The book is laid out in 6 sections: 1. Preclinical Approaches to Face Transplantation 2. Clinical Aspects in Preparation to Face Transplantation in Humans 3. Approval Process of Face Transplantation in Humans 4. Social and Public Relations in Face Transplantation 5. World Experience with Face Transplantation in Humans 6. Future Directions in Face Transplantation This book spans the entire process of a face transplantation, from detailing the anatomy of the face to considering the social and ethical challenges of the procedure. This rigorous presentation of face transplantation also includes the anesthesia involved, the role of Institutional Review Boards in approving the operation, the financial aspects and media response. Since the authorship is international, the book considers the different perspectives, approaches and responses from across the world.
This book creatively communicates the human and professional sides of the journey to the first ever near total face transplant, the response to this milestone in the medical community, and the effect it has had on the individuals involved. It focuses on the evolution of Professor Maria Siemionow as a microsurgeon and the processes by which she sensationally overcame the challenges her team encountered including the successful manipulation of the immune system to avoid rejection of the face tissue by the recipient. Face to Face: A Short History of Face Transplantation combines the medical and human elements of the development of face transplant surgery. It is not only targeted at the surgical professional and trainee, but also the general public who wish to read about the journey of how a significant medical advancement was made. It is also great reading to inspire girls of an age where they are thinking about career paths to believe they can do something extraordinary and could persuade some to pursue a career in an STEM subject.
This book brings together all the relevant available science behind face transplants. It is comprehensive in its coverage, encompassing patient and donor evaluation, ethics, legal issues, psychological issues, types of transplant, surgical technique, issues relating to immunosuppression, follow-up protocols, and current outcomes. Facial transplantation, which allows the replacement of missing anatomy with a perfect match based on transplant medicine principles, has become the most striking innovation in plastic surgery of the twenty-first century as surgeons and scientists progress from reconstructive surgery to restorative surgery. A robust team approach is, however, necessary to produce safe and efficient outcomes, and numerous questions are arising, from technical issues to ethical dilemmas. The reader will discover in this volume all the information required in order to understand this new discipline and to be able to set up a program of facial transplantation.
The first textbook of its kind dealing with composite tissue allograft and allograft transplantation, provides an excellent overview on the subject. It provides a clear description of the current status of the transplant of every composite tissue allograft already performed and others which are still at the basic experimental level.The editors of the book, who also contribute chapters in their expertise, are world renowned surgeons. This book opens with an introductory chapter on the history of this type of transplantation and then details the clinical experience in each graft such as hand, larynx, face, uterus and the related histopathology, immunosuppression and immunomodulation.A multidisciplinary and comprehensive presentation of the various aspects of this new area of transplantation will allow the reader to understand the complexity and the challenges of composite tissue transplantation. A number of important topics are analyzed and discussed in detail, such as the ethical, medicolegal, psychological and immunological implications. New rehabilitation techniques and strategies, together with innovative tools for the functional evaluation of the transplanted parts, are highlighted. A section on the experimental work underlines what lies ahead of us./a
Are our identities attached to our faces? If so, what happens when the face connected to the self is gone forever—or replaced? In Face/On, Sharrona Pearl investigates the stakes for changing the face–and the changing stakes for the face—in both contemporary society and the sciences. The first comprehensive cultural study of face transplant surgery, Face/On reveals our true relationships to faces and facelessness, explains the significance we place on facial manipulation, and decodes how we understand loss, reconstruction, and transplantation of the face. To achieve this, Pearl draws on a vast array of sources: bioethical and medical reports, newspaper and television coverage, performances by pop culture icons, hospital records, personal interviews, films, and military files. She argues that we are on the cusp of a new ethics, in an opportune moment for reframing essentialist ideas about appearance in favor of a more expansive form of interpersonal interaction. Accessibly written and respectfully illustrated, Face/On offers a new perspective on face transplant surgery as a way to consider the self and its representation as constantly present and evolving. Highly interdisciplinary, this study will appeal to anyone wishing to know more about critical interventions into recent medicine, makeover culture, and the beauty industry.
Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.
In 2005, surgeons in France removed part of the face from a cadaver and grafted it onto the head of a 38-year-old woman grossly disfigured by a dog attack. Three years later, in December, 2008, surgeons at the Cleveland Clinic announced they had performed the first U.S. face transplant. Although modern culture is accustomed to pushing medicine and the human body beyond all limits, the world's first partial face transplant and the seven that have followed have caused a stir that still reverberates globally. This book begins with the story of Isabelle Dinoire, the recipient of the first face transplant, and chronicles her surgery and battles with tissue rejection. Its scope widens with a look at how surgical teams, including three U.S. transplant teams, are in a global race to perform the first full face transplant, and at how medical history has led up to this point—with prior successful transplants ranging from body parts as simple as cornea to those as neurologically complicated as the heart, a hand, and a penis. The most novel among these surgeries—the face transplant—conjures up particular and expansive psychological issues. Authors Bluhm and Clendenin show how transplant recipients struggle with functional issues including a lifetime of anti-rejection drugs, a danger highlighted by the recent death of the second face transplant patient, in China. But just as challenging in the case of face transplant is the psychological effect on—and potential threat to—identity. Who are you, if suddenly your face—or a significant portion of it—is not what you were born with? What is it like to look in the mirror, and see a face that is not the one you have always had? Dinoire lamented, "It will never be me." That statement is an absolute simplification of the identity issues a face transplant can create, explain the authors. Bluhm and Clendenin show how, across history and media, humankind—via medicine, literature, film, and other media—has dreamed of a day when face transplants would be possible. With so many disfigurements occurring among the military in Iraq, and experimental face transplants too expensive for implementation in the private sector, it is likely that the U.S. military will take the reins and further face transplant techniques as quickly as possible to serve injured personnel.
Joseph Helfgot, the son of Holocaust survivors, worked his way from a Lower East Side tenement to create a successful Hollywood research company. But his heart was failing. After months of waiting for a heart transplant, he died during the operation. Hours after his death, his wife Susan was asked a shocking question: would she donate her husband’s face to a total stranger? The stranger was James Maki, the adopted son of parents who spent part of World War II in an internment camp for Japanese Americans. Rebelling against his stern father, a professor, by enlisting to serve in Vietnam, he returned home a broken man, addicted to drugs. One night he fell facedown onto the electrified third rail of a Boston subway track. A young Czech surgeon who was determined to make a better life on the other side of the Iron Curtain was on call when the ambulance brought Maki to the hospital. Although Dr. Bohdan Pomahac gave him little chance of survival, Maki battled back. He was sober and grateful for a second chance, but he became a recluse, a man without a face. His only hope was a controversial face transplant, and Dr. Pomahac made it happen. In The Match, Susan Whitman Helfgot captures decades of drama and history, taking us from Warsaw to Japan, from New York to Hollywood. Through wars and immigration, poverty and persecution, from a medieval cadaver dissection to a stunning seventeen-hour face transplant, she weaves together the story of people forever intertwined—a triumphant legacy of hope.
This book provides a comprehensive review of the new technologies that are having a tremendous impact on the complex field of craniomaxillofacial reconstructive surgery. Readers will find detailed information on the technologies themselves, their indications, and their benefits. The coverage encompasses the use of biomaterials and tissue engineering, virtual planning and CAD/CAM techniques, the various applications of computer-assisted surgery, and intraoperative navigation. Robotic surgery, endoscopic approaches, and piezoelectric surgery are each addressed within individual chapters. New developments in craniofacial pediatric surgery are discussed, and the book concludes by examining the present and future of facial transplantation. The text is supported by numerous high-quality color illustrations, and the team of authors comprises prestigious international leaders in the specialty. The book will be of value for all who are interested in learning about the innovations and developments that are reducing morbidity and improving outcomes in patients who require craniomaxillofacial reconstruction.
