTZp_kIwhfZmZ_SxstVDIWzzBYEe2p6FPB6Dtl45lexA_n3l7hJKTjlIQujVOzPPy9hHDhUHri-31RRdSI9xRKKuEgCmAl6BXh-xFW9qWQot5Du2AlC85FKtT9hpSlvId6HkMTvhRorGcL5iZjPHSGEq7kPn0U1-DKnox1jcudAVy7pxSMXVMIz7ooML0z_ZB_a-d0Oi88N5xn7dXP_c3JUP32_vN1cPJSotp7JTSirl5BqN49guO2gQyOsGEVxbd2tOrWl0bZTuGjAGGiGJdN8iQCPlGfu8983z_pkpTXbnE9KQG6FxTlbX0OSxdBZ-2QsxjilF6u1j9DsXny0Hu4CzW_s_OLuAs8BtBpc_XxyqzO0uv718PZDKgk8HgUvohj4boU8vOpExG6Eh677tdZSZPHmKNqGngNT5SDjZbvRv6-frKxscfMgJDb_pmdJ2nGPI1C23SViwP5aol6TB5JR5NvgLfeumsg</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Hollenbeck, S.T</creator><creator>Erdmann, D</creator><creator>Levin, L.S</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>Current Indications for Hand and Face Allotransplantation</title><author>Hollenbeck, S.T ; Erdmann, D ; Levin, L.S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-d44344a35c9a1cbc9a10602c178cc0ab7d51eb9867946d80990823ee6fbc00833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Facial Transplantation - methods</topic><topic>Fingers - transplantation</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Graft Rejection - immunology</topic><topic>Hand - surgery</topic><topic>Hand Transplantation</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Patients - classification</topic><topic>Physicians</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Specialties, Surgical</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tissue, organ and graft immunology</topic><topic>Transplantation, Homologous - methods</topic><topic>Treatment Failure</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hollenbeck, S.T</creatorcontrib><creatorcontrib>Erdmann, D</creatorcontrib><creatorcontrib>Levin, L.S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hollenbeck, S.T</au><au>Erdmann, D</au><au>Levin, L.S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Current Indications for Hand and Face Allotransplantation</atitle><jtitle>Transplantation proceedings</jtitle><addtitle>Transplant Proc</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>41</volume><issue>2</issue><spage>495</spage><epage>498</epage><pages>495-498</pages><issn>0041-1345</issn><eissn>1873-2623</eissn><coden>TRPPA8</coden><abstract>Abstract There is growing excitement centered on the possibilities of composite tissue allotransplantation (CTA) in many medical centers around the United States. As CTA programs begin to form, criteria to guide patient selection for these highly complex procedures is warranted. At this time the contraindications for CTA are more easily defined than the indications. What is clear is that a thorough multidisciplinary evaluation of each individual patient will be needed to determine the global impact and complexity of the defect. The role of the surgeon is to identify the feasibility of the CTA reconstruction and balance this with a complete knowledge of conventional reconstructive techniques. Conventional treatments may be used in place of CTA or as salvage for CTA failure.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>19328911</pmid><doi>10.1016/j.transproceed.2009.01.065</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Transplantation proceedings, 2009-03, Vol.41 (2), p.495-498 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Facial Transplantation - methods Fingers - transplantation Fundamental and applied biological sciences. Psychology Fundamental immunology Graft Rejection - immunology Hand - surgery Hand Transplantation Humans Medical sciences Patients - classification Physicians Reconstructive Surgical Procedures - methods Specialties, Surgical Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tissue, organ and graft immunology Transplantation, Homologous - methods Treatment Failure Treatment Outcome |
| title | Current Indications for Hand and Face Allotransplantation |
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