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Research Letter
June 11, 2020

Indications for and Outcomes of Endoscopic Sinus Surgery and Other Rhinologic Surgery After Facial Transplant

Author Affiliations
  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
  • 2Department of Hand, Plastic and Reconstructive Surgery, Microsurgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany
  • 3Department of Otolaryngology–Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts
  • 4Division of Otolaryngology–Head and Neck Surgery, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Boston, Massachusetts
  • 5Department of Otolaryngology–Head and Neck Surgery, Massachusetts Eye and Ear, Boston
  • 6Patient-Reported Outcomes, Value, and Experience (PROVE) Center, Brigham and Women’s Hospital, Boston, Massachusetts
  • 7Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, Massachusetts
JAMA Otolaryngol Head Neck Surg. Published online June 11, 2020. doi:10.1001/jamaoto.2020.0774

Since 2005, more than 45 facial transplants (FTs) have been performed worldwide with encouraging outcomes in motor and sensory function and psychosocial health.1 Most patients who have undergone FTs have significant midface deformity, including destruction of the nostrils, turbinates, and septum requiring maxilla-containing allografts to provide bony facial structure.2

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