Skip to main content

Informed Consent for Facial Transplantation

  • Chapter
  • First Online:
The Know-How of Face Transplantation

Abstract

Facial transplantation is a complex and innovative technique still in its infancy, thus it is critical that the informed consent process has integrity. The patient population is vulnerable due to their desire for esthetic change amid a society that places much value on personal appearance. The technology of transplant, itself, requires an alliance between the doctor and patient due to matters of behavioral and medication compliance. This said, there is much for the patient to know and understand about themselves and the technique, in a setting of many technological unknowns. This chapter describes key elements of the informed consent process for facial transplantation so as to optimize the aim of information transmission, comprehension, and voluntariness.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. US Code of Federal Regulations Title 45 Chapter 46 (Protection of Human Subjects), Section 116 (General Requirements for Informed Consent). http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm#46.116. Accessed April 5, 2010.

  2. Greenwald L. Heroes with a Thousand Faces: True Stories of People with Facial Deformities & Their Quest for Acceptance. Cleveland: Cleveland Clinic Press; 2007:252-253.

    Google Scholar 

  3. Ye M. Psychological morbidity in patients with facial and neck burns. Burns. 1998;24:646-648.

    Article  CAS  Google Scholar 

  4. Balakrishnan C, Hashim M, Gao D. The effect of partial-thickness facial burns on social functioning. J Burn Care Rehabil. 1999;20:224-225.

    Article  CAS  Google Scholar 

  5. Coull F. Personal story offers insight into living with facial disfigurement. J Wound Care. 2003;12:254-258.

    Article  CAS  Google Scholar 

  6. Rumsey N, Clarke A, White P, Wyn-Williams M, Garlick W. Altered body image: appearance-related concerns of people with visible disfigurement. J Adv Nurs. 2004;48:443-453.

    Article  Google Scholar 

  7. Bradbury E. Understanding the problems. In: Lansdown R, Rumsey N, Bradbury E, Carr T, Partridge J, eds. Visibly Different: Coping with Disfigurement. Oxford: Butterworth-Heinemann; 1997:180-193.

    Google Scholar 

  8. Mowlavi A, Bass MJ, Khurshid KA, Milner S, Zook EG. Psychological sequelae of failed scalp replantation. Plast Reconstr Surg. 2004;113:1573-1579.

    Article  Google Scholar 

  9. Edgell SE, McCabe SJ, Breidenbach WC, Neace WP, LaJoie AS, Abell TD. Different reference frames can lead to different hand transplantation decisions by patients and physicians. J Hand Surg Am. 2001;26:196-200. Erratum in: J Hand Surg [Am]. 2001;26:565.

    Article  CAS  Google Scholar 

  10. Kanitakis J, Jullien D, Petruzzo P, et al. Clinicopathologic features of graft rejection of the first human hand allograft. Transplantation. 2003;76:688-693.

    Article  Google Scholar 

  11. Lanzetta M, Petruzzo P, Vitale G, et al. Human hand transplantation: what have we learned? Transplant Proc. 2004;36:664-668.

    Article  CAS  Google Scholar 

  12. Baumeister S, Kleist C, Döhler B, Bickert B, Germann G, Opelz G. Risks of allogeneic hand transplantation. Microsurgery. 2004;24:98-103.

    Article  Google Scholar 

  13. Tobin GR, Breidenbach WC, Klapheke MM, Bentley FR, Pidwell DJ, Simmons PD. Ethical considerations in the early composite tissue allograft experience: a review of the Louisville ethics program. Transplant Proc. 2005;37:1392-1395.

    Article  CAS  Google Scholar 

  14. Siegler M. Ethical issues in innovative surgery: should we attempt a cadaveric hand transplantation in a human subject? Transplant Proc. 1998;30:2779-2782.

    Article  CAS  Google Scholar 

  15. Clark PA. Face transplantation: part II – an ethical perspective. Med Sci Monit. 2005;11:RA41-RA47.

    Google Scholar 

  16. Wiggins OP. On the ethics of facial transplantation research. Am J Bioeth. 2004;4:1-12.

    Article  Google Scholar 

  17. Royal College of Surgeons of England. Facial Transplantation: Working Party Report, 1st ed. November 2003.

    Google Scholar 

  18. Royal College of Surgeons of England. Facial Transplantation: Working Party Report, 2nd ed. November 2006.

    Google Scholar 

  19. National Consultative Ethics Committee for the Health and Life Sciences. Opinion No. 82: Composite Tissue Allotransplantation (CTA) of the Face (Full or Partial Face Transplant). February 6, 2004.

    Google Scholar 

  20. American Society of Plastic Surgeons. Facial Transplantation-ASRM/ASPS Guiding Principles. www.microsurg.org/ftGuidelines_OnlinePDF.pdf. Accessed 13.01.11.

  21. Pomahac B, Aflaki P, Nelson C, Balas B. Evaluation of appearance transfer and persistence in central face transplantation: a computer simulation analysis. J Plast Reconstr Aesthet Surg. 2010;63:733-738.

    Article  Google Scholar 

  22. Aflaki P, Nelson C, Balas B, Pomahac B. Simulated central face transplantation: age consideration in matching donors and recipients. J Plast Reconstr Aesthet Surg. 2010;63:e283-e285.

    Article  Google Scholar 

  23. Barker JH, Brown CS, Cunningham M, et al. Ethical considerations in human facial tissue allotransplantation. Ann Plast Surg. 2008;60:103-109.

    Article  CAS  Google Scholar 

  24. Rumsey N. Psychological aspects of face transplantation: read the small print carefully. Am J Bioeth. 2004;4:22-25.

    Article  Google Scholar 

  25. Basch SH. The intrapsychic integration of a new organ: a clinical study of kidney transplantation. Psychoanal Q. 1973;42:364-384.

    Article  CAS  Google Scholar 

  26. Castelnuovo-Tedesco P. Organ transplant, body image, psychosis. Psychoanal Q. 1973;42:349-363.

    Article  CAS  Google Scholar 

  27. Barker JH, Furr LA, McGuire S, et al. Patient expectations in facial transplantation. Ann Plast Surg. 2008;61:68-72.

    Article  CAS  Google Scholar 

  28. Health Insurance Portability and Accountability Act (HIPAA) of 1996 (P.L.104-191). 45 Code of Federal Regulations, Part 160 and 164.

    Google Scholar 

  29. Cupples SA, Steslow B. Use of behavioral contingency contracting with heart transplant candidates. Prog Transplant. 2001;11:137-144.

    Article  CAS  Google Scholar 

  30. Bramstedt KA. Living donor transplantation between twins: guidance for donor advocate teams. Clin Transplant. 2007;21:144-147.

    Article  Google Scholar 

  31. Renshaw A, Clarke A, Diver AJ, Ashcroft RE, Butler PE. Informed consent for facial transplantation. Transpl Int. 2006;19:861-867.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katrina A. Bramstedt .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer London

About this chapter

Cite this chapter

Bramstedt, K.A. (2011). Informed Consent for Facial Transplantation. In: Siemionow, M. (eds) The Know-How of Face Transplantation. Springer, London. https://doi.org/10.1007/978-0-85729-253-7_24

Download citation

  • DOI: https://doi.org/10.1007/978-0-85729-253-7_24

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-252-0

  • Online ISBN: 978-0-85729-253-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics