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Speech characteristics one year after first Belgian facial transplantation

Kristiane Van Lierde (UGent) , Nathalie Roche (UGent) , Miet De Letter (UGent) , Paul Corthals (UGent) , Filip Stillaert (UGent) , Hubert Vermeersch (UGent) and Phillip Blondeel (UGent)
(2014) LARYNGOSCOPE. 124(9). p.2021-2027
Author
Organization
Abstract
Objective: Facial transplantation has progressed over the past 8 years. We did the first Belgian facial transplantation by vascularized composite tissue allotransplantation and report the 1-year follow-up regarding speech and oromyofunctional behavior. Study design: Outcome study Methods: The recipient, a 56-year-old man had his face severely injured due to a ballistic injury. In January 2012 in a 20-hours surgical procedure, a digitally planned facial composite tissue allotransplantation was performed consisting of a large amount of bone together with the soft tissue of the entire lower 2/3rd of the face. Speech intelligibility, voice, resonance, articulation and oromyofunctional behavior were measured 12 months after the transplantation using objective and subjective assessment techniques. Results: No intraoperative surgical complications occurred and the postoperative course was uneventful. Survival of the graft was complete, the bony structures - both maxillae and part of the left mandible- and mucosal lining of the nasal cavities and hard palate could all be vascularized by connecting only the facial vessels. Twelve months after transplantation the speech intelligibility is normal in words, but slightly impaired in sentences due to moderate hypernasality. Two articulation disorders and lip incompetence are present. Facial emotional readability was present but decreased. Conclusion: Speech outcome, as one of several determinants of feasibility, can be a positive argument when considering the option of facial allotransplantation.
Keywords
OUTCOMES, INDEX, ALLOTRANSPLANTATION, vascularized composite tissue allotransplantation, HUMAN FACE TRANSPLANTATION, facial transplantation, face allotransplantation., Speech, functional recovery

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Citation

Please use this url to cite or link to this publication:

MLA
Van Lierde, Kristiane, Nathalie Roche, Miet De Letter, et al. “Speech Characteristics One Year After First Belgian Facial Transplantation.” LARYNGOSCOPE 124.9 (2014): 2021–2027. Print.
APA
Van Lierde, Kristiane, Roche, N., De Letter, M., Corthals, P., Stillaert, F., Vermeersch, H., & Blondeel, P. (2014). Speech characteristics one year after first Belgian facial transplantation. LARYNGOSCOPE, 124(9), 2021–2027.
Chicago author-date
Van Lierde, Kristiane, Nathalie Roche, Miet De Letter, Paul Corthals, Filip Stillaert, Hubert Vermeersch, and Phillip Blondeel. 2014. “Speech Characteristics One Year After First Belgian Facial Transplantation.” Laryngoscope 124 (9): 2021–2027.
Chicago author-date (all authors)
Van Lierde, Kristiane, Nathalie Roche, Miet De Letter, Paul Corthals, Filip Stillaert, Hubert Vermeersch, and Phillip Blondeel. 2014. “Speech Characteristics One Year After First Belgian Facial Transplantation.” Laryngoscope 124 (9): 2021–2027.
Vancouver
1.
Van Lierde K, Roche N, De Letter M, Corthals P, Stillaert F, Vermeersch H, et al. Speech characteristics one year after first Belgian facial transplantation. LARYNGOSCOPE. 2014;124(9):2021–7.
IEEE
[1]
K. Van Lierde et al., “Speech characteristics one year after first Belgian facial transplantation,” LARYNGOSCOPE, vol. 124, no. 9, pp. 2021–2027, 2014.
@article{4355296,
  abstract     = {Objective: Facial transplantation has progressed over the past 8 years. We did the first Belgian facial transplantation by vascularized composite tissue allotransplantation and report the 1-year follow-up regarding speech and oromyofunctional behavior.
Study design: Outcome study Methods: The recipient, a 56-year-old man had his face severely injured due to a ballistic injury. In January 2012 in a 20-hours surgical procedure, a digitally planned facial composite tissue allotransplantation was performed consisting of a large amount of bone together with the soft tissue of the entire lower 2/3rd of the face. Speech intelligibility, voice, resonance, articulation and oromyofunctional behavior were measured 12 months after the transplantation using objective and subjective assessment techniques.
Results: No intraoperative surgical complications occurred and the postoperative course was uneventful. Survival of the graft was complete, the bony structures - both maxillae and part of the left mandible- and mucosal lining of the nasal cavities and hard palate could all be vascularized by connecting only the facial vessels. Twelve months after transplantation the speech intelligibility is normal in words, but slightly impaired in sentences due to moderate hypernasality. Two articulation disorders and lip incompetence are present. Facial emotional readability was present but decreased.
Conclusion: Speech outcome, as one of several determinants of feasibility, can be a positive argument when considering the option of facial allotransplantation.},
  author       = {Van Lierde, Kristiane and Roche, Nathalie and De Letter, Miet and Corthals, Paul and Stillaert, Filip and Vermeersch, Hubert and Blondeel, Phillip},
  issn         = {0023-852X},
  journal      = {LARYNGOSCOPE},
  keywords     = {OUTCOMES,INDEX,ALLOTRANSPLANTATION,vascularized composite tissue allotransplantation,HUMAN FACE TRANSPLANTATION,facial transplantation,face allotransplantation.,Speech,functional recovery},
  language     = {eng},
  number       = {9},
  pages        = {2021--2027},
  title        = {Speech characteristics one year after first Belgian facial transplantation},
  url          = {http://dx.doi.org/10.1002/lary.24585},
  volume       = {124},
  year         = {2014},
}

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