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International consensus recommendations on face transplantation: A 2-step Delphi study
B. Longo, FB. Alberti, B. Pomahac, JJ. Pribaz, JP. Meningaud, B. Lengelé, Ö. Özkan, Ö. Özkan, JP. Barret, P. Lassus, P. Blondeel, N. Roche, R. Gurunian, P. Infante-Cossio, A. Lindford, G. Brandacher, P. Giovanoli, J. Plock, VS. Gorantla, ER....
Language English Country United States
Document type Journal Article
Grant support
MR/S017356/1
Medical Research Council - United Kingdom
- MeSH
- Delphi Technique MeSH
- Consensus MeSH
- Humans MeSH
- Facial Transplantation * methods MeSH
- Vascularized Composite Allotransplantation * MeSH
- Research Design MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
Face 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.
AboutFace University of York UK
Center for Global Health Ethics Duquesne University Pittsburgh Pennsylvania USA
Chair of Plastic Surgery Department of Surgical Sciences Tor Vergata University of Rome Rome Italy
Department of Communication University of Pittsburgh Pittsburgh Pennsylvania USA
Department of Maxillofacial Surgery Sant'Andrea Hospital Sapienza University of Rome Rome Italy
Department of Plastic and Reconstructive Surgery Cliniques Universitaires Saint Luc Brussels Belgium
Department of Plastic and Reconstructive Surgery Ghent University Hospital Ghent Belgium
Department of Plastic Surgery and Hand Surgery University Hospital Zurich Zurich Switzerland
Department of Plastic Surgery Cleveland Clinic Abu Dhabi Abu Dhabi United Arab Emirates
Department of Plastic Surgery Helsinki University Hospital University of Helsinki Helsinki Finland
Department of Plastic Surgery Leeds Teaching Hospitals Leeds UK
Department of Psychiatry and Psychology Mayo Clinic Rochester Minnesota USA
Director of Interface and Director of the Centre for Technology and the Body King's College London
NHS Blood and Transplant Stoke Gifford Bristol UK
School of Psychology Universidad Panamericana Benito Juárez Mexico City Mexico
References provided by Crossref.org
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