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Lookup NU author(s): Daniel Saleh, Professor Derek Manas
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2023 The AuthorsFace transplantation is a viable reconstructive approach for severe craniofacial defects. Despite the evolution witnessed in the field, ethical aspects, clinical and psychosocial implications, public perception, and economic sustainability remain the subject of debate and unanswered questions. Furthermore, poor data reporting and sharing, the absence of standardized metrics for outcome evaluation, and the lack of consensus definitions of success and failure have hampered the development of a “transplantation culture” on a global scale. We completed a 2-round online modified Delphi process with 35 international face transplant stakeholders, including surgeons, clinicians, psychologists, psychiatrists, ethicists, policymakers, and researchers, with a representation of 10 of the 19 face transplant teams that had already performed the procedure and 73% of face transplants. Themes addressed included patient assessment and selection, indications, social support networks, clinical framework, surgical considerations, data on patient progress and outcomes, definitions of success and failure, public image and perception, and financial sustainability. The presented recommendations are the product of a shared commitment of face transplant teams to foster the development of face transplantation and are aimed at providing a gold standard of practice and policy.
Author(s): Longo B, Alberti FB, Pomahac B, Pribaz JJ, Meningaud J-P, Lengele B, Ozkan O, Ozkan O, Barret JP, Lassus P, Blondeel P, Roche N, Gurunian R, Infante-Cossio P, Lindford A, Brandacher G, Giovanoli P, Plock J, Gorantla VS, Herrington ER, Saleh D, Natalwala I, Cardillo M, Jowsey-Gregoire S, La Padula S, Manas D, Benedict J, Nuccitelli G, Bosc R, Morello R, Farias-Yapur A, Giacalone M, Hall S, D'Orsi G, Cervelli V
Publication type: Article
Publication status: Published
Journal: American Journal of Transplantation
Year: 2023
Pages: epub ahead of print
Online publication date: 01/09/2023
Acceptance date: 18/08/2023
Date deposited: 09/11/2023
ISSN (print): 1600-6135
ISSN (electronic): 1600-6143
Publisher: Elsevier B.V.
URL: https://doi.org/10.1016/j.ajt.2023.08.023
DOI: 10.1016/j.ajt.2023.08.023
PubMed id: 37666457
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