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Facial transplantation: adding to the reconstructive options after severe facial injury and disease.

机译:面部移植:严重的面部损伤和疾病后增加了重建选择。

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摘要

The ability to reconstruct complex facial injuries is still a considerable challenge despite the development of microsurgical techniques. The reconstructive options for conditions such as panfacial burns are severely limited. The result after multiple surgical procedures in this group is often poor in terms of function and cosmesis. Facial transplantation provides a potential solution, but opinion is currently divided about the extent to which the potential benefits to the quality of life can be justified when weighed against the technical, psychological and immunological risks. This paper reviews the current status of the debate and argues that a rigorous research strategy is the only logical basis for countering the ethical objections to a procedure that offers considerable benefits over existing reconstructive options.
机译:尽管显微外科技术的发展,重建复杂的面部损伤的能力仍然是一个相当大的挑战。诸如面灼伤等病症的重建选择受到严格限制。该组中多次手术后的结果在功能和美容方面通常较差。面部移植提供了一种潜在的解决方案,但目前在对技术,心理和免疫风险进行权衡时,可以在多大程度上证明生活质量的潜在益处是合理的,目前存在意见分歧。本文回顾了辩论的现状,并指出,严格的研究策略是反击道德反对的唯一逻辑基础,该程序比现有的重建方案具有可观的收益。

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