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Journal of Medical Ethics 2005;31:707-709; doi:10.1136/jme.2005.011841
Copyright © 2005 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.

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CLINICAL ETHICS

Until they have faces: the ethics of facial allograft transplantation

G J Agich1, M Siemionow2

1 Department of Bioethics, Transplant Center, Cleveland Clinic Foundation, Cleveland, OH, USA
2 Department of Plastic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

Correspondence to:
G J Agich
Department of Bioethics, Transplant Center, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA; agichg{at}ccf.org The ethical discussion of facial allograft transplantation (FAT) for severe facial deformity, popularly known as facial transplantation, has been one sided and sensationalistic. It is based on film and fiction rather than science and clinical experience. Based on our experience in developing the first IRB approved protocol for FAT, we critically discuss the problems with this discussion, which overlooks the plight of individuals with severe facial deformities. We discuss why FAT for facial deformity is ethically and surgically justified despite its negative portrayal in the media.


Keywords: composite tissue allograft; ethics; face; transplantation




This article has been cited by other articles:


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J S Swindell
Facial allograft transplantation, personal identity and subjectivity
J. Med. Ethics, August 1, 2007; 33(8): 449 - 453.
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R Huxtable and J Woodley
(When) will they have faces? A response to Agich and Siemionov.
J. Med. Ethics, July 1, 2006; 32(7): 403 - 404.
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Copyright © 2005 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.