Plastic & Reconstructive Surgery Head and Neck Surgery
Plastic & Reconstructive Surgery
contact phone number: 2855 4394
fax number: 2855 1897
STAFF
  • Dr. Lai-Kun LAM, Consultant
     MBBS(HK), FRCS(Edin), FRACS, FHKAM(Surgery)

  • Dr. Sau-Yan WONG, Senior Medical Officer
     MBBS(HK), FRCS(Edin), FRACS, FHKAM(Surgery)

  • Dr. Hon-Ping CHUNG, Senior Medical Officer
     MBBS(HK), FRCS(Edin), FHKAM(Surgery)

  • Dr. Wai-Man NG, Senior Medical Officer
     MBBS(HK), FRCS(Edin), FHKAM(Surgery)

  • Dr. Kam-Hop LI, Associate Consultant
     MBBS(HK), FRCS(Edin), FHKAM(Surgery)

  • Dr. Suk-Har CHAN, Medical Officer
     MBBS(HK), FRCS(Edin)

  • Dr. Yu-Wai CHAN, Medical Officer
     MBBS(HK), MRCS(Edin)
SCOPE AND SERVICE
Patients seen (1997-2001) No.
Burns 312
Facial trauma 381
Benign facial lesions 1029
Hypertrophic scars and keloids 488
Malignant skin tumours 113
Cleft lip and palate 130
Miscellaneous 415
Operations performed (1997-2001) No.
Excision of facial lesions 1651
Fixation of facial fractures 92
Cleft lip and palate repair (primary and secondary) 189
Excision of cutaneous lesions and local flaps 116
Excision of skin cancers and flap reconstruction 48
Debridement of burns and skin grafting 60
Breast reconstruction (pedicle and free TRAM) 36
Microvascular flee tissue transfer 125
Major fields of Plastic & Reconstrutive Surgery
  1. Head and neck
    The Division is actively involved in the head and neck patients management. Both pedicle flaps and microvascular free tissue transfers are used for reconstruction after cancer resections. (see Head & Neck section)

  2. Cleft lip and palate
    A cleft lip and palate centre was established in the Queen Mary Hospital in 1991. A multi-disciplinary approach has been adopted. The specialists involved include plastic surgeons, dental surgeons, ENT surgeons and speech therapists.

    The average number of new cases seen is 35 per year. Appointment can be made by phone call 2855 4177.
    Examples:    
    (a) Unilateral cleft lip  
    Image 1
    preoperation    		 Image 1
    postoperation
       
    (b) Bilateral cleft lip
    Image 1
    preoperation    		 Image 1
    postoperation
  3. Burns
    Burn patients are managed in a designated ward with isolation facilities. The nurses there are trained in burn wound management. The Division is also in charge of a skin bank for the processing and storage of human allograph skin for the management of extensive burns.
    Image 1
    ward    		 Image 1
    surgical bath    		 Image 1
    skin bank

  4. Facial trauma
    It is a common acute surgical condition. Soft tissue repairs are done on admission, while bony fractures are fixed once radiological work-up is completed and the patients' conditions allow. The principles of wide exposure and early rigid fixation with titanium implants are adopted.
    Image 1
    injury    		 Image 1
    X-rays    		 Image 1
    postoperation
  5. Breast reconstruction
    The demand is ever increasing. Patients are seen in a multi-disciplinary clinic for breast cancer management. Surgery is performed jointly with the breast oncologic surgeon. Immediate reconstruction with autogenous tissue is the preferred approach, while implants are used selectively. TRAM (Transverse Rectus Abdominus Myocutaneous) flaps, both pedicle and free ones were used extensively. Since late 2001, the DIEP (Deep Inferior Epigastric Perforator) flap has been adopted to be the routine flap used.
    Image 1
    preoperation    		 Image 1
    postoperation

  6. Other reconstructive procedures:
    a)   Tissue expansion
        Image 1
    preoperation     		Image 1
    during expansion    		 Image 1
    postoperation
    b)   Chest wall tumour excision
        Image 1
    preoperation    		 Image 1
    operation    		 Image 1
    postoperation
    c)   Radiation leg ulcer reconstruction
        Image 1
    preoperation    		 Image 1
    free latissmus dorsi flap    		 Image 1
    postoperation
CURRENT RESEARCH AREAS
Current research projects undertaken by the Division include:
1. Treatment of hypertrophic scar and keloid.
2. The use of allograft skin in the treatment of large area burns.
3. Study on the pigmented cutaneous lesions in orientals.
4. The clinical results of flap surgeries in head and neck reconstruction
Selected Publications:

  1. Ho C.M., Lam L.K,, Wei W.I., Reconstructive surgery for burn patients, Journal of the Hong Kong Medical Association , 46: 257-262 , 1994

  2. Lim L.M., Lam L.K., Moor M.H., Trott J.A., David D.J., Associated injuries in facial trauma British Journal of Plastic Surgery , 46: 635-638 , 1993

  3. Chow L.W.C., Cheng A.C.K, Lam L.K., Ho C.M. and Au G.K.H., Wide margin resection and brachytherapy for post-irradiation breast cancer recurrence, Journal of Surgical Oncology 1997. 1997, 65: 55?56.

  4. Wei W.I., Lam L.K., Yuen P.W., Kwong D.L.W. and Chan K.W., Mucosal changes of the free jejunal graft in response to radiotherapy, The American Journal of Surgery. 1998, 175: 44-46.

  5. Lam K.H., Lam L.K., Ho C.M. and Wei W.I., Mandibular invasion in carcinoma of the lower alveolus, American Journal of Otolaryngology. 1999, 20: 267-272.

  6. Wong S.Y., Penoscrotal area resurfacing with the scrotal myofasciocutaneous flap, Chinese Medical Journal. 1997, 110: 574-576.

  7. Wong S.Y., H.C. Li. The Omohyoid sling syndrome. Am J Otolaryngol (accepted, in press).