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Plastic and Reconstructive Surgery

What we do

WHAT IS PLASTIC SURGERY? 

The term “plastic” is derived from the Greek word plastikos meaning to “change the shape or form of.” Plastic Surgery otherwise has nothing to do with implantation of biomaterials such as silicone, although many families may ask because of the intense lay press coverage of cosmetic plastic surgery. Fundamentally, Plastic Surgery alters anatomy anywhere in the body in order to improve function, form, and often both simultaneously.

OUR SERVICES:

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). We use the combined efforts of many specialists to provide optimum care for children with cleft lip and palate throughout their development.  See Cleft lip and Palate Program.

Craniofacial anomalies: Craniofacial surgeons specialize in the correction of skull shape abnormalities, including craniosynostosis, congenital and acquired dysmorphic craniofacial abnormalities, as well as jaw abnormalities.  See the Craniofacial Program.

Burns:The Burn Unit is located on Ward 8C within the Plastic Surgery Ward. We treat burns of all causes ensuring patients receive optimal care and focus on recovery. Parents and caregivers are supported through this journey. We work closely with the critical care unit with severe burn injuries to ensure all needs of these medically complex patients are addressed within a timely manner ensuring safe and effective care. See Burn Program.

Congenital hand and upper extremity anomalies:  We treat a variety of patients with different congenital hand anomalies, including polydactyly, syndactyly, symbrachydactyly, duplicated digits, constricted band syndrome, congenital trigger thumbs as well as a host of rarer conditions. These patients are treated in close coordination with occupational therapists and physiotherapists.  See more on Congenital Hand Differences.

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. Twice a year he holds a Microtia lecture here at SickKids, discussing the surgical reconstruction procedure for small malformed ears. All referred children are encouraged to attend the lecture prior to being seeing in the Plastic Surgery Clinic.  These operations are usually performed by Dr. Fisher at St. Joseph's Hospital once the child is at least 10 years of age.

Skin Pigmentations, cysts, and lesions:  We see infants and children with congenital large disfiguring nevi, dermoid cysts and ganglion cysts who may undergo serial excision.  We collaborate closely with dermatology to develop treatment plans for lesions that are concerning or malignant.  See Skin Lesions for more.

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, which runs on Fridays.  See Vascular Surgery Clinic.

Brachial Plexus Palsy:  Infants and children with birth related brachial plexus injury (“obstetrical brachial plexus palsy”) are seen in the Brachial Plexus Clinic on Wednesdays, headed by Dr. Clarke and Dr. Kristin Davidge. We work closely with our physiotherapist to monitor these patients throughout their childhood. See Brachial Plexus Palsy for more.

We also see patients with traumatic nerve injuries and nerve compression, who may require microsurgical repair. See Nerve Injuries.

Facial Paralysis:  Our Facial Paralysis Clinic is run by Dr. Ron Zuker and Dr. Greg Borschel, who specialize in microsurgical repair.  They use both nerve and muscle grafting for the repair of unilateral and bilateral facial paralysis.  Our occupational therapist is heavily involved in the treatment plan. See  Facial Paralysis Program.