US man injured in gun accident gets new face, teeth and jaw

 

After 15 years of wearing a mask and living as a recluse, a 37-year-old Virginia man disfigured in a gun accident got a new face, nose, teeth and jaw in what University of Maryland physicians say is the most extensive face transplant ever performed.

Richard Lee Norris of Hillsville is recovering well after last week's surgery, beginning to feel his face and already brushing his teeth and shaving, University of Maryland Medical Centre officials announced yesterday. He's also regained his sense of smell, which he had lost after the accident. 

Norris, who was selected from among five possible candidates for the surgery, has been living as a recluse, doing his shopping at night. It's hoped the transplant will give him his life back, said Dr Eduardo Rodriguez, the lead surgeon. 

"It's a surreal experience to look at him. It's hard not to stare. Before, people used to stare at Richard because he wore a mask and they wanted to see the deformity," Rodriguez said. "Now, they have another reason to stare at him, and it's really amazing." 

Rodriguez showed a 1993 prom photo of Norris, "as we all want to be remembered," beside a pre-transplant photo of Norris' shortened face with a sunken mouth and flattened nose. He then revealed a photo of Norris taken on Monday, where his face appears ordinary, other than stiches along his hairline and neck and scarring around his eyelids. Although he now has the donor's face, he doesn't resemble the donor, Rodriguez said. 

"It's a combination of two individuals, a true blend," he said. 

Norris' vision was largely unaffected by the accident. Because of numerous reconstructive surgeries, his forehead and neck were mostly scar tissue. Norris had no teeth, no nose and only part of his tongue. He was still able to taste but could not smell. 

"He could not smell for the past 15 years, and that was the most dramatic thing — immediately, on day three, he could finally smell," Rodriguez said. 

Doctors gave few details about the donor, citing the family's desire for privacy. They said the donor's organs went to several people. But the donor's family was consulted specifically about donating the face, said Charles Alexander, president of the Living Legacy Foundation. He said that consenting to be an organ donor does not automatically extend to face donations. 

The 36-hour operation was the most extensive because it included transplantation of the teeth, upper and lower jaw, a portion of the tongue and all facial tissue from the scalp to the base of the neck, Rodriguez said. Because it included so much facial tissue, the incisions are farther back and less visible, he said. 

The most dramatic moment came when the team had finished removing all the previous attempts at reconstruction. All Norris had left was a bit of tongue and minimal protection for his eyes. Rodriguez called it the point of no return. 

"At that point, we had to be successful," he said. Norris will require minor revisions, but those will be outpatient procedures, he said. 

It was the 23rd face transplant since doctors began doing the procedure seven years ago. The first full face transplant was performed in France in 2005 on a woman who was mauled by her dog. The Cleveland Clinic performed the first face transplant in the US in 2008. 

The Department of Defence has been funding some face and hand surgeries with the goal of helping wounded soldiers. More than 1,000 troops have lost an arm or leg in Afghanistan or Iraq, and the government estimates that 200 troops might be eligible for face transplants. 

The University of Maryland's research on transplants was funded by a grant from the Office of Naval Research, and doctors said they hope to begin operating soon on military patients. 

Researchers found that transplants involving large amount of bone marrow with its own blood supply saw fewer or no rejections, transplant surgeon Dr Rolf Barth said. Norris will have to take immunosuppression drugs for the rest of his life to keep his body from rejecting the donated face, but the jaw transplant could mean he will need less and may be able to go off steroids, he said. 

"This was the perfect patient to put into practice what we had discovered in the laboratory," Barth said. 

Officials provided little detail on Norris or the circumstances of the accident that took his face. He graduated from high school in his small southwest Virginia hometown in 1993 and was employed at the time of the accident. Since then, he has lived with his parents and has not had a full-time job, Rodriguez said. 

"This accidental injury just destroyed everything. The rest of his friends and colleagues went on to start getting married, having children, owning homes," Rodriguez told The Associated Press. "He wants to make up for all of that." 

AP

News
peopleHowards' Way actress, and former mistress of Jeffrey Archer, was 60
Sport
Romelu Lukaku puts pen to paper
sport
News
Robyn Lawley
people
Arts and Entertainment
Unhappy days: Resistance spy turned Nobel prize winner Samuel Beckett
books
PROMOTED VIDEO
Life and Style
ebookA wonderful selection of salads, starters and mains featuring venison, grouse and other game
News
people
Life and Style
Troy Baker and Ashley Johnson voice the show’s heroes
gamingOnce stilted and melodramatic, Hollywood is giving acting in video games a makeover
News
i100
Life and Style
Phones will be able to monitor your health, from blood pressure to heart rate, and even book a doctor’s appointment for you
techCould our smartphones soon be diagnosing diseases via Health Kit and Google Fit?
News
people
Extras
indybest
Travel
Ryan taming: the Celtic Tiger carrier has been trying to improve its image
travelRyanair has turned on the 'charm offensive' but can we learn to love the cut-price carrier again?
Sport
Usain Bolt confirms he will run in both the heats and the finals of the men's relay at the Commonwealth Games
commonwealth games
Life and Style
Slim pickings: Spanx premium denim collection
fashionBillionaire founder of Spanx launches range of jeans that offers 'thigh-trimming construction'
News
Sabina Altynbekova has said she wants to be famous for playing volleyball, not her looks
people
News
i100
Life and Style
tech'World's first man-made leaves' could use photosynthesis to help astronauts breathe
Independent
Travel Shop
the manor
Up to 70% off luxury travel
on city breaks Find out more
santorini
Up to 70% off luxury travel
on chic beach resorts Find out more
sardina foodie
Up to 70% off luxury travel
on country retreats Find out more
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    SAP Project Manager

    competitive: Progressive Recruitment: SAP PROJECT MANAGER - 3 MONTHS - BERKSHI...

    SAP Project Manager

    competitive: Progressive Recruitment: SAP PROJECT MANAGER - 3 MONTHS - BERKSHI...

    Senior Investment Accounting Change Manager

    £600 - £700 per day + competitive: Orgtel: Senior Investment Accounting Change...

    Microsoft Dynamics AX Functional Consultant

    £65000 - £75000 per annum + benefits: Progressive Recruitment: A rare opportun...

    Day In a Page

    Save the tiger: The day America’s love of backyard tigers led to a horrific bloodbath

    The day America’s love of backyard tigers led to a horrific bloodbath

    With only six per cent of the US population of these amazing big cats held in zoos, the Zanesville incident in 2011 was inevitable
    Samuel Beckett's biographer reveals secrets of the writer's time as a French Resistance spy

    How Samuel Beckett became a French Resistance spy

    As this year's Samuel Beckett festival opens in Enniskillen, James Knowlson, recalls how the Irish writer risked his life for liberty and narrowly escaped capture by the Gestapo
    We will remember them: relatives still honour those who fought in the Great War

    We will remember them

    Relatives still honour those who fought in the Great War
    Star Wars Episode VII is being shot on film - and now Kodak is launching a last-ditch bid to keep celluloid alive

    Kodak's last-ditch bid to keep celluloid alive

    Director J J Abrams and a few digital refuseniks shoot movies on film. Simon Usborne wonders what the fuss is about
    Once stilted and melodramatic, Hollywood is giving acting in video games a makeover

    Acting in video games gets a makeover

    David Crookes meets two of the genre's most popular voices
    Could our smartphones soon be diagnosing diseases via Health Kit and Google Fit?

    Could smartphones soon be diagnosing diseases?

    Health Kit and Google Fit have been described as "the beginning of a health revolution"
    Ryanair has turned on the 'charm offensive' but can we learn to love the cut-price carrier again?

    Can we learn to love Ryanair again?

    Four recent travellers give their verdicts on the carrier's improved customer service
    Billionaire founder of Spanx launches range of jeans that offers

    Spanx launches range of jeans

    The jeans come in two styles, multiple cuts and three washes and will go on sale in the UK in October
    10 best over-ear headphones

    Aural pleasure: 10 best over-ear headphones

    Listen to your favourite tracks with this selection, offering everything from lambskin earmuffs to stainless steel
    Commonwealth Games 2014: David Millar ready to serve up gold for his beloved Scotland in the end

    Commonwealth Games

    David Millar ready to serve up gold for his beloved Scotland in the end
    UCI Mountain Bike World Cup 2014: Downhill all the way to the top for the Atherton siblings

    UCI Mountain Bike World Cup

    Downhill all the way to the top for the Atherton siblings
    Save the tiger: The animals bred for bones on China’s tiger farms

    The animals bred for bones on China’s tiger farms

    The big cats kept in captivity to perform for paying audiences and then, when dead, their bodies used to fortify wine
    A former custard factory, a Midlands bog and a Leeds cemetery all included in top 50 hidden spots in the UK

    A former custard factory, a Midlands bog and a Leeds cemetery

    Introducing the top 50 hidden spots in Britain
    Ebola epidemic: Plagued by fear

    Ebola epidemic: Plagued by fear

    How a disease that has claimed fewer than 2,000 victims in its history has earned a place in the darkest corner of the public's imagination
    Chris Pratt: From 'Parks and Recreation' to 'Guardians of the Galaxy'

    From 'Parks and Recreation' to 'Guardians of the Galaxy'

    He was homeless in Hawaii when he got his big break. Now the comic actor Chris Pratt is Hollywood's new favourite action star