Longitudinal progress of overall intelligibility, voice, resonance, articulation and oromyofunctional behavior during the first 21 months after Belgian facial transplantation

Lierde, Kristiane M. Van; Letter, Miet De; Vermeersch, Hubert; Roche, Nathalie; Stillaert, Filip; Lemmens, Gilbert; Peeters, Patrick; Rogiers, Xavier; Blondeel, Phillip; Corthals, Paul

doi:10.1016/j.jcomdis.2014.09.001

Cited by 16 publications

(9 citation statements)

References 29 publications

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“…The Belgian team has demonstrated a largely restored speech after FT, with normal vocal quality and hyper nasal resonance in their patient with severely disordered pre‐operative speech. During follow‐up, their patient's speech intelligibility reached 88% in words and 93% in sentences and acceptability being 1/3 9 . We have not been able to report as good speech recovery in our two FT patients.…”

Section: Discussionmentioning

confidence: 64%

“…During follow-up, their patient's speech intelligibility reached 88% in words and 93% in sentences and acceptability being 1/3. 9 We have not been able to report as good speech recovery in our two FT patients. One explanation is a possible primary injury to anatomical structures outside the allograft not restored in the transplantation.…”

Section: Speech and Articulationmentioning

confidence: 61%

“…We modelled our oromyofunctional assessment after the protocol published by Van Lierde et al, who assessed five functions, namely lip function, tongue, blowing, sucking, and the presence of drooling 9 . With our patients, the assessment of tongue function was not informative because there was only a short stump of the patients' own tongue left after the initial trauma.…”

Section: Methodsmentioning

confidence: 99%

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Speech Characteristics and Oromyofunctional Outcomes in Two Bimaxillary Face Transplantation Patients in Helsinki

et al. 2021

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Objectives/Hypothesis: Facial functional restoration is one of the main goals in face transplantation. We report the oromyofacial function outcomes of two bimaxillary face transplantation (FT) patients in Helsinki.Study design: Outcome Study. Methods: Two male patients, aged 34 and 59, had severe functional facial disabilities following self-inflicted gunshot injuries sustained to their mid and lower faces several years earlier. Both underwent tooth-bearing maxillomandibular face transplantation in 2016 and 2018. We collected data regarding speech, swallowing, sensory recovery, motor recovery, and olfaction prior to transplantation. Patient charts were reviewed from the follow-up period of 4 and 2 years, respectively.Results: Speech intelligibility, acceptability, and articulation continued to improve during follow-up for both patients. Voice quality and resonance were mainly normal at last follow-up. Swallowing improved once lip occlusion was regained, with only minor aspiration evident on videofluorography. Both patients had significant improvement in facial mimic muscle function after FT. The first patient who only had buccal sensory nerves connected has only recovered protective facial sensation, whereas our second patient with buccal, infraorbital, and alveolar nerves connected has almost complete facial two-point discrimination.Conclusion: Both patients have regained satisfactory facial sensory and motor function. Sensory recovery seems to be faster and more precise if multiple sensory nerve coaptations are performed. Swallowing and speech have continued to improve over time although not reaching the level of the normal population. We demonstrate how speech-corrective surgery can safely be performed in a FT patient and can improve speech recovery.

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Section: Discussionmentioning

confidence: 64%

Section: Speech and Articulationmentioning

confidence: 61%

Section: Methodsmentioning

confidence: 99%

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Speech Characteristics and Oromyofunctional Outcomes in Two Bimaxillary Face Transplantation Patients in Helsinki

et al. 2021

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“…Similar findings have been described by numerous others, further supporting the potential positive psychosocial impact of this procedure, otherwise unachievable by autologous reconstructive means. 13–16…”

Section: Discussionmentioning

confidence: 99%

Face Transplant: Current Update and First Canadian Experience

Govshievich

Saleh

Boghossian

et al. 2021

Plastic &Amp; Reconstructive Surgery

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“…Digitally planned facial VCA was performed one year after the facial trauma. Details of the surgery, rehabilitation, postoperative course and outcome have been extensively described elsewhere Roche et al, 2015b;Roche et al, 2015b,c;Van Lierde et al, 2015). This study has been approved by the Ethics Committee of the Ghent University Hospital.…”

Section: Participants and Selectionmentioning

confidence: 99%

Long‐term psychosocial outcomes after face transplantation: a patient's and a partner's perspective

Lemmens

Hendrickx

Poppe

et al. 2017

Journal of Family Therapy

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To date, psychosocial outcomes after face transplantation are promising, although the impact on family relationships is less well investigated. Depressive and anxiety symptoms, resilience, spousal support, dyadic adjustment, family functioning of a patient and the partner were assessed before, and two, three and four years after the face transplantation. Most psychological, marital and family scores of both partners remained within a normative and healthy range at follow‐up. Resilience, illness cognitions, physical quality of life, and family affective responsiveness and communication of the patient further improved, whereas the partner reported higher resilience and dyadic consensus at four years after transplantation. The results of this study point to positive long‐term psychosocial outcomes of a blind patient and his partner after face transplantation. Practitioner points Psychological health of patient and partner remains good after face transplantation Marital and family functioning remains stable after face transplantation and may even improve Face transplantation may strengthen the resilience of the patient and the partner

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Longitudinal progress of overall intelligibility, voice, resonance, articulation and oromyofunctional behavior during the first 21 months after Belgian facial transplantation

Cited by 16 publications

References 29 publications

Speech Characteristics and Oromyofunctional Outcomes in Two Bimaxillary Face Transplantation Patients in Helsinki

Speech Characteristics and Oromyofunctional Outcomes in Two Bimaxillary Face Transplantation Patients in Helsinki

Face Transplant: Current Update and First Canadian Experience

Long‐term psychosocial outcomes after face transplantation: a patient's and a partner's perspective

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