What you need to know about:

Pediatric Reconstructive Surgery

Fast Fact

87%

Worth It Rating

Average Cost:

$7,700

Recovery Period:

Not specified

Permanence:

Not specified

177

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Time it takes:

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Anesthetize:

General anesthesia

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Overview of

Pediatric Reconstructive Surgery

in Thailand

Pediatric reconstructive surgery is a multidisciplinary specialty concerned with children and newborns suffering from an injury or born with a congenital defect that is affecting function and/or appearance aiming to solve this problem to improve their quality of life.

The addressed problems involve defects babies can be born with (congenital defects), defects due to trauma, infection, or tumor. Any of these defects can be treated through a pediatric reconstructive surgeon to restore function or appearance, and sometimes both are improved at the same time. The surgeon will choose the right time for intervention, the number of required surgeries, and whether the existing problem can be addressed through one surgery or requires a series of surgeries according to a specific timeline.

Children are not the ideal patients as sometimes they cannot express well what they feel, are not typically cooperative, and may refuse to sit still enough for a thorough examination. This is why in the case of aware children (not neonates) pediatric reconstructive surgeons must deal with them emotionally first before physically to make them more relaxed and cooperative.

Goals of

Pediatric Reconstructive Surgery

The main goal of this type of surgery is to restore function and/or appearance according to the condition. Reconstructive surgery is concerned with restoring the function as in reconstructive surgery conducted for the arm following a trauma.

Plastic surgery is concerned with appearance improving as in case of birthmarks and hairy nevi, while reconstructive plastic surgery is concerned with both as in cleft lip where the appearance and the feeding function are both restored at the same time.

Pediatric reconstructive surgery affects the child’s development to grow without problems affecting their confidence, and to live without being dependent because of a reduced function.

Price of

Pediatric Reconstructive Surgery

in Thailand

Average Cost

$7,700

Price Range

$1,400 to $14,000

Pros and cons of

Pediatric Reconstructive Surgery

Pros

Improves the quality of life for children by restoring the affected function.
Solves aesthetics problems so that children can grow up with good self-esteem and confidence.

Cons

Any surgery comes with risks such as bleeding, infection, swelling, scarring, and nerve damage.

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How it works:

Pediatric Reconstructive Surgery

Pediatric reconstructive and plastic surgery is a subspecialty concerned with restoring function and esthetics to children and neonates with anomalies existing at birth or deformities secondary to trauma, infection, or cancer. This type of surgery requires the cooperation of multiple disciplines. Pediatric reconstructive surgery can treat multiple conditions such as:

Cleft lip, cleft palate: seen at birth when there is a cleft or opening in the lip or palate. A cleft lip may vary from being a small notch to a cleft extending to the nostrils. This type of defect makes it very hard for the baby to be fed.
Craniosynostosis: this is the case of premature closure of the suture of the skull. it leads to misshaped head. The treatment falls under the craniofacial surgery category to reshape the head.
Hand deformities: a pediatric hand surgery is conducted to save the hand from complete loss of function or amputation following a trauma, tumor, or infection, and to treat congenital hand anomalies such as extra fingers or fused fingers. In the case of an amputated hand due to trauma, microvascular surgery is performed to reattach the blood and nerve supply to the hand.
Vascular anomalies such as birthmarks, hairy nevi, and hemangiomas.
Ear deformities such as missing ear (microtia) or prominent and abnormally shaped ears.
Cysts, tumors, burns.
Deformities in the jaws.
Facial fractures.

Preparation before

Pediatric Reconstructive Surgery

Pre - treatment

A proper treatment plan is essential to reduce unnecessary stress and pain on the newborn or the child. The surgeon will examine the problem carefully and may recommend performing some radiographic imaging and laboratory tests before setting the treatment plan. The treatment plan will involve the type of surgery, timing, and whether it can be accomplished in one surgery or if multiple surgeries are needed.

If you have any fear or concerns speak it loud with the doctor. Try to be calm and talk with your child if he is at an age that allows you to. Involve your child in the process, address any fear, and give them the chance to ask questions. Try your best to answer those questions to reassure your child and give them a sense of control.

Any specific pre-operative instructions will be provided to you by the pediatric surgeon.

Recovery after

Pediatric Reconstructive Surgery

Post - treatment

Every surgery is different in its post-treatment instructions and care. According to the type and severity of the performed procedure, the pediatric surgeon will give you the necessary instructions to follow for a smooth fast recovery.

Before and after photos of

Pediatric Reconstructive Surgery

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Patient reviews of

Pediatric Reconstructive Surgery

We understand you may want to change your plans due to the coronavirus (COVID-19) and its health implications.

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Risks & side effects

Any surgical procedure is associated with risks. The risk factors are different for each individual patient. Before the surgery, the pediatric surgeon will explain the procedure and the risk associated, and address any questions or concerns that you may have. The risks associated with pediatric reconstructive surgery may include:

Damage to the surrounding vital structures as blood vessels expressed as bleeding, and nerves expressed as nerve damage and permanent numbness or nerve dysfunction.
Infection.
Scar formation.
Rejection of the used bone graft.
Unfavorable outcome which means another surgery.

The side effects of surgery may appear as redness and numbness. pain, swelling, and pulsation that disappear within a few days.

FAQs:

Pediatric Reconstructive Surgery

Who are the best candidates for reconstructive surgery?

These may include children and neonates suffering from a problem that affects function, esthetics, or both. This may include trauma, injury, tumors, and congenital defects (such as cleft lip, cleft palate or birthmark).

What is the appropriate time to conduct a pediatric reconstructive surgery?

It depends on how extensive the problem is, the age of the patient, and whether or not it affects the function and aesthetics, or both. A newborn with a cleft lip or palate can have the surgery on the next day of delivery, while a more elective surgery such as a missing ear may wait for older age.

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What is the difference between a pediatric reconstructive surgeon and an adult surgeon?

Neonates and children are different from adults as they have different healing patterns and rates, and the prescribed medications are different in terms of type and dose. Adults surgeons are more aware of the adult’s physiology. Therefore younger age patients require a surgeon with special training and knowledge about congenital diseases and the different treatment modalities and medications at a young age.

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