Viewpoint Quality Improvement in Facial Transplantation: Standard Approach for Novel Procedures Rami S. Kantar, MD; William J. Rifkin, BA; J. Rodrigo Diaz-Siso, MD; G. Leslie Bernstein, MPA; Eduardo D. Rodriguez, MD, DDS ith 40 procedures reported to date, facial trans- Table 1. Standardized Processes in Clinical Facial Wplantation (FT) is a viable reconstructive op- Transplants Performed by Our Surgical Team tion for patients with severe facial defects. A major Standardized Approaches in FT challenge of FT is developing patient-specific recon- Surgical Procedure and structive strategies, as facial defects can vary widely in Team Surgical Technology Workflow potential candidates. This variability and the limited Allograft procurement Computed tomogra- Face and mul- number of procedures performed to date have made phy–guided virtual tiorgan procure- the standardization of approaches to FT particularly surgical planning ments difficult. The improvement of any process, including Allograft transplantation 3D printed bone cut- Donor hospital FT, relies heavily on standardization if long-term sus- ting guides transfer Donor and recipient Allograft fluorescent Perioperative tainability is to be achieved, and patient safety must surgical teams angiography evalu- nursing remain a top priority in the early stages of surgical in- ation novation. Through teamwork optimization, surgical simulation, methodical use of
Plastic & Reconstructive Surgery Global Open – Wolters Kluwer Health
Published: Jan 1, 2018
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