Face transplantation: psychological assessment and preparation for surgery
Abstract
Face transplantation is emerging as the next logical step in the reconstructive ladder for patients with severe facial injuries. However, this is a procedure which presents major challenges, not only in terms of public acceptance, but particularly in terms of the appropriate selection and preparation of patients. Unlike solid organ transplantation, the likely benefits are life enhancing rather than life saving, and since the face is highly allergenic, the immunosuppressive regimen will be rigorous. Managing patients' expectations of outcome is vital both in ensuring post-operative satisfaction and in maximizing adherence with the immunosuppressive regime. Whilst more research in this area is clearly needed before this procedure becomes available, it is important to anticipate surgical advance and to develop a process of psychological assessment with a sound empirical base. This paper therefore addresses the problems of selection and preparation for surgery using a model of informed choice. Issues of altered identity and adherence with the therapeutic regimen are discussed with reference to research in analogous populations, including patients with facial disfigurement, those undergoing facial reconstruction, solid organ and hand transplantation. This paper therefore proposes an empirical approach to the planning of future research and the development of clinical tools for assessment and preparation of potential patients.
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Previous research supports the influence of preoperative expectations or anticipation of disfigurative head and neck cancer treatment on distress, anxiety, coping effectiveness, and post-operative satisfaction.
“Previous research supports the influence of preoperative expectations/anticipation of disfigurative HNC treatment on distress, anxiety, coping effectiveness, and post-operative satisfaction”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [23]
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- Authors
- Clarke, A., & Butler, P.
- Corresponding author
- Clarke, A
- ORCID
- Clarke, A
- Venue
- Psychology, Health & Medicine
- Publisher
- Informa UK Limited
- Published
- 2004-08
- Volume
- 9
- Issue
- 3
- Pages
- 315-326
- ISSN
- 1354-8506 (ISSN-L)
- 1465-3966
- OpenAlex
- W2152572852
- Cited by
- 29
- References
- 33
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2018: 2 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology Health & Medicine (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Transplantation › Organ and Tissue Transplantation Research
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- face transplantation, psychological assessment, patient selection, informed choice, immunosuppression, medication adherence, facial disfigurement, facial reconstruction, hand transplantation, solid organ transplantation, public acceptance, patient expectations
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