Full facial and total scalp burn injury

The FT recipient was a 41-year-old male firefighter who sustained a full facial and total scalp burn injury in 2001 while in the line of duty.

Following his initial injury, the patient had undergone >70 reconstructive procedures without improvement in functional or esthetic outcomes ​(Fig. 1).

Sensitive image, click to zoom and unblur
Patient preoperative (A)

August 2015, the patient underwent a total face, eyelids, ears, scalp, and skeletal subunit transplant. The recipient facial nerve was intact, and a nerve stimulator was used to confirm facial innervation and muscular function.

(B) Postoperative picture. The postoperative picture is at 20 months following facial transplantation. Printed with permission and copyrights retained by Eduardo D. Rodriguez, MD, DDS.


The duration of follow-up was 20 months. Muscle volumes demonstrated a decrease in volume in the initial postoperative period, followed by a progressive increase starting 6 months, with all muscle volumes exceeding pretransplant values at the latest time point.

Credit: Rami S. Kantar, MD, MPH, Nicole Wake, PhD, Allyson R. Alfonso, BS, BA, William J. Rifkin, MD, Elie P. Ramly, MD, J. Rodrigo Diaz-Siso, MD, and Eduardo D. Rodriguez, MD, DDS