Barcelona, Spain
Barcelona, Spain

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Acero J.,Complutense University of Madrid | Acero J.,Quiron University Hospital | Garcia E.,Clinic i Provincial Hospital | Garcia E.,University of Barcelona
Oral and Maxillofacial Surgery Clinics of North America | Year: 2011

Reoperative reconstruction of the midface is a challenging issue because of the complexity of this region and the severity of the aesthetic and functional sequela related to the absence or failure of a primary reconstruction. The different situations that can lead to the indication of a reoperative reconstructive procedure after previous oncologic ablative procedures in the midface are reviewed. Surgical techniques, anatomic problems, and limitations affecting the reoperative reconstruction in this region of the head and neck are discussed. © 2011 Elsevier Inc.


Scandroglio B.,Autonomous University of Madrid | Dominguez-Gil B.,Organizacion Nacional de Trasplantes | Lopez J.S.,Autonomous University of Madrid | Valentin M.O.,Organizacion Nacional de Trasplantes | And 7 more authors.
Transplant International | Year: 2011

Starting with the relevance of the Spanish experience, this study analyses the population's disposition towards organ donation after death by means of a representative survey of the adult Spanish population (N = 1206, estimated error ±2.87%, P < 0.05). Of the participants, 8.1% were declared donors, 59.3% were likely to donate, 14.5% were against donating and 18.1% did not know or did not respond; 87.3% would donate relative's organs if the deceased favoured donation, 50.2% if the deceased's wishes were unknown and 13.1% even if the deceased opposed donation. Among people who were favourable towards donation, the main motives expressed were the will to save other people's lives, solidarity and knowing they might someday need a donation. The most important motives for not donating among participants who were against it were the fear of premature organ extraction, of premature pronouncement of death and of mutilation. Reticence to donate is associated with low socio-economic and cultural level, advanced age and high religious commitment; it is also associated with a low perception of transplant efficacy, not directly knowing any transplanted people and the lack of qualified information. The results support diverse potentially effective strategies for promoting donation in the general population. © 2010 The Authors. Transplant International © 2010 European Society for Organ Transplantation.

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