TY - JOUR
T1 - Achievements and challenges in composite tissue allotransplantation
AU - Schneeberger, Stefan
AU - Landin, Luis
AU - Jableki, Jerzy
AU - Butler, Peter
AU - Hoehnke, Christoph
AU - Brandacher, Gerald
AU - Morelon, Emmanuel
PY - 2011/8
Y1 - 2011/8
N2 - Overall, more than 60 hand/forearm/arm transplantations and 16 face transplantations have been performed in the past 12 years. In the European experience summarized here, three grafts have been lost in response to a vascular thrombosis (n = 1), rejection and incompliance with immunosuppression (n = 1) and death (n = 1). The overall functional and esthetic outcome is very satisfactory, but serious side effects and complications related to immunosuppression are challenges hindering progress in this field. The high levels of immunosuppression, skin rejection, nerve regeneration, donor legislation and the acceptance level need to be addressed to promote growth of this promising new field in transplantation and reconstructive surgery.
AB - Overall, more than 60 hand/forearm/arm transplantations and 16 face transplantations have been performed in the past 12 years. In the European experience summarized here, three grafts have been lost in response to a vascular thrombosis (n = 1), rejection and incompliance with immunosuppression (n = 1) and death (n = 1). The overall functional and esthetic outcome is very satisfactory, but serious side effects and complications related to immunosuppression are challenges hindering progress in this field. The high levels of immunosuppression, skin rejection, nerve regeneration, donor legislation and the acceptance level need to be addressed to promote growth of this promising new field in transplantation and reconstructive surgery.
KW - composite tissue transplantation
KW - face transplantation
KW - hand transplantation
KW - indications
KW - outcome
KW - rejection
UR - http://www.scopus.com/inward/record.url?scp=79960138137&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79960138137&partnerID=8YFLogxK
U2 - 10.1111/j.1432-2277.2011.01261.x
DO - 10.1111/j.1432-2277.2011.01261.x
M3 - Review article
C2 - 21554424
AN - SCOPUS:79960138137
SN - 0934-0874
VL - 24
SP - 760
EP - 769
JO - Transplant International
JF - Transplant International
IS - 8
ER -