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May 30, 2019

Unique Venous Anatomy in a Face Donor

Author Affiliations
  • 1Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York
JAMA Facial Plast Surg. Published online May 30, 2019. doi:10.1001/jamafacial.2019.0297

Facial transplantation can achieve optimal functional and aesthetic outcomes in patients with extensive facial disfigurement.1 More than 40 procedures have been performed to date.1 Extensive preoperative planning can ensure appropriate facial allograft perfusion, successful procurement, and completion of the procedure without compromising solid organ recovery.1,2 Donor facial artery (FA) and vein are critical for allograft perfusion, and should be thoroughly evaluated prior to transplantation.3 In this study, we report the first case, to our knowledge, of bilateral facial vein (FV) drainage into the anterior jugular veins (AJV) encountered in a face donor.