First Russian Experience of Pediatric Subtotal Facial Tissue Replantation.

Treatment and rehabilitation of patients with posttraumatic, contaminated, lacerated wounds present a complex challenge. The concept of delayed, multistage treatment, as well as the rehabilitation protocols for pediatric patients is associated with a series of reconstructive procedures, one of which is face transplantation; however, it remains an unresolved issue to date due to the development of immunologic tissue intolerance by the recipient, as well as various psychosocial rehabilitation challenges. The challenge of successful pediatric replantation creates interest in the global medical community to develop generalized algorithms for managing patients with posttraumatic subtotal facial defects. This case report demonstrated the experience of the first posttraumatic subtotal facial replantation less than 12 hours after injury in a pediatric patient in Russia. The goal of this work was to show the algorithm used in the case of a pediatric posttraumatic subtotal facial defect in hopes of aiding the future development of such guidelines.