Table 1.
Recipient | Date Transplanted | Description of Facial Defect at the Time of Face Transplant Evaluation | Salvage Plan |
---|---|---|---|
1 | April 2009 | Complex bony and soft tissue defect of the mid-face. Loss of nose, maxilla and upper lip. Reconstructed with anterolateral thigh fasciocutaneous free flap to separate the oral and nasal cavities. |
Repeat anterolateral thigh flap. |
2 | March 2011 | Loss of most soft tissues of the face, eyelids, left eye, nose, lips, teeth and large portion of temporo-parietal scalp. Reconstructed with bilateral latissimus serratus muscles and skin grafts. |
Split thickness skin grafting of underlying latissimus and serratus muscles. |
3 | April 2011 | Loss of nose, facial skin over the entire face, upper and lower lips (with remnants of orbicularis in the upper lip), bilateral lower lid ectropion. Reconstructed with skin grafting over forehead and eyelids, and lateral arm flap for the neck, mandible and lower lip. |
Split thickness skin grafting of facial wound, with preservation of motor function |
4 | May 2011 | Loss of central facial tissues including the nose, eyelids, both eyes, maxilla, and both lips, with extensive scarring of the remaining face. Reconstructed with anterolateral free flap for wound control, and nasal reconstruction with rib cartilage. |
Repeat anterolateral tight flap to separate the oral and nasal cavities |