Facial Transplantation

Patient 3 is a 25-year-old man who had sustained extensive ballistic facial injury in June 2016, requiring multiple procedures including maxillary, mandibular, zygomatic, and right orbital floor open reduction and internal fixation with debilitating functional deficits and exposed hardware.

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Patient 3 before (A) and 9 months (B) following partial face and double jaw transplantation. Printed with permission and copyrights retained by E.D.R.
Computerized surgical plan for patient 3. A, Donor planned osteotomies and customized cutting guides. B, Recipient planned osteotomies and customized cutting guides. C, Postoperative CT imaging result. Printed with permission and copyrights retained by E.D.R

In preparation for FT, the patient underwent hardware removal, bilateral naso-orbito-ethmoid osteotomies, medial canthal tendons repositioning, and bilateral orbital floor reconstruction with alloplastic titanium implants. A matching 23-year-old male brain-dead donor was identified, and partial face and double jaw transplantation was performed in January 2018.

Credit: Eduardo D. Rodriguez, MD, DDS, Hansjörg Wyss Department of Plastic Surgery, Helen L. Kimmel Professor of Reconstructive Plastic Surgery

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