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논문 기본 정보

자료유형
학술저널
저자정보
Hong, Jong Won (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Chung, Soon Won (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Ahn, Sung Jae (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Lee, Won Jai (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Lew, Dae Hyun (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Kim, Yong Oock (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제5호
발행연도
2019.1
수록면
405 - 413 (9page)

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Background Face transplantation has naturally evolved from reconstructive procedures. However, few institutions perform face transplantations, because it is time-consuming and it is necessary to justify non-vital organ transplantation. We investigated the process of organ donation from brain-dead patients and the possibility of incorporating face transplantation into the donation process. Methods A retrospective review was performed of 1,074 brain-dead patients from January 2015 to December 2016 in Korea. We analyzed the time intervals from admission to brain death decisions (first, second, and final), the causes of brain death, and the state of the transplanted organs. Results The patient base (n=1,074) was composed of 747 males and 327 females. The average period between admission to the first brain death decision was 8.5 days (${\pm}15.3$). The average time intervals between the first brain death decision and medical confirmation using electroencephalography and between the first brain death decision and the final determination of brain death were 16 hours 58 minutes (${\pm}14hours$ 50 minutes) and 22 hours 57 minutes (${\pm}16hours$ 16 minutes), respectively. The most common cause of brain death was cerebral hemorrhage/stroke (42.3%), followed by hypoxia (30.1%), and head trauma (25.2%). Conclusions When face transplantation is performed, the transplantation team has 22 hours 57 minutes on average to prepare after the first brain death decision. The cause of brain death was head trauma in approximately one-fourth of cases. Although head trauma does not always imply facial trauma, surgeons should be aware that the facial tissue may be compromised in such cases.
#Brain death #Transplantation #Tissue and organ procurement

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참고문헌 (25)

참고문헌 신청
Lindford AJ / 2019 / The Helsinki approach to face transplantation / J Plast Reconstr Aesthet Surg 72:173~180 google schola Sosin M / 2016 / The face transplantation update : 2016 / Plast Reconstr Surg 137:1841~1850 google schola Kiwanuka H / 2013 / Evolution of ethical debate on face transplantation / Plast Reconstr Surg 132:1558~1568 google schola Nguyen LL / 2015 / Cost analysis of conventional face reconstruction versus face transplantation for large tissue defects / Plast Reconstr Surg 135:260~267 google schola Siemionow M / 2011 / Face transplantation : a leading surgeon’s perspective / Transplant Proc 43:2850~2852 google schola

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