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Otologic considerations in a full face transplant recipient.

Michael J Cammarata1, Daniel Jethanamest2, Eduardo D Rodriguez1

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Facial allografts offer solutions for severe disfigurement. This case study details the successful transition to an ear-containing facial transplant and addresses otologic complications like external auditory meatus stenosis.

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Area of Science:

  • Reconstructive surgery
  • Transplantation immunology
  • Otology

Background:

  • Facial transplantation is a viable option for severe facial disfigurement.
  • Limited data exists on otologic considerations in ear-containing facial allografts.
  • Previous prosthetic ear use in facial transplant patients is uncommon.

Observation:

  • A 44-year-old male received a total face, eyelid, ear, scalp, and skeletal subunit allograft post-thermal injury.
  • The patient transitioned from osseointegrated prosthetic ears to a functional allograft.
  • Postoperative challenges included external auditory meatus stenosis.

Findings:

  • The ear-containing facial allograft provided functional and aesthetic restoration.
  • Bilateral revision meatoplasties successfully treated external auditory meatus stenosis.
  • The surgical approach for ear-containing allografts requires specific otologic considerations.

Implications:

  • This case expands the understanding of ear-containing facial allografts.
  • It highlights the importance of managing otologic complications in facial transplantation.
  • Further research into surgical techniques for ear integration in facial allografts is warranted.