PDF(Pubmed)
Abstract：
Face transplantation (FT) has emerged as a critical intervention for patients with complex facial deformities unsuitable for conventional reconstructive methods. It aims to restore essential functions such as facial expression, mastication, and speech, while also improving psychosocial health. The procedure utilizes various surgical principles, addressing unique challenges of craniofacial complexity and diverse injury patterns. The integration of Computerized Surgical Planning (CSP) leverages computer-aided technologies to enhance preoperative strategy, intraoperative navigation, and postoperative assessment. CSP utilizes three-dimensional computed tomography, printing, angiography, and navigation systems, enabling surgeons to anticipate challenges and reduce intraoperative trial and error. Through four clinical cases, including a groundbreaking combined face and bilateral hand transplant, CSP\'s role in FT is highlighted by its ability to streamline operative processes and minimize surgical revisions. The adoption of CSP has led to fewer cadaveric rehearsals, heightened operative precision, and greater alignment with preoperative plans. Despite CSP\'s advancements, it remains complementary to, rather than a replacement for, clinical expertise. The demand for technological resources and multidisciplinary teamwork is high, but the improved surgical outcomes and patient quality of life affirm CSP\'s value in FT. The technology has become a staple in reconstructive surgery, signaling a step forward in the evolution of complex surgical interventions.
摘要：
面部移植（FT）已成为不适合常规重建方法的复杂面部畸形患者的关键干预措施。它旨在恢复必要的功能，如面部表情，咀嚼,和演讲,同时也改善了社会心理健康。该程序利用各种手术原理，解决颅面复杂性和不同损伤模式的独特挑战。计算机手术计划（CSP）的集成利用计算机辅助技术来增强术前策略，术中导航,和术后评估。CSP利用三维计算机断层扫描，打印,血管造影,和导航系统，使外科医生能够预测挑战并减少术中试验和错误。通过四个临床病例，包括开创性的面部和双侧手部联合移植，CSP在FT中的作用是其简化手术流程和最大程度地减少手术翻修的能力。CSP的采用导致尸体彩排减少，提高了操作精度，与术前计划更加一致。尽管CSP取得了进步，它仍然是互补的，而不是替代，临床专业知识。对技术资源和多学科团队合作的需求很高,但手术效果和患者生活质量的改善肯定了CSP在FT中的价值。该技术已成为重建手术的主要内容,标志着复杂外科手术的发展向前迈出了一步。
