title: Reconstructive algorithms in the pediatric population.
abstract: 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.
authors.affiliation: Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: John C
authors.initials: JC
authors.lastname: Koshy
authors.affiliation: Division of Plastic and Maxillofacial Surgery, USC Keck School of Medicine, Children's Hospital Los Angeles, Los Angeles, California.
authors.forename: Mitchel
authors.initials: M
authors.lastname: Seruya
mesh_terms: D000293:Adolescent; D000465:Algorithms; D001842:Bone and Bones / Q000601:surgery; D059186:Chemoradiotherapy, Adjuvant; D002648:Child; D002675:Child, Preschool; D062109:Dermatologic Surgical Procedures; D005121:Extremities / Q000601:surgery; D006257:Head / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D009333:Neck / Q000601:surgery; D009369:Neoplasms / Q000601:surgery*; D019990:Perioperative Care / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D012867:Skin
keywords: microsurgery; pediatrics; plastic surgery