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).
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.
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