ABSTRACT
The face has functional and aesthetic importance. It represents the most identifiable
aspect of an individual's physical being. Its role in a person's identity and ability
to communicate can therefore not be overstated. The face also plays an important role
in certain functional needs such as speech, communicative competence, eye protection,
and emotional expressiveness. The latter function bears significant social and psychological
import, because two thirds of our communication takes place through nonverbal facial
expressions. Accordingly, the significance of reconstruction of the face is indisputable.
Yet despite application of meticulous techniques and the development of innovative
approaches, full functional and aesthetic reconstruction of the face remains challenging. This is
because optimal reconstruction of specialized units of the face have to address both
the functional and aesthetic roles of the face.
KEYWORDS
Facial transplantation - allotransplantation - reconstructive surgery - bioethics
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Maria SiemionowM.D. Ph.D. D.Sc.
Department of Plastic Surgery, A60, The Cleveland Clinic
9500 Euclid Avenue, Cleveland, OH 44195