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Advantages and Disadvantages of Facial Allograft Transplantation Advantages Disadvantages • No donor site morbidity • Adequate matching between the • Complete facial reconstruction in donor and recipient is difficult single surgical procedure (age, sex, race) • Option for total external ear • Lifelong immunosuppression replacement or reconstruction • Increased risks of comorbidities • Better skin texture, pliability, and (diabetes, infections, color match lymphoproliferative disorder, avascular necrosis of bones) • Social, ethical, and psychological issues 132 Tissue Surgery ('# <j^bWZgiZVj?8!7VjYZi?!EVcXdc^7!ZiVa#=jbVcVaad" igVcheaVci d[ V Y^\^iVa ÒZm^dc hnhiZb kVhXjaVg^oZY dc i]Z jacVg eZY^XaZ/ V egZa^b^cVgn gZedgi VcY &"nZVg [daadl je d[ ild XVhZh# EaVhi GZXdchig Hjg\# & '0 / &&(*Ã&&),# ((# HigdbZB!HiZ^c?!:hXaVbVYdG!ZiVa#AVgnc\ZVaigVch" eaVciVi^dc VcY )%"bdci] [daadl"je# C:c\a?BZY# '%%&0())/&+,+Ã&+,.# ()# ?dcZhIG!=jbe]gZnE6!7gZccVc98#IgVcheaVciVi^dc d[ kVhXjaVg^oZY Vaad\ZcZ^X h`ZaZiVa bjhXaZ [dg hXVae gZXdchigjXi^dc^cVgZcVaigVcheaVcieVi^Zci#IgVcheaVci EgdX#& 0(%/',)+Ã',*(# (*# 7^gX]Vaa B# Idc\jZ igVcheaVciVi^dc# AVcXZi# '%%)0(+(/ &++(# (+# 9Zcidc B9!BV\ZZ88!HVnZ\]B=#>bbjcdhjeegZh" h^kZ higViZ\^Zh ^c igVcheaVciVi^dc# AVcXZi# & 0(*(/ &%-(Ã&%.&# (,# :ahiZg :6! 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