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Types of Procedures

Trigger Thumb

Paediatric trigger thumb can cause catching or a fixed bent position of the thumb. Assessment considers age, movement, symptoms and observation over time. Some children may improve without surgery; persistent cases may lead to discussion of release. Surgery has risks including bleeding, infection, scars, nerve injury and persistent stiffness. Full movement cannot be guaranteed.

Ganglions

A ganglion is a benign fluid-filled lump that can occur near a wrist or hand joint. A lump should be examined to confirm the diagnosis. Observation may be appropriate, and surgery is considered selectively when symptoms or function justify its risks. Risks include scars, infection, nerve injury, stiffness and recurrence.

Simple Polydactyly

Polydactyly means an additional finger or toe. Assessment considers whether the extra digit contains skin, bone, tendons or other structures and how it affects function. Treatment and timing depend on the individual anatomy and the child’s needs. Not every difference requires surgery. Risks include scars, infection, altered sensation and further treatment.

Moles and Skin Lesions

Moles and skin lesions in children require assessment of their appearance, symptoms and changes over time. Observation, further investigation or selected excision may be appropriate. A changing, bleeding or symptomatic lesion should receive medical review. Excision leaves a scar and may require pathology and further treatment.

Otoplasty (Prominent Ear Surgery)

Otoplasty changes selected aspects of ear shape or position. Assessment considers anatomy, the child’s wishes, maturity, family views and whether surgery is appropriate. Observation and choosing no operation remain options. Cosmetic surgery in children has additional safeguards and consent requirements. Surgery cannot guarantee confidence, social acceptance or perfect symmetry. Risks include bleeding, infection, scars, altered sensation, recurrence, anaesthetic complications and further surgery.

Paediatric Assessment and Treatment

Not every hand difference, lump or skin lesion requires surgery. Assessment considers how the condition affects movement, comfort or development, and whether observation or another treatment is appropriate. Bring the referral and any relevant reports, photographs or previous treatment details.

Planning care with your family

Your consultation covers the diagnosis, possible treatments, expected limitations and the timing of care. Where surgery is considered, the team explains anaesthesia, wound care and follow-up in language appropriate for the child and family. Decisions about cosmetic procedures for children require additional safeguards and individual assessment.

Surgical risks and recovery

Risks vary by operation and may include bleeding, infection, scarring, altered sensation, stiffness, recurrence and the need for further treatment. Anaesthesia also carries risks. The team will discuss care at home and return to school, sport and normal activities. Recovery and results differ between children.

For appointment details, see our Perth, Joondalup and Bunbury clinic contacts. You can also read about hand surgery and our consultation resources. An acute injury or rapidly worsening symptoms should be assessed urgently through appropriate medical services.

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Dr Raj Zaman is a Specialist Plastic Surgeon based in Perth, Western Australia, with MBBS and FRACS (Plast) qualifications. His practice includes reconstructive and aesthetic plastic surgery. Consultation considers individual concerns, treatment options, limitations, risks and recovery.