World’s first face transplant patient Isabelle Dinoire dies

Lille (France), Sep 07: A French woman who underwent the world’s first partial face transplant has died in hospital aged 49 after a long illness.
Isabelle Dinoire, who lost her mouth and nose after a dog bite, made medical history in 2005 when she was given a partial face transplant using tissue from a brain-dead woman in a 15-hour operation at Amiens Picardie hospital.
Dinoire died in April, Le Figaro revealed, which was confirmed by doctors in Amiens who said they had not previously announced her death to protect her family’s privacy.
Doctors did not reveal the exact cause of death. Le Figaro reported that Dinoire’s body had rejected the transplant last year “and she had lost part of the use of her lips”.
The drugs that she had to take to prevent her body from rejecting the transplant left her vulnerable to cancer and two cancers had developed, the paper said.

Risk of rejection

But the initial enthusiasm over the procedure has been tempered by a daunting risk that the patient’s body will eventually reject the donor’s tissue.

Le Figaro newspaper reported that Dinoire’s body had rejected the transplant last year “and she had lost part of the use of her lips”.

The drugs that she had to take to prevent her body from rejecting the transplant left her susceptible to cancer, and two forms of cancer had developed, the report said.

Jean-Pierre Meningaud, of a team at a Paris hospital that has performed seven face transplants, told AFP: “All the patients we operated on have had reactions of rejection, which leads to higher doses of drugs, and with them, the risks.”

He added that in addition to the risk of rejection a number of other problems can crop up including “grafts that age a little faster than (the patient), problems of (skin) colour, high blood pressure (and) mood.”

Meningaud said that with Dinoire’s death, “we should put these transplants on hold pending advances in immunology”.

Dinoire gave a remarkable news conference in February 2006, just three months after the operation, when the blonde, blue-eyed mother of two appeared before a scrum of TV cameras.

She appeared to be wearing thick makeup to disguise the scars of the procedure and lips that were heavy and inflexible.

She spoke with a pronounced lisp but was otherwise comprehensible as she recounted how she had fainted after “taking medicines to forget” personal problems.

“When I woke up, I tried to light a cigarette and I couldn’t understand why it didn’t stay between my lips. Then I saw the pool of blood and the dog next to me,” she said.

“I went to look in the mirror and was horrified.”

But the ground-breaking operation gave her a new lease of life.

“Since my operation I have a face, like everyone… I will be able to resume a normal life,” the divorcee said.

The operation was led by Jean-Michel Dubernard, a world-renowned surgeon at Edouard Herriot hospital in the eastern city of Lyon, and Bernard Devauchelle, a professor of facial surgery.

Dubernard had performed the world’s first hand transplant in September 1998, followed by the first double hand and forearm transplant in January 2000.

The transplant team came under fire from within the French medical profession for releasing post-operation pictures of the patient.

At the time, a specialist in reconstructive surgery, Maurice Mimoun, recognised the emotional nature of the debate, noting the face’s “relationship with the soul”.

The first full face transplant was performed by a Spanish team in March 2010 on a man whose face was disfigured in an accident.

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