Alternative Approaches to Face Transplantation: Microsurgical Approach
History was made in the USA in December 2008 when news of the ground-breaking face transplant in a 45-year-old woman was performed by Dr. Maria Siemionow and her team at the Cleveland Clinic. With the flurry of public interest engendered by early transplant success, the debate has been framed by the bio-ethics community regarding the autonomy of the recipient (i.e., informed consent), unpredictable effect on those receiving the transplant (life-long immunosuppression and exposure to medical sequelae), and the influence on society as a whole (economic/cost factors). In view of the high stakes of CTA face transplant surgery (not to mention the large amount of visibility in the press), traditional methods of facial restoration should not be overlooked. Considering the significant morbidity inherent to life-long immunosuppression in the transplant patient, each transplant candidate should be carefully evaluated for conservative options utilizing autogenous tissue to address facial deformity in the decision-making process. The following chapter addresses the salient issues regarding the debate between conventional reconstructive options and face transplantation with a particular focus on promulgating the beneficial aspects of traditional reconstruction in select patients.
KeywordsKeloid Scar Laser Resurface Face Transplant Canthal Ligament Medical Sequela
composite tissue allotransplantation
- 3.Chinese face transplant Li Guoxing dies. Available at http://www.news.com.au/story/0,27574,24829166-23109,00.html Accessed on 20 Dec 2008.
- 4.Face-and-hands transplant patient dies. Available at: http://www.msnbc.msn.com/id/31367511/Accessed on 15 Jun 2009.
- 8.Morris P, Bradley A, Doyal L, et al. Facial transplantation: Working Party report: 2003. Available at http://www.reseng.ac.uk/reseng/content/publications/docs/facial_transplantation.html, 2007. Accessed on Nov 2006.
- 23.Rose EH. Prepatterned microsurgical tissue transfers for replacement of aesthetic facial subunits. In: Rose EH, ed. Aesthetic Facial Restoration. Philadelphia: Lipincott-Raven; 1998.Google Scholar
- 30.Rose EH. Prepatterned, sculpted free flaps for facial burns. In: Hyakusoku, ed. Chapter 44: Color Atlas of Burn Reconstructive Surgery. Berlin, Heidelberg: Springer; 2010.Google Scholar
- 33.Rose EH. Aesthetic Facial Restoration. Philadelphia: Lipincott-Raven; 1998.Google Scholar