Semin Plast Surg 2023; 37(04): 265-274
DOI: 10.1055/s-0043-1776330
Review Article

Pediatric Craniofacial Tumor Reconstruction

Matthew J. Parham
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Yang Ding
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Daniel S. Wang
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Austin Y. Jiang
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Edward P. Buchanan
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
3   Division of Plastic Surgery, Texas Children's Hospital, Austin, Texas
› Author Affiliations

Funding None.
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Abstract

Effective management of pediatric craniofacial tumors requires coordinated input from medical, oncologic, and surgical specialties. Reconstructive algorithms must consider limitations in pediatric donor tissue and account for future growth and development. Immediate reconstruction is often focused on filling dead space, protecting underlying structures, and ensuring skeletal symmetry. Staged reconstruction occurs after the patient has reached skeletal maturity and is focused on restoring permanent dentition. Reconstructive options vary depending on the location, size, and composition of resected tissue. Virtual surgical planning (VSP) reduces the complexity of pediatric craniofacial reconstruction and ensures more predictable outcomes.



Publication History

Article published online:
10 November 2023

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