CT angiography for surgical planning in face transplantation candidates

Facial allotransplantation replaces missing facial structures with anatomically identical tissues, providing desired functional, esthetic, and psychosocial benefits far superior to those of conventional methods. On the basis of very encouraging initial results, it is likely that more procedures will...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 2013-10, Vol.34 (10), p.1873-1881
Main Authors: Soga, S, Pomahac, B, Wake, N, Schultz, K, Prior, R F, Kumamaru, K, Steigner, M L, Mitsouras, D, Signorelli, J, Bueno, E M, Enterline, D S, Rybicki, F J
Format: Article
Language:English
Subjects:
Cerebral Angiography - methods
Face - blood supply
Face - surgery
Facial Transplantation
Humans
Preoperative Care - methods
Review
Surgical Flaps - blood supply
Tomography, X-Ray Computed - methods
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Summary:Facial allotransplantation replaces missing facial structures with anatomically identical tissues, providing desired functional, esthetic, and psychosocial benefits far superior to those of conventional methods. On the basis of very encouraging initial results, it is likely that more procedures will be performed in the near future. Typical candidates have extremely complex vascular anatomy due to severe injury and/or multiple prior reconstructive attempts; thus, each procedure is uniquely determined by the defects and vascular anatomy of the candidate. We detail CT angiography vascular mapping, noting the clinical relevance of the imaging, the angiosome concept and noninvasive delineation of the key vessels, and current controversies related to the vascular anastomoses.
ISSN:0195-6108
1936-959X
DOI:10.3174/ajnr.a3268