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Plastic and Reconstructive Surgery

What we do

Paediatric plastic surgeons have a very diverse practice. The Division has multidisciplinary programs, however most of our surgeons specialize in certain areas, which may include:

Cleft lip and palate surgery:  We treat conditions related to orofacial clefting, including that of the lips, palate and jaws, with the goal of restoring both form (facial appearance) and function (speech).

Craniofacial anomalies: Craniofacial surgeons specialize in the correction of skull shape abnormalities, including craniosynostosis and other conditions. Craniofacial surgeons also correct jaw abnormalities from congenital or acquired causes.

Burns: The burn unit is on Ward 8C. We treat burns of all etiologies affecting all regions of the body. We work closely with the critical care unit to effectively manage these medically complex, often severely ill patients. See Burn Clinic.

Congenital hand and upper extremity anomalies:  We treat patients with polydactyly, syndactyly, duplicated digits, congenital trigger thumbs as well as a host of rarer conditions. These patients are treated in close coordination with occupational therapists and physiotherapists.

Extremity trauma and oncologic defects:  We manage all types of extremity trauma, ranging from nonoperative hand fractures to those of devastating proportion.  We also reconstruct cancer defects of the upper and lower limbs.

Microtia:  Dr. Fisher heads the microtia program. These children undergo reconstruction using rib cartilage. These operations are usually performed by Dr. Fisher at St. Joseph’s Hospital.

Giant congenital nevi: Infants and children with large disfiguring nevi may undergo serial excision or tissue expansion to remove these lesions.

Vascular anomalies:  We treat a variety of lesions, including hemangiomas, venous malformation, arteriovenous malformations and lymphatic malformations. These cases are often jointly managed by Dr. Philip John, MD (interventional radiologist) and Dr. John Phillips (plastic surgeon).  Joao Amaral, MD (interventional radiology) also staffs this clinic.

Nerve injuries:  Infants and children with neonatal brachial plexus injury (“obstetrical brachial plexus palsy”) are seen in the brachial plexus clinic on Wednesdays, headed by Dr. Clarke and Dr. Kristin Davidge. Our Division also treats a variety of other nerve injuries involving other anatomic regions, and these may be either congenital or acquired.

Read more about these and other programs and services within the Department of Plastic and Reconstructive Surgery, by clicking on the menu to the left.