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Surgeons at the Cleveland Clinic have
performed the nation’s first partial face transplant. The patient was a woman
whose name and age were not released because her family wanted the reason for
her transplant to remain confidential, health officials said. Doctors said they
would discuss the surgery at a news conference on Wednesday.
The surgery was performed two weeks ago by
a team of eight surgeons at the Cleveland,
Ohio, hospital. The procedure
involved using facial tissue from a dead woman with permission from her family.
The surgery performed at Cleveland Clinic
was the first of this type done in the United States. The operation was
carried out by Dr. Maria Siemionow. Siemionow and her colleagues spent years
preparing for the surgery; they practiced on animals and did trial runs on 20
cadavers.
Three partial face transplants have been
performed since 2005: two have been done in France and one in China. In 2005,
a team of French doctors performed the world’s first partial face transplant of
a 38-year-old patient whose face was disfigured when she was attacked by a dog.
Reconstructive surgeons used donor tissue to replace her nose, mouth, lips and
chin.
“I have a face like everyone else,”
Isabelle Dinoire said at her first news conference since the surgery.
In 2006, Chinese doctors performed a
partial face transplant on a farmer who lost much of the right side of his face
in a bear attack.
The transplant poses a number of problems
such as facing the difficulties of a life with disfigurement. In Dr.
Siemionow’s face transplant book, entitled “Transplanting a Face: Notes on a
Life in Medicine,” the renowned surgeon reveals her experience in the field of
facial transplant surgery and tries to offer a balanced approach to physical
and social-emotional future development of people who have face transplant
surgeries. “Those who suffered extensive damage to their faces would forever be
socially crippled in a society that appears to value beauty above all other
human characteristics,” Dr. Siemionow writes in her book. Readers have the
chance to understand the emotional impact of preparing to receive another’s
face and to follow the planning of a procedure that has never been before
attempted. In a previous interview at the Cleveland Clinic, she noticed that
people horribly disfigured have few alternative therapies. She has considered dozens
of potential candidates and said she would choose someone severely disfigured as
her first patient.
For her research on facial transplant, Dr.
Siemionow received the 2007 James Barrett Brown Award from the American
Association of Plastic Surgeons.
A face transplant is still considered an
experimental procedure to replace all or a part of a person’s face. The
procedure consists in transplanting tissue from one person to another, but it
may pose some health threats as the organism of the patient has the tendency to
reject the foreign tissue. All transplant patients must take special drugs that
suppress their immune system so their bodies won’t reject the donor tissue. Experts
also warn of possible psychological side-effects associated with transplant
surgery, which may include remorse, or problems of dealing with a new identity.
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