BACKGROUND: The goal of facial transplantation is to transform severely deformed features in a single, complex operation. Although nearly 20 have been completed since 2005, there is limited information about the subsequent psychosocial status of recipients. OBJECTIVE: The purpose of this study is to describe such changes as captured on a variety of psychosocial measures 3 and 6 months after full facial transplantation among 3 adults who all completed a comprehensive psychiatric assessment before the procedure. RESULTS: We hypothesized and found that participants experienced significant improvement on quality of life measures of physical and mental health based on the MOS-SF -12. While the recipients experienced a decline in their physical quality of life in the 3 months immediately after surgery, they had improvement by 6 months (p = 0.02). Overall mental health showed steady improvement from the time before surgery to 6 months later (p = 0.04). These changes, however, were not reflected in another popular measure of quality of life, the EQ-5D. There were no changes in participants ' self-esteem or dyadic function over the same period of time. CONCLUSION: As facial transplantation evolves from being a novel surgical procedure to an increasingly common clinical practice, future efforts to delineate the psychosocial changes experienced by recipients might include mixed methods analyses, with both qualitative and quantitative data, as well as collaborative assessment protocols shared among facial transplantation programs. Published by Elsevier Inc.
BACKGROUND: The goal of facial transplantation is to transform severely deformed features in a single, complex operation. Although nearly 20 have been completed since 2005, there is limited information about the subsequent psychosocial status of recipients. OBJECTIVE: The purpose of this study is to describe such changes as captured on a variety of psychosocial measures 3 and 6 months after full facial transplantation among 3 adults who all completed a comprehensive psychiatric assessment before the procedure. RESULTS: We hypothesized and found that participants experienced significant improvement on quality of life measures of physical and mental health based on the MOS-SF -12. While the recipients experienced a decline in their physical quality of life in the 3 months immediately after surgery, they had improvement by 6 months (p = 0.02). Overall mental health showed steady improvement from the time before surgery to 6 months later (p = 0.04). These changes, however, were not reflected in another popular measure of quality of life, the EQ-5D. There were no changes in participants ' self-esteem or dyadic function over the same period of time. CONCLUSION: As facial transplantation evolves from being a novel surgical procedure to an increasingly common clinical practice, future efforts to delineate the psychosocial changes experienced by recipients might include mixed methods analyses, with both qualitative and quantitative data, as well as collaborative assessment protocols shared among facial transplantation programs. Published by Elsevier Inc.
Authors: L Allen Furr; Osborne Wiggins; Michael Cunningham; Dalibor Vasilic; Charles S Brown; Joseph C Banis; Claudio Maldonado; Gustavo Perez-Abadia; John H Barker Journal: Plast Reconstr Surg Date: 2007-08 Impact factor: 4.730
Authors: Bohdan Pomahac; Julian Pribaz; Elof Eriksson; Ericka M Bueno; J Rodrigo Diaz-Siso; Frank J Rybicki; Donald J Annino; Dennis Orgill; Edward J Caterson; Stephanie A Caterson; Matthew J Carty; Yoon S Chun; Christian E Sampson; Jeffrey E Janis; Daniel S Alam; Arturo Saavedra; Joseph A Molnar; Thomas Edrich; Francisco M Marty; Stefan G Tullius Journal: N Engl J Med Date: 2011-12-28 Impact factor: 91.245
Authors: B Gandek; J E Ware; N K Aaronson; G Apolone; J B Bjorner; J E Brazier; M Bullinger; S Kaasa; A Leplege; L Prieto; M Sullivan Journal: J Clin Epidemiol Date: 1998-11 Impact factor: 6.437
Authors: John H Barker; L Allen Furr; Sean McGuire; Michael Cunningham; Osborne Wiggins; Barckley Storey; Claudio Maldonado; Joseph C Banis Journal: Ann Plast Surg Date: 2008-07 Impact factor: 1.539
Authors: Allyson R Alfonso; Elie P Ramly; Rami S Kantar; William J Rifkin; J Rodrigo Diaz-Siso; Bruce E Gelb; Joseph S Yeh; Mark F Espina; Sudheer K Jain; Greta L Piper; Eduardo D Rodriguez Journal: Plast Reconstr Surg Glob Open Date: 2020-08-17
Authors: Ralf Smeets; Carsten Rendenbach; Moritz Birkelbach; Ahmed Al-Dam; Alexander Gröbe; Henning Hanken; Max Heiland Journal: Biomed Res Int Date: 2014-06-09 Impact factor: 3.411
Authors: Mansher Singh; Megan Oser; Jennifer Zinser; Geoffroy Sisk; Matthew J Carty; Christian Sampson; Julian J Pribaz; Bohdan Pomahac; Simon G Talbot Journal: Plast Reconstr Surg Glob Open Date: 2015-10-09