In 2005, surgeons in France removed part of the face from a
cadaver and grafted it onto the head of a 38-year-old woman grossly
disfigured by a dog attack. Three years later, in December, 2008,
surgeons at the Cleveland Clinic announced they had performed the
first U.S. face transplant. Although modern culture is accustomed
to pushing medicine and the human body beyond all limits, the
world's first partial face transplant and the seven that have
followed have caused a stir that still reverberates globally.
This book begins with the story of Isabelle Dinoire, the
recipient of the first face transplant, and chronicles her surgery
and battles with tissue rejection. Its scope widens with a look at
how surgical teams, including three U.S. transplant teams, are in a
global race to perform the first full face transplant, and at how
medical history has led up to this point--with prior successful
transplants ranging from body parts as simple as cornea to those as
neurologically complicated as the heart, a hand, and a penis.
The most novel among these surgeries--the face
transplant--conjures up particular and expansive psychological
issues. Authors Bluhm and Clendenin show how transplant recipients
struggle with functional issues including a lifetime of
anti-rejection drugs, a danger highlighted by the recent death of
the second face transplant patient, in China. But just as
challenging in the case of face transplant is the psychological
effect on--and potential threat to--identity. Who are you, if
suddenly your face--or a significant portion of it--is not what you
were born with? What is it like to look in the mirror, and see a
face that is not the one you have always had? Dinoire lamented, "It
will never be me." That statement is an absolute simplification of
the identity issues a face transplant can create, explain the
authors. Bluhm and Clendenin show how, across history and media,
humankind--via medicine, literature, film, and other media--has
dreamed of a day when face transplants would be possible.
With so many disfigurements occurring among the military in
Iraq, and experimental face transplants too expensive for
implementation in the private sector, it is likely that the U.S.
military will take the reins and further face transplant techniques
as quickly as possible to serve injured personnel.
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