International consensus recommendations on face transplantation: A 2-step Delphi study

Benedetto Longo, Fay Bound Alberti, Bohdan Pomahac, Julian Joseph Pribaz, Jean-Paul Meningaud, Benoît Lengelé, Ömer Özkan, Özlenen Özkan, Juan Pere Barret, Patrik Lassus, Phillip Blondeel, Nathalie Roche, Raffi Gurunian, Pedro Infante-Cossio, Andrew Lindford, Gerald Brandacher, Pietro Giovanoli, Jan Plock, Vijay S. Gorantla, Emily Ruppel HerringtonDaniel Saleh, Ibrahim Natalwala, Massimo Cardillo, Sheila Jowsey-Gregoire, Simone La Padula, Derek Manas, James Benedict, Gloria Nuccitelli, Romain Bosc, Roberto Morello, Anneke Farías-Yapur, Martina Giacalone, Sarah Hall, Gennaro D’Orsi, Valerio Cervelli, Juan Pedro Barret Nerin

Producció científica: Contribució a una revistaArticleRecercaAvaluat per experts

3 Cites (Scopus)

Resum

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.

Idioma originalEnglish
Pàgines (de-a)104-114
Nombre de pàgines11
RevistaAmerican Journal of Transplantation
Volum24
Número1
DOIs
Estat de la publicacióPublicada - 1 de gen. 2024

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