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Facial Transplants Help Those with Severe Facial Disfigurement
By Mike Dias
Aug 26, 2008 - 6:33:30 AM

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Most medical practitioners especially those concerned with surgery, consider the issue of facial transplants a rather difficult task to accomplish successfully. However, in recent times, those with severe facial disfiguration may have cause to rejoice, because facts that have been gleaned from research and actual surgeries which show that facial transplants can be a permanent solution to those suffering from issues related to facial disfigurement.

The Lancet medical journal recently published a number of cases where surgeons and other medical experts located in various areas across the world, particularly in France and China, successfully performed facial transplants on people with severely disfigured faces caused by disease and injury.

In all face transplants and surgeries where the replacement of tissue and organs is necessary, the problem of tissue rejection is always a matter of serious concern and curtailing it is important in order to proclaim the surgical process a success. Other than this, psychological issues that may affect the future state of mind of the individual also have to be thought considered as well.

In the two recorded cases in the journal, tissue rejection was controlled and the rate of success of the operation compared to the previous condition of the individuals involved was rather commendable.

One case was of a Chinese man who had been mauled by a bear back in 2004 and had suffered severe facial injury as a result of this attack. In 2006, he underwent intensive facial reconstruction and replacement surgery. Some of his facial arteries and veins had to be reconnected and reconstructive surgery was carried out to fix his sinuses, nose and lips. In order to ensure that the probability of tissue rejection was reduced as much as possible, he was given a cocktail of four different drugs. These drugs also helped in the prevention of infection from occurring after surgery.

The second case documented was of a surgery which was carried out in France and which involved the reconstruction and restoration of a face that had been disfigured by a tumor known as neurofibroma. Various stages and kinds of surgery had to be carried out on the individual involved, a 29 year old man. Prior to the surgery the patient was unable to feel his face due to the severe neurological and facial damage caused by the tumor, but a year after he was able to regain sensation in his face.

In both cases, the medical practitioners involved were of the opinion that there is great promise in the area of facial transplants that treat the issue of severe facial disfigurement.  However, despite the fact that the procedures involved seem promising, experts are of the opinion that further research may be required in order to prevent some of the complications that may possibly occur due to such surgery from occurring.

A third case involved
a French woman named Isabelle Dinoire who underwent her transplant in November 2005.   Her face was severely disfigured in an attack by her dog. Doctors reported that she experienced two episodes of rejection, but recovered slowly and steadily.

"Our case confirms that face transplantation is surgically feasible and effective for the correction of specific disfigurement," Dr. Laurent Lantieri and colleagues at the Henri-Mondor hospital outside Paris were quoted as writing.







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