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Midface Vascularized Facial Transplantation: Stepwise Pictorial Depiction

This PowerPoint presentation demonstrates a step-by-step pictorial depiction of a Midface Vascularized Facial Transplantation (VFT) procedure from donor to recipient. It includes a cup-shaped cutting plane designed from osteotomy planes, frontal and profile views of the pre-VFT donor and recipient, cutting plane usage, post-cutting stages, and simulating the post-transplant model. Supplemental Digital Content 2 is provided.

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Midface Vascularized Facial Transplantation: Stepwise Pictorial Depiction

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  1. Pictorial stepwise depiction of a Midface VFT from Donor to Recipient PowerPoint presentation, Supplemental Digital Content 2

  2. A “cup” shaped cutting plane is designed from two osteotomy planes in the shape of the desired pattern Frontal view Profile view

  3. Pre-VFT Donor (green) and Recipient(red) Donor Recipient Frontal view Profile view

  4. The same cutting plane is used on both Donor and Recipient Donor Recipient Frontal view Profile view

  5. After the cut and prior to removing the osteotomy tool Donor Recipient Frontal view Profile view

  6. After removing the osteotomy tool, the Recipient model is a face with a defect and the Donor model is a facial allograft Donor Recipient Frontal view Profile view

  7. The Donor allograft is superimposed on the Recipient Defect Frontal view Profile view

  8. The Post-transplant model is then colored in a uniform tone to simulate reality Frontal view Profile view

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