Comparative Cost Analysis of Conventional Reconstructions and the First US Face Transplantation
While the ethical and technical concerns regarding facial transplantation have been discussed throughout this book, there is a lack of information regarding its cost. Moreover, there is no information available in the literature on the financial implications of complete reconstructions in patients with severe craniomaxillofacial defects. We have had the unique opportunity to compare the cost of traditional reconstructive procedures and face transplantation in a single patient in our institution. In addition, we have also been able to compare the financial data of three other patients who underwent conventional reconstruction in other institutions: Mount Sinai Medical Center in New York and the University of Chicago. As the field of transplantation evolves, it will become increasingly important to disseminate this valuable information. Given the current economic climate in medicine, it will undoubtedly be a central issue to the face transplant debate. The following chapter illustrates these issues by comparing the cost of multistaged conventional reconstructive procedures in four patients with the cost of the first US face transplant.
KeywordsLower Eyelid Cartilage Graft Radial Forearm Flap Mount Sinai Medical Abdominal Flap
Current Procedural Terminology
Composite Tissue Allotransplantation
End-Stage Renal Disease
Granulocyte Colony Stimulating Factor
Pneumocystis Carinii Jerovici
Post-Traumatic Stress Disorder
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