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US face transplant woman can smile again
(China Daily)
Updated: 2009-05-08 07:51

CLEVELAND, Ohio: When Connie Culp heard a little kid call her a monster because of the shotgun blast that left her face horribly disfigured, she pulled out her driver's license to show the child what she used to look like. Years later, as the first US face transplant recipient, she's stepped forward to show the rest of the world what she looks like now.

Her expressions are still a bit wooden, but she can talk, smile, smell and taste her food again. Her speech is at times a little tough to understand. Her face is bloated and squarish. Her skin droops in big folds that doctors plan to pare away as her circulation improves and her nerves grow, animating her new muscles.

"I guess I'm the one you came to see today," the 46-year-old said at a news conference at the Cleveland Clinic, where the ground-breaking operation was performed.

Until Tuesday, Culp's identity and how she came to be disfigured were a secret.

US face transplant woman can smile again

Culp's husband, Thomas, shot her in 2004, then turned the gun on himself. He went to prison for seven years. His wife was left clinging to life. The blast shattered her nose, cheeks, the roof of her mouth and an eye. Hundreds of fragments of shotgun pellet and bone splinters were embedded in her face. She needed a tube into her windpipe to breathe.

Only her upper eyelids, forehead, lower lip and chin were left.

A plastic surgeon at the Cleveland Clinic, Dr. Risal Djohan, got a look at her injuries two months later.

She endured 30 operations to try to fix her face. Doctors took parts of her ribs to make cheekbones and fashioned an upper jaw from one of her leg bones. She had countless skin grafts from her thighs. Still, she was left unable to eat solid food, breathe on her own, or smell.

Then, on Dec 10, in a 22-hour operation, Dr Maria Siemionow led a team of doctors who replaced 80 percent of Culp's face with bone, muscles, nerves, skin and blood vessels from another woman who had just died.

It was the fourth face transplant in the world, though the others were not as extensive.

AP

(China Daily 05/08/2009 page10)