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Patrick Gardin / The Associated Press
French surgeon Jean-Michel Dubernard is seen during a news conference at the Edouard Herriot
hospital in Lyon, southeastern France, in January 2000. French doctors claimed Wednesday a world
first partial face transplant, saying a nose, lips and chin were grafted onto a 38-year-old woman
disfigured by a dog bite. Dubernard collaborated on the transplant on Sunday.
TRRnspuinT • cormnucD f Rom i
is not unethical.”
And Dr. Jean-Pierre
Chavoin, secretary general of
the French society of plastic
surgery, noted that Lantieri had
planned to do a face transplant
himself and had been beaten.
Carine Camby, director
general of the agency under the
French Health Ministry that
coordinates organ
procurement, said normal
reconstructive surgery could
not have been used in this case.
“It is precisely because there
was no way to restore the
functions of this patient by
normal plastic surgery that we
attempted this transplant,”
Camby said. “She could no
longer eat normally, she had
great difficulty speaking and
there is no possibility with
plastic surgery today to repair
the muscles around the mouth
which allow people to articulate
when they speak and not spit
out food when they eat.”
Camby also said the patient
“received many psychiatric
examinations. The psychiatrists
decided that she understood
the surgery and that she
accepted all of the
consequences, including the
risk of rejection and of failure,
the risk of immune suppression
treatments and the need to take
them for life.”
But Chavoin, who took part
in preparatory meetings about
the patient’s case over the last
several months, questioned her
psychological health.
The patient “seems to have
quite a depressive profile,” he
said.
The operation was done at a
hospital in Amiens, in northern
France, by ground-breaking
transplant surgeon Dr. Jean
Michel Dubernard and Dr.
Bernard Devauchelle.
Dubernard led teams that
performed a hand transplant in
1998 and the world’s first
double forearm transplant in
January 2000.
The hand transplant
recipient later had it
amputated. Doctors said the
man failed to take the required
drugs and his body rejected the
limb.
Lantieri said he was fearful
that this operation could turn
out like that first hand
transplant if the patient is
psychologically unstable.
Dubernard did not return a
phone call seeking comment
Thursday. A news conference is
set for Friday.
The face transplant patient,
now in Dubernard’s ward in a
Lyon hospital in southern
France, was also to have a
second experimental treatment
— an infusion of the donors
bone marrow — to try to
prevent rejection of the new
tissue.
“Maybe Jean-Michel
Dubernard is revolutionizing
the concept of transplantation,”
Lantieri said, but added that the
patient now was being subjected
to two untested treatments.
Lantieri, who developed his
own plans to attempt a partial
face transplant, said members
of Dubernards team contacted
him last spring, seeking details
of his protocol.