Premium
Reconstructive algorithms in the pediatric population
Author(s) -
Koshy John C.,
Seruya Mitchel
Publication year - 2016
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24200
Subject(s) - medicine , algorithm , computer science
Reconstruction of oncologic defects in the pediatric population is a unique challenge. Differences in patient comorbidities, size of the reconstructive components, response of the skeletally immature body to surgery and radiation, compliance, and overall recovery potential make the pediatric patient cohort distinct from the adult population. Considering that patients are enjoying longer life spans, it behooves the surgeon to reconstruct oncologic defects with durable and long‐lasting tissue. Determining when to implement each of the reconstructive tools is based upon principles embodied by the reconstructive ladder and taking into account the defect‐specific characteristics, including location and type of tissues involved. Within the setting of multi‐disciplinary care, reconstruction can be associated with good long‐term functional and aesthetic outcomes. J. Surg. Oncol. 2016;113:940–945 . © 2016 Wiley Periodicals, Inc.