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From the Archives Journals |

The First Composite Face and Maxilla TransplantFIRST COMPOSITE FACE, MAXILLA TRANSPLANT

Wayne F. Larrabee, MD; Peter A. Hilger, MD
JAMA. 2009;302(20):2250-2251. doi:10.1001/jama.2009.1666.
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The thought-provoking article1 by Alam and colleagues from the Cleveland Clinic, reported in the November/December issue of the Archives of Facial Plastic Surgery, is based on the operative procedure protocol he authored and his role as the primary microvascular surgeon in the first composite tissue face and maxilla transplant. In his keynote presentation at the most recent meeting of the American Academy of Facial Plastic and Reconstructive Surgery,2 Alam emphasized that he wanted to tell a story—a story of a woman who lost her humanity and identity when her husband destroyed her face with a rifle blast. The cataclysmic nature of her injury and associated loss of form and function leading to her isolation from human interaction are apparent in photographs taken after numerous surgical interventions using traditional reconstructive techniques (Figure).

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Figure. Preoperative and 7-Month Postoperative Images of the Patient
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Reprinted from the Archives of Facial Plastic Surgery .1



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