title: Anaplastology in times of facial transplantation: Still a reasonable treatment option?
abstract: Optimum functional and aesthetic facial reconstruction is still a challenge in patients who suffer from inborn or acquired facial deformity. It is known that functional and aesthetic impairment can result in significant psychosocial strain, leading to the social isolation of patients who are affected by major facial deformities. Microvascular techniques and increasing experience in facial transplantation certainly contribute to better restorative outcomes. However, these technologies also have some drawbacks, limitations and unsolved problems. Extensive facial defects which include several aesthetic units and dentition can be restored by combining dental prostheses and anaplastology, thus providing an adequate functional and aesthetic outcome in selected patients without the drawbacks of major surgical procedures. Referring to some representative patient cases, it is shown how extreme facial disfigurement after oncological surgery can be palliated by combining intraoral dentures with extraoral facial prostheses using individualized treatment and without the need for major reconstructive surgery.
authors.affiliation: Department of Craniomaxillofacial Surgery (Head: Prof. Dr. med. Dr. med. dent. Bodo Hoffmeister), Surgical Navigation, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany. Electronic address: sabine.toso@charite.de.
authors.forename: Sabine Maria
authors.initials: SM
authors.lastname: Toso
authors.affiliation: Department of Craniomaxillofacial Surgery (Head: Prof. Dr. med. Dr. med. dent. Bodo Hoffmeister), Surgical Navigation, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Kerstin
authors.initials: K
authors.lastname: Menzel
authors.affiliation: Department of Craniomaxillofacial Surgery (Head: Prof. Dr. med. Dr. med. dent. Bodo Hoffmeister), Surgical Navigation, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Motzkus
authors.affiliation: Fachklinik Hornheide, Department of Oral and Maxillofacial Surgery, Dorbaumstrasse 300, 48157 Münster, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Klein
authors.affiliation: Department of Craniomaxillofacial Surgery (Head: Prof. Dr. med. Dr. med. dent. Bodo Hoffmeister), Surgical Navigation, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Horst
authors.initials: H
authors.lastname: Menneking
authors.affiliation: Department of Craniomaxillofacial Surgery (Head: Prof. Dr. med. Dr. med. dent. Bodo Hoffmeister), Surgical Navigation, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Jan-Dirk
authors.initials: JD
authors.lastname: Raguse
authors.affiliation: Department of Craniomaxillofacial Surgery (Head: Prof. Dr. med. Dr. med. dent. Bodo Hoffmeister), Surgical Navigation, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Susanne
authors.initials: S
authors.lastname: Nahles
authors.affiliation: Department of Craniomaxillofacial Surgery (Head: Prof. Dr. med. Dr. med. dent. Bodo Hoffmeister), Surgical Navigation, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Bodo
authors.initials: B
authors.lastname: Hoffmeister
authors.affiliation: Department of Craniomaxillofacial Surgery (Head: Prof. Dr. med. Dr. med. dent. Bodo Hoffmeister), Surgical Navigation, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Nicolai
authors.initials: N
authors.lastname: Adolphs
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000534:rehabilitation / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000534:rehabilitation / Q000601:surgery; D002610:Cheek / Q000601:surgery; D000075202:Contraindications; D003827:Denture, Complete, Upper; D003828:Denture, Overlay; D004954:Esthetics; D005145:Face; D005153:Facial Neoplasms / Q000534:rehabilitation / Q000601:surgery; D054445:Facial Transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008046:Lip / Q000601:surgery; D059346:Magnets; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000534:rehabilitation / Q000601:surgery; D009669:Nose Neoplasms / Q000534:rehabilitation / Q000601:surgery; D009915:Orbit / Q000601:surgery; D010158:Palatal Obturators; D010347:Patient Care Planning; D019736:Prostheses and Implants; D060489:Prosthesis Retention / Q000295:instrumentation
keywords: Anaplastology; Facial prosthesis; Facial reconstruction