|
1
|
Palade D, Hainarosie R, Pertea M, Anghelina F, Zaharia P, Pietroșanu C, Calu V, Ardeleanu V, Manole F. Reconstructive challenges of sinonasal tumors: A case report. Exp Ther Med 2022; 23:419. [PMID: 35601069 PMCID: PMC9117945 DOI: 10.3892/etm.2022.11346] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 12/30/2021] [Indexed: 11/06/2022] Open
Affiliation(s)
- Dragos Palade
- Department of Otorhinolaryngology and Head and Neck Surgery, ‘Sf. Spiridon’ Clinical Hospital, 700111 Iasi, Romania
| | - Razvan Hainarosie
- Department of Otorhinolaryngology and Head and Neck Surgery, ‘Prof. Dr. D. Hociota’ Institute of Phonoaudiology and Functional ENT Surgery, 061344 Bucharest, Romania
| | - Mihaela Pertea
- Department of Plastic and Reconstructive Surgery, ‘Sf. Spiridon’ Clinical Hospital, 700111 Iasi, Romania
| | - Florin Anghelina
- Department of Otorhinolaryngology and Head and Neck Surgery, Dolj County Hospital, 200349 Craiova, Romania
| | - Petronela Zaharia
- Department of Otorhinolaryngology and Head and Neck Surgery, ‘Sf. Spiridon’ Clinical Hospital, 700111 Iasi, Romania
| | - Cătălina Pietroșanu
- Department of Otorhinolaryngology and Head and Neck Surgery, ‘Prof. Dr. D. Hociota’ Institute of Phonoaudiology and Functional ENT Surgery, 061344 Bucharest, Romania
| | - Valentin Calu
- Department of Surgery, ‘Elias’ Emergency University Hospital, 011461 Bucharest, Romania
| | - Valeriu Ardeleanu
- Doctoral School, Faculty of Medicine, ‘Ovidius’ University, 900527 Constanta, Romania
| | - Felicia Manole
- Faculty of Medicine and Pharmacy, University of Oradea, 411073 Oradea, Romania
| |
Collapse
|
|
2
|
Kauke M, Safi AF, Zhegibe A, Haug V, Kollar B, Nelms L, Palmer WJ, Tchiloemba B, Lian CG, Murphy GF, Pomahac B. Mucosa and Rejection in Facial Vascularized Composite Allotransplantation: A Systematic Review. Transplantation 2021; 104:2616-2624. [PMID: 32053572 DOI: 10.1097/tp.0000000000003171] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND Facial vascularized composite allotransplantation (fVCA) presents an established approach to restore form and function of patients with catastrophic facial defects. Skin is one of the target tissues of the rejection process, and due to its easy accessibility has become the gold standard in the diagnosis of rejection. Mucosal rejection frequently occurs; however, the added value of mucosal rejection assessment for patient management is unknown. METHODS We conducted a systematic review of manuscripts listed in the MEDLINE/PubMed and GoogleScholar databases to identify articles that provide data on mucosal rejection following fVCA. For inclusion, papers had to be available as full-text and written in English. Non-VCA studies and animal studies were excluded. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. RESULTS We included 17 articles that described changes in allotransplanted mucosa of fVCAs. These articles yielded data on 168 BANFF graded biopsies of corresponding skin and mucosa biopsies. Rejection grades were consistently higher in mucosal biopsies. Concordance between allograft skin and mucosa biopsy grades increased with an increasing skin-BANFF grade. Mucosa rejection grades were on average lower in the early stages of the posttransplant period (<postoperative mo 12, time of motor, and sensory recovery) when compared to the later stages (>postoperative mo 12). CONCLUSIONS The mucosa of facial allotransplants is one of the primary targets of rejection. The data indicates that higher-grade skin rejection does not occur in absence of mucosal rejection. Further investigations are needed to elucidate the exact role of mucosal biopsies for fVCA patient management.
Collapse
Affiliation(s)
- Martin Kauke
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - Ali-Farid Safi
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - Ana Zhegibe
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - Valentin Haug
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.,Department of Hand, Plastic and Reconstructive Surgery, Microsurgery, Burn Trauma Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany
| | - Branislav Kollar
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - Laurel Nelms
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - William Jackson Palmer
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - Bianief Tchiloemba
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - Christine G Lian
- Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - George F Murphy
- Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| | - Bohdan Pomahac
- Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
| |
Collapse
|