Year: 2026
Type: article
Study design: Case Report
Abstract: Face transplantation carries a critical risk of vascular occlusion. Traditional monitoring relies on subjective clinical signs, which may detect compromise after irreversible ischemia. We report the first application of continuous near-infrared spectroscopy (NIRS) for postoperative monitoring in a partial face transplant recipient. Over ten days, NIRS identified 51 subclinical perfusion events (hemodynamic, positional, or mixed), enabling prompt non-surgical rescue. Regional oxygen saturation (rSO₂) drops preceded clinical signs, guiding fluid resuscitation and patient repositioning. No graft loss occurred. Continuous NIRS oximetry provides objective, real-time data that complements clinical examination and may improve allograft survival.
Source: JPRAS Open
Institution: Vall d'Hebron Hospital Universitari
Language: English
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,920
OpenAlex ID: W7213554352