Face transplant:  is it feasible in developing countries?
This article is based on the case of a 28-year-old woman who was involved in a car accident, with diagnosis of polytrauma, loss of left eye, and second- and third-degree burns over the left midface, rendering an exposed area of 8 cm wide and 19 cm length, ranging from glabella to mandible, with skull exposure and loss of left eye.A latissimus dorsi musculocutaneous free flap was transferred into the defect; left eye and nose prosthetics were necessary to restore normal appearance. Excellent results were obtained; reinsertion to patient's normal life and reinstatement of facial appearance were achieved with minimal costs and no postsurgical complications.Analysis of the current situation in developing countries demonstrates that technique and infrastructure do not represent a real challenge to carry on face transplants. However, socioeconomic reality in these societies makes it difficult to establish face transplant as a feasible therapeutic opportunity for the overwhelming majority of patients who are victims of severe facial damage.Therefore, strategies such as latissimus dorsi free flap remains as an excellent therapy to face off our complex facial reconstructive challenges in developing countries such as Mexico.
Instituto de Biología Molecular en Medicina y Terapia Génica, CUCS, Departamento de Biología Molecular y Genómica, CUCS, Universidad de Guadalajara, México. ignacio_gonzalez_garcia@hotmail.com
Ignacio
I
González-García
Iván
I
Lyra-González
David
D
Medina-Preciado
Alejandro
A
Guerrero-Torres
Guillermo
G
Ramos-Gallardo
Juan
J
Armendáriz-Borunda
D000063:Accidents, Traffic; D000328:Adult; D003906:Developing Countries; D005151:Facial Injuries / Q000601:surgery*; D054445:Facial Transplantation; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D008800:Mexico; D019736:Prostheses and Implants