[GODREKR]

We describe the first rescue procedure in a case of total face allotransplantation. The recipient was a 54-year-old man with severe disfigurement of the entire face following an accidental gunshot injury 5 years previously. The large defect included the maxilla, mandible, and mid-face. Full face procurement was performed from a multiorgan cadaveric donor and was allotransplanted to the recipient. The post-transplant induction immunosuppressive regimen included ATG combined with tacrolimus, mycophenolate mofetil, and prednisone, while maintenance was provided by the last three of these. Although the early postoperative period was uneventful, squamous cell carcinoma developed in the upper and lower extremities in the fifth postoperative month, and post-transplant lymphoproliferative disorder (PTLD) occurred in the sixth month postoperatively. Malignancies were treated, involving both surgical and medical approaches. The patient developed opportunistic pulmonary and cerebellar aspergillosis. In order to reduce the adverse affects and metabolic and immunological load, the transplanted face was removed and replaced with a free flap. Although the early postoperative period was promising, with the transferred flap surviving totally and all vital signs and general status appearing to be improving, the patient was eventually lost due to complicated infectious and metabolic events. Although this case was unsuccessful, we suggest that the immunological and metabolic load should be reduced as soon as stable medical conditions are established in case of diagnosis of a situation involving a high rate of mortality, such as PTLD and untreatable opportunistic infections. This should include withdrawal of all immunosuppressive drugs and removal of all allotransplanted tissues.

[ride]

Photo H is badass. Imagine never having to mask up for Halloween ever again.

[marcos_69]

Eyebrows? They drew eyebrows?

[kellyhound]

Originally Posted by marcos_69 ↗

Eyebrows? They drew eyebrows?

female surgeon?
wish they used paragraphs in their article.

[TheCruxofBag]

I've linked the full article in this comment. It happened in Turkey in 2014.

[White]

The face is looking sad in photo D, I think it misses the head. Too bad the head felt differently about the relationship.

[Flapmon]

How did he get lost?

[GODREKR]

I think they made him look like a muppet in the last pic.

[Drastic85]

So they accomplished what he wanted in the first place.

[Sgt.Reaper]

Looks to me like a case of third-world shithole medical malpractice. A face transplant does NOT look like that bottom photo here in America, although our health care system is WAY overpriced and ridiculous, at least it's somewhat competent.