Otolaryngologists tend to manage most surgical pathology independently as supported by their training. However, superior aesthetic outcomes and caregiver satisfaction can be achieved by routinely involving facial plastics colleagues for reconstruction after resection of pediatric head and neck masses.

To highlight the cosmetic outcomes achieved after reconstruction by facial plastics surgeons in pediatric patients who have undergone resection of a head and neck lesion

Retrospective case series of 13 pediatric head and neck lesions managed at a tertiary care children's hospital over a 12 year period

tertiary care children's hospital

Pediatric patient undergoing resection of a mass in the head or neck including naso-frontal dermoids, neck lesions, miface lesions, parotid lesions where complex closure was anticipated and a facial plastics surgeon was used for reconstruction. 13 pediatric patients were selected in all. The patients were chosen on a case by case basis and there were no patients that refused intervention. There was no comparisson group and no one that withdrew. A referred sample was used as only these patients pre-selected based on their projected reconstructive needs were selected.

The primary intervention was an aesthetically acceptable reconstruction. In order to review the intervention that was performed the information obtained included clinical presentation, radiologic findings, surgical technique used for excision and reconstruction, pre and post-operative photography, pathology and cosmetic outcomes.

Vincent R, Ambro BT, Pereira KD. Facial Plastic Surgery in Pediatric Otolaryngology: Role and Outcomes. Int J Head Neck Surg 2016;7(2):72-76.