Living related hemi-face skin transplant using radial forearm free flap for a xeroderma pigmentosa patient: early outcome.

Head & Neck Oncology
Ayman AminAlaa El-Haddad

Abstract

Xeroderma pigmentosa (XP) is a hereditary disease characterized by deficient repair of DNA damage that occurred on exposure of the skin to ultraviolet irradiation. The affected children have a propensity to develop multiple skin cancers mainly in the face and eventually die before the age of 20. Allograft replacement of facial skin by a healthy skin from normal person might decrease the incidence of skin cancer development, the number of surgical procedures, and eventually might improve the survival of these miserable patients. As Cadaveric organs are unavailable in our country. After approval from the ethical committee, confirmed agreement of the donor and the patient's guardian, a radial forearm free flap was transplanted from an ABO compatible mother to her 5 year old daughter with XP. The mother had an older daughter died from the same disease at the age of 14. The flap replaced skin of the hemi face that developed precancerous lesions. The girl was kept on adjusted doses of immunosuppressive drugs. The flap survived, wounds healed uneventfully. The flap developed a reddish spot one and half month following transplant where baseline skin biopsy was taken. In the fifth months the girl presented with bad non salvageable rejec...Continue Reading

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Citations

Jun 22, 2018·Plastic and Reconstructive Surgery·Bohdan PomahacL Scott Levin
Jan 7, 2014·Journal of Pediatric Hematology/oncology·Markus Schulze SchweringElizabeth Molyneux
Mar 27, 2021·Indian Journal of Dermatology, Venereology and Leprology·Fernando Antônio Gomes de AndradeLydia Masako Ferreira

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Methods Mentioned

BETA
surgical resection
biopsy

Software Mentioned

Quadraple

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