Saturday, May 22, 2010

Spanish Face Transplant Patient Thanks Surgeons In Public

By Tom Doerr

Known only as 'Rafael', a Spanish man who is the ninth person in the world to receive a partial transplant has appeared in public to thank his donor and the surgeons who operated on him. He said he wanted to personally thank the family of the man who allowed him to have a new face.

Since birth, Rafael has suffered from the congenital disease known as neurofibromatosis type 1, a genetic problem which causes abnormal growth of cells. Benign tumours had grown on two thirds of his face and Dr Gomez Cia said "there was no reconstructive alternative except for a tissue transplant from a dead donor."

The operation lasted over 30 hours and required a large team of the who's-who of reconstructive surgery. The lower two-thirds of Rafael's face were replaced with that of a donor. After the operation, Rafael spent five weeks in intensive care and a week in a burns unit before finally moving to a regular hospital bed in March. In preparation for his surgery, the team of surgeons spent a year training for the operation on cadavers and using the latest 3D simulation software before an appropriate donor appeared.

Juan David Gonzalez Padilla, Director of Maxillofacial surgery at the hospital said; "He has recovered his sensitivity in the lips, the cheeks, he can distinguish cold and heat, and he's even shaving, something which he wasn't able to do before because of his illness." Rafael is still not able to talk properly and his doctors expect he will not regain full control of his tongue for another three months as his face and muscles are still enflamed.

The operation began by removing the tissue, blood vessels and nerve endings from the donor; it was then attached to Rafael's skull. His doctors maintain he will not end up with the face of the donor as the tissue adapts to the bone structure of the receptor.

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