Al-Halabi Becher, Alabdulkarim Abdulaziz, Cugno Sabrina
Division of Plastic and Reconstructive Surgery, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Plastic Surgery, Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia.
Plast Surg (Oakv). 2025 May;33(2):276-282. doi: 10.1177/22925503231213868. Epub 2023 Nov 13.
The distinction between reconstructive and aesthetic surgery becomes less apparent when body image and self-esteem secondary to congenital deformities affect psychosocial well-being. Parents and plastic surgeons debate the appropriate age to correct non-life-threatening congenital defects to avoid a psychologically distressing event to the child. Furthermore, an ethical debate emerges when parents make decisions on behalf of children below the age of consent and lack the necessary cognitive development. This challenging responsibility then rests upon the operating practitioner to prioritize the child's best interests. This paper examines three hypothetical cases to explore the psychosocial and ethical aspects of conducting external ear surgery in the pediatric population and determining the ideal timing.
当先天性畸形导致的身体形象和自尊影响心理社会幸福感时，重建手术和美容手术之间的区别就不那么明显了。父母和整形外科医生会讨论矫正非危及生命的先天性缺陷的合适年龄，以避免给孩子带来心理痛苦的事件。此外，当父母代表未达到同意年龄且缺乏必要认知发展的孩子做出决定时，就会出现伦理辩论。然后，这项具有挑战性的责任就落在了执业医生身上，要将孩子的最大利益放在首位。本文研究了三个假设案例，以探讨在儿科人群中进行外耳手术的心理社会和伦理方面，并确定理想的时机。
