ShareThis Page

N.Y. face transplant called most extensive of its kind

| Monday, Nov. 16, 2015, 7:57 p.m.

Patrick Hardison was a volunteer firefighter in small-town Mississippi when the accident happened. A house was in flames, with a person trapped, and the roof collapsed just after Hardison raced inside. His helmet was knocked off; he felt his mask melting. He closed his eyes and jumped out the window.

The young man lost his eyelids, ears, lips, most of his nose and his hair that day. He also had disfiguring third-degree burns across his entire face, head, neck and upper torso. His skin was so badly damaged that he was not even able to close his eyes completely.

“From that day on, Sept. 5, 2001, there was no normal tissue left throughout his face,” Eduardo D. Rodriguez, chair of plastic surgery at New York University's Langone Medical Center, said in recounting the first responder's story.

In a press conference Monday, the medical center announced that

Hardison, now 41 and a father of five, had undergone the world's most extensive face transplant to date. The donor was a young BMX cyclist from Ohio named David Rodebaugh, whose family donated his liver, kidneys, and both eyes to help other patients. A representative from LiveOnNY, which works to match donors with recipients in the New York metropolitan area, said his mother didn't hesitate when asked about the face transplant and called her son “a free spirit who loved life.”

Rodebaugh died in July when he crashed and hit his head while riding in Brooklyn. He was 26 — virtually the same age as Hardison was when he was injured.

The years after the fire were full of dark, horrific pain. Hardison underwent more than 70 surgeries that involved multiple grafts from his leg to his face. Yet he was still very disfigured — with “no semblance of normal anatomy,” as Rodriguez put it — and had to hide behind sunglasses and a baseball cap whenever he went out. Talking or eating was excruciating.

A friend at Hardison's church heard about the work Rodriguez had done at the University of Maryland Medical Center for another man whose face had been damaged and contacted the surgeon on his behalf. Hardison became a patient of Rodriguez's while the doctor was at UMMC and continued to work with him after he was recruited to join NYU Langone.

The transplant operation, which took place Aug. 14, was funded by a grant from NYU Langone. The hospital estimates it cost between $850,000 and $1 million.

The university said that just three months after the surgery — a critical period when most rejections occur — Hardison is “doing well and is quickly returning to his daily routines.”

“I am deeply grateful to my donor and his family,” Hardison said in a statement. “I hope they see in me the goodness of their decision.”

Rodriguez said that one of the most moving moments for him was when Hardison went out after his surgery to buy clothes. “For him, it was so remarkable that no one stared at him. . . . It was a very emotional exchange for us,” Rodriguez said.

The medical science behind transplants has been progressing at a rapid pace in recent years. Patients have seen miraculous results with womb transplants, penis transplants and hand transplants, as well as tongue transplants.

The world's first partial face transplant was performed in 2005 in France on a woman who lost her lips, cheeks, chin and most of her nose after she was mauled by her dog. The first full face transplant took place in 2010 in Spain. The procedures set off a firestorm of ethical debate about whether such risky surgeries should be undertaken to improve someone's quality of life — rather than save it.

In total, roughly 35 patients worldwide have had face transplants. The chance of complications, even death, is very high. Even if the initial surgery, which is enormously complicated and dangerous, goes well, they face significant risk that their body will reject the foreign part. Many doctors believe these patients will have to take immunosuppressant drugs their whole lives.

TribLIVE commenting policy

You are solely responsible for your comments and by using TribLive.com you agree to our Terms of Service.

We moderate comments. Our goal is to provide substantive commentary for a general readership. By screening submissions, we provide a space where readers can share intelligent and informed commentary that enhances the quality of our news and information.

While most comments will be posted if they are on-topic and not abusive, moderating decisions are subjective. We will make them as carefully and consistently as we can. Because of the volume of reader comments, we cannot review individual moderation decisions with readers.

We value thoughtful comments representing a range of views that make their point quickly and politely. We make an effort to protect discussions from repeated comments either by the same reader or different readers

We follow the same standards for taste as the daily newspaper. A few things we won't tolerate: personal attacks, obscenity, vulgarity, profanity (including expletives and letters followed by dashes), commercial promotion, impersonations, incoherence, proselytizing and SHOUTING. Don't include URLs to Web sites.

We do not edit comments. They are either approved or deleted. We reserve the right to edit a comment that is quoted or excerpted in an article. In this case, we may fix spelling and punctuation.

We welcome strong opinions and criticism of our work, but we don't want comments to become bogged down with discussions of our policies and we will moderate accordingly.

We appreciate it when readers and people quoted in articles or blog posts point out errors of fact or emphasis and will investigate all assertions. But these suggestions should be sent via e-mail. To avoid distracting other readers, we won't publish comments that suggest a correction. Instead, corrections will be made in a blog post or in an article.