Objectives of the Cardinal Glennon Children's Hospital (PS1 and PS2)

Cardinal Glennon Children’s Medical Center was the first children’s Level 1 Trauma Center in the St. Louis metropolitan region. As a result, the plastic surgery resident gains exposure to acute traumatic injuries in the pediatric populations. In addition, Cardinal Glennon established the first Cleft Palate Clinic in the Midwest in 1956. This team currently meets three times a month.

The plastic surgery resident should obtain experience in the following areas:

  1. Congenital defects of the head and neck, including cleft lip and palate, craniosynostosis, and craniofacial deformities secondary to various syndromes (i.e., Aperts, Crouzons, etc.) The cleft palate and craniofacial clinics are under the supervision of the Division of Plastic Surgery with Dr. Michael H. Carstens as the Director.
  2. Craniomaxillofacial trauma in children.
  3. Pediatric tumors of the head and neck (neurofibromatosis clinic).
  4. Pediatric breast deformities such as Poland’s syndrome and gynecomastia
  5. Congenital upper extremity deformities.
  6. Pediatric upper extremity trauma and reconstruction fractures, tendon and nerve injuries, soft tissue injuries.
  7. Congenital trunk deformities (omphalocele and myelomeningocele).
  8. Acute pediatric burn care, debridement and grafting, and correction of burn contracture deformities in children.
  9. Microsurgical techniques in children.
  10. Tissue transfer in children (for example, trunk and lower extremity), including the use of tissue expanders in scalp and trunk reconstruction.
  11. Management of benign skin and soft tissue lesions in children (congenital nevi, facial lesions).
  12. Snake bites and compartment syndrome in children.
  13. Learn the complex interrelationship between congenital pediatric anomalies, indigent care and how they interface with limitations in healthcare resources.

Progression of core knowledge, clinical skills, surgical technique, clinical judgment and maturity is expected as plastic surgery residents advance from their first year (PS1) to the second year (PS2) of residency during this rotation. First-year plastic surgery residents should become familiar with and proficient in the diagnosis and surgical techniques in the management of the pediatric wounds in an emergency room setting, skin grafts in children, local and regional flaps in children, cleft lip, cleft palate, velopharyngeal incompetence, benign and malignant cutaneous lesions and tumors. The plastic surgery resident should also learn the special considerations in the anesthetic and critical care management of the pediatric patient. This is especially important as it related to airway management, administration of medications and fluid resuscitation. Using experience gained during his/her first year of plastic surgery residency, the second year resident (PS2) should become experienced in managing the more complex pediatric plastic surgical conditions such as complex facial fractures, complex hand injuries, complex secondary congenital facial anomaly reconstructive procedures, craniosynostosis, etc.