New York Surgeons Perform a Complex Face Transplant On An Injured Firefighter

A 41-year-old firefighter has received the most complex and comprehensive face transplant ever, announced a New York hospital on November 16.

More than 100 doctors, nurses, technical and support staff took part in the 26-hour operation, conducted in mid-August at the NYU Langone Medical Center, the center announced.

Recipient of World�s Most Complex Face Transplant Meets Family Members Of Donor
Twenty-one-year-old Joshua Aversano of Maryland died after he was hit by a van. His family donated his face to Richard Norris, who accidentally shot his face.

‘The face transplant has given the 41-year-old a new face, scalp, ears, ear canals, and selected portions of bone from the chin, cheeks, and nose. ’

The recipient was Patrick Hardison, from Senatobia, Mississippi who suffered extensive facial burns as a volunteer firefighter, just days before the September 11, 2001 attacks.

Hardison was severely disfigured when the roof of a burning home collapsed on top of him during a rescue search, losing his eyelids, ears, lips, most of his nose, hair and eyebrows.

Eduardo Rodriquez, chair of the Hansjorg Wyss Department of Plastic Surgery, led the surgery following a year of preparation, the medical center announced.

Guiding Human Face Transplants With 3-D Printing Used by Researchers
Computed tomography (CT) and 3-D printing technology are being used by researchers to recreate life-size models of patients' heads to assist in face transplantation surgery, says a study.

The surgery has given Hardison a new face, scalp, ears, ear canals, and selected portions of bone from the chin, cheeks, and nose, it said.

He also has new eyelids and muscles that control blinking, as he was previously unable to close his eyes completely, it added.

Blood Vessels Reorganize Following a Face Transplantation Surgery
Researchers have now found that the blood vessels of the face actually reorganize themselves following a face transplant surgery.

Hardison was referred to Rodriguez after more than 70 previous surgeries. Face transplants have become increasingly common in recent years.

In March, a Spanish hospital said it had successfully carried out what then was called the world's most complex face transplant, reconstructing the lower face, neck, mouth, tongue and back of the throat of an anonymous man terribly disfigured by disease.

'Reverse Craniofacial Planning' Called For By Face Transplantation
As surgical teams gain experience with facial transplantation, a careful approach to planning based on the principles of craniofacial surgery can help to maximize patient outcomes.

Barcelona's Vall d'Hebron University Hospital said the operation reconstructed two thirds of the 45-year-old man's lower face. He had suffered a condition called arteriovenous malformation for the past 20 years, causing a massive deformation.

The same hospital in 2010 carried out the world's first full face transplant on a man who suffered an accident that left him without a nose and deformed his jaw and cheekbones.

The first face partial transplant was carried out by doctors in France in 2005 on a woman who had been mauled by her dog.

Source-AFP