Investigator Profile: Raymond Tse, MD
Raymond Tse, MD
Associate Professor, Division of Plastic Surgery
Craniomaxillofacial
Cleft lip and palate affects both appearance and orofacial function. Understanding what we do and the outcomes of treatment are critical to improving the care that we provide. Dr. Tse's research has involved two approaches. The first unites contemporary technology/concepts (i.e. 3D imaging, computer vision, and crowdsourcing) with more traditional science to come up with objective ways to measure esthetic, speech, and functional outcomes. The second involves careful assessment and audit of clinical practices to improve the delivery of care. The ultimate goal is to improve cleft care both locally and worldwide.
- The Americleft Task Force Surgeon Subgroup
- Cleft Outcomes Research Network (CORNET)
NIH project 1R01DE027493-01 - Velopharyngeal Insufficiency Outcomes Prediction Study (VPI-OPS)
NIH project U01 DE029750-01 - Alex Kane MD, Plastic Surgery, UT Southwestern Medical Center
- Lun-Jou Lo, MD, Chang Gung Memorial Hospital, Taiwan
- Ezgi Mercan PhD, Clinical Data Specialist, Seattle Children’s Hospital
- Linda Shapiro PhD, Department of Computer Science and Engineering, University of Washington
- Thomas Sitzman, MD, Plastic Surgery, Phoenix Children’s Hospital
2011
Faculty Research Support Fund
Surgical treatment of the international adopted child with cleft lip and/or palate – a pilot study to determine needs, timing, family experience, and bonding
Center for Clinical and Translational Research
Seattle Children’s Hospital
$5,000
2014
Translational Research Ignition Projects Program
Computer-based objective assessment of cleft lip nasal severity and treatment success using 3D sterephotogrammetry
Center for Clinical and Translational Research
Seattle Children’s Hospital
$50,000
2014
Pediatric Pilot Fund
Computer-based objective assessment of cleft lip nasal deformity using 3D stereophotogrammetry
Center for Clinical and Translational Research
Seattle Children’s Hospital
$12,000
2020
NIH U01 DE029750-01 (Thomas Sitzman, PI)
Velopharyngeal insufficiency following cleft palate repair: a comparative effectiveness study of existing surgical procedures and identification of criteria to guide a personalized treatment approach
National Institute of Health
Co-Investigator
- Fisher DM, Tse R, Marcus JR. Objective measurements for grading the primary unilateral cleft lip nasal deformity. Plastic and Reconstructive Surgery 2008:122(3):874-880.
- Tse R, Booth L, Keys K, Saltzman B, Stuhaug E, Kapadia H, Heike C. Reliability of Nasolabial Anthropometric Measures using 3D Photogrammetry in Infants with Unrepaired Unilateral Cleft Lip. Plastic and Reconstructive Surgery 2014;133(4):530e-42e.
- Wang KH, Heike CL, Clarkson M, Mehino Jl, Brinkley JF, Tse R, Birgfeld CB, Fitzsimons DA, Cox TC. Evaluation and integration of disparate classification systems for clefts of the lip. Frontiers in Craniofacial Biology 2014;14(5):163.
- Hopper RA, Tse R, Smartt J, Swanson J, Kinter S. Cleft palate repair and velopharyngeal dysfunction. Plastic and Reconstructive Surgery 2014;133(6):852e-864e.
- Swanson JW, Smartt JM, Saltzman BS, Birgfeld CB, Hopper RA, Gruss JS, Tse R. Adopted Children with Cleft Lip and/or Palate: A Unique and Growing Population. Plastic and Reconstructive Surgery 2014 Aug:134(2):283-93e.
- Tse R, Lien S. Unilateral Cleft Lip Repair Using the Anatomic Subunit Approximation: Modifications and Analysis of Early Results in 100 Consecutive Cases. Plastic and Reconstructive Surgery 2015;136(1):119-30.
- Shipe M, Edwards T, Evans K, Leavitt D, Peter A, Schook C, Saltzman B, Davies J, Tse R. Optimizing surgical treatment of internationally adopted children with cleft lip and/or palate: Understanding the family experience. Cleft Palate Craniofacial Journal 2016 Jul;53(4):444-52.
- Tse R, Oh E, Gruss J, Hopper R, Birgfeld C. Crowdsourcing as a Novel Method to Evaluate Esthetic Outcomes of Treatment for Unilateral Cleft Lip. Plastic and Reconstructive Surgery 2016 Oct;138(4):864-74.
- Wu J, Heike C, Birgfeld C, Evans K, Maga M, Morrison C, Saltzman B, Shapiro L, Tse R. Measuring symmetry in children with unrepaired cleft lip: Defining a standard for the 3D mid-facial reference plane. Cleft Palate Craniofacial Journal 2016 Nov;53(6):695-704.
- Wu J, Liang S, Shapiro L, Tse R. Measuring symmetry in children with cleft lip. Part 2: Quantification of nasolabial symmetry before and after cleft lip repair. Cleft Palate Craniofacial Journal 2016 Nov;53(6):695-704.
- Liang S, Shapiro L, Tse R. Measuring symmetry in children with cleft lip. Part 3: Quantifying nasal symmetry and nasal normalcy before and after unilateral cleft lip repair. Cleft Palate Craniofacial Journal 2017 Sep;54(5):602-11.
- Mercan E, Morrison C, Stuhaug E, Shapiro L, Tse R. Novel computer vision analysis of nasal shape in children with unilateral cleft lip. Journal of Cranio-Maxillofacial Surgery 2018 Jan;46(1):35-43
- Pet M, Dodge R, Saltzman B, Kinter S, Perkins J, Tse R. Speech and Surgical Outcomes in Children with Veau Types 3 and 4 Cleft Palate: A Comparison of internationally adopted and non-adopted children. Cleft Palate Craniofacial Journal 2018 Mar;55(3):396-404.
- Mercan E, Oestreich M, Fisher D, Allori A, Beals S, Samson T, Sitzman T, Matic D, Siebold B, Tse R. Objective assessment of the unilateral cleft lip nasal deformity using 3D stereophotogrammetry: Severity and outcome. Plastic and Reconstructive Surgery 2018 Apr;141(4):547e-558e.
- Tse R. Seibold B. Cleft palate repair: Description of an approach, its evolution, and analysis of post-operative fistulas. Plastic and Reconstructive Surgery 2018 May;141(5):1201-14.
- Tse R, Knight R, Fisher D. Anatomic approximation approach to correction of transverse facial clefts. Journal of Plastic, Reconstructive & Aesthetic Surgery 2018 Nov;71(11):1600-08.
- Sitzman TJ, Allori AC, Matic DB, Beals SP, Fisher DM, Samson TD, Marcus JR, Tse R. Reliability of oronasal fistula classification. Cleft Palate Craniofacial Journal 2018 Jul;55(6):871-5.
- Tse R, Mercan E, Fisher D, Hopper R, Birgfeld C, Gruss J. Unilateral cleft lip nasal deformity: Foundation-based approach to primary rhinoplasty. Plastic and Reconstructive Surgery 2019 Nov; 144(5):1138-49.
- Tse R, Knight R, Oestreich M, Rosser M, Mercan E. Unilateral cleft lip nasal deformity: 3D analysis of the primary deformity and longitudinal changes following foundation-based primary rhinoplasty. Plastic and Reconstructive Surgery 2020 Jan;145(1):185-99.
- Kapadia H, Olson D, Tse R, Susarla S. Nasoalveolar molding for unilateral and bilateral cleft lip repair. Oral Maxillofac Surg Clin North Am 2020 May;32(2):197-204.
- Sitzman T, Tse R, Allori A, Fisher D, Samson T, Beals S, Matic D, Marcus J, Grossoehme D, Britto M. Feasibility of Surgeon-Delivered Audit and Feedback Incorporating Peer Surgical Coaching to Reduce Fistula Incidence Following Cleft Palate Repair: A Pilot Trial. Plastic and Reconstructive Surgery. 2020 Jul;146(1):144-53.
- Sobol D, Massenburg B, Tse R. Anatomic landmark approach to reconstruction of asymmetric midline cleft lip due to Pai syndrome. Archives of Plastic Surgery 2020 Sep;47(5):483-6.
- Kantar R, Breugem C, Keith K, Kassam S, …..Tse R, Hamdan U. Simulation-based comprehensive cleft care workshops: a reproducible model for sustainable education. Cleft Palate Craniofacial Journal 2020 Oct; 57(10);1238-46.
- Paulsgrove K, Miller E, Seidel K, Kinter S, Tse R. Crowdsourcing to rate speech quality associated with velopharyngeal dysfunction. Cleft Palate Craniofacial Journal 2021 Jan;58(1):25-34.
- Rothermel A, Lundberg J, Samson T, Tse R, Allori A, Bezuhly M, Beals S, Sitzman T. A toolbox of surgical techniques for palatal fistula repair. Cleft Palate Craniofacial Journal 2021 Feb;58(2):170-80.
- Tse R, Ettinger R, Sitzman T, Mercan E. Revisiting the unrepaired unilateral cleft lip and nose deformity using 3D surface image analysis: a model and its implications. Journal of Plastic Reconstructive and Aesthetic Surgery 2021 Oct;74(10):2694-704.
- Calis M, Tse R. Achieving complete nasal lining closure at primary cleft palate repair when the lesser segments have collapsed. FACE journal 2021 Oct;2(4):373-6.
- Kurnik N, Calis M, Sobol D, Kapadia H, Mercan E, Tse R. A comparative assessment of nasal appearance following nasoalveolar molding for treatment of unilateral cleft lip and palate at 5 years of age. Plastic and Reconstructive Surgery 2021 Nov;148(5):1075-83.
Hand and Extremity
Pediatric brachial plexus palsies are a complex clinical problem. They affect nerve, muscle, and bone and outcomes are influenced considerably by growth and development. By critically studying the ways we assess and treat patients and studying clinical outcomes we will improve the care that we provide. By collaborating with multiple specialties we will come up with better solutions.
Marisa Osorio – Rehabilitation Medicine, Seattle Children’s Hospital
Sarah Lewis – Physical Therapy, Seattle Children’s Hospital
Heidi Allen – Occupational Therapy, Seattle Children’s Hospital
Jason Wright - Radiology, Seattle Children’s Hospital
Gisele Ishak - Radiology, Seattle Children’s Hospital
Ramesh Iyer – Radiology, Seattle Children’s Hospital
Erin Rudzinski – Pathology, Seattle Children’s Hospital
Suzanne Steinman – Orthopedic Surgery, Seattle Children’s Hospital
- Tse R, Hentz VR, Yao J. Late reconstruction for ulnar nerve palsy. Hand Clinics 2007;23(3):373-92.
- Tse R, Marcus JR, Curtis CG, Clarke HM. Suprascapular nerve reconstruction in obstetrical brachial plexus palsy: spinal accessory nerve transfer vs. C5 nerve grafting. Plastic and Reconstructive Surgery 2011;127(6):2391-6.
- Tse R, Ko JH. Nerve glue for upper extremity reconstruction. Hand Clinics 2012;28:529-40.
- Buchanan E, Richardson R, Tse R. Isolated lower brachial plexus (Klumpke) palsy with compound arm presentation. Journal of Hand Surgery 2013;38(8):1567-70.
- Tse R, Pondaag W, Malessy M. Exposure of the retroclavicular brachial plexus by clavicle suspension for birth brachial plexus palsy. Techinques in Hand and Upper Extremity Surgery 2014;18(2):85-8.
- Tse R, Nixon JN, Iyer RS, Kuhlman-Wood KA, Ishak GE. The Diagnostic Value of CT Myelography, MR Myelography, and Both in Neonatal Brachial Plexus Palsy. AJNR American Journal of Neuroradiology 2014:35(7):1425-32.
- Menashe SJ, Tse R, Nixon J, Ishak GE, Thapa MM, McBroom JA, Iyer RS. Brachial plexus birth palsy: multimodality imaging of spine and shoulder pathology in children. AJNR American Journal of Neuroradiology 2015;204:W199-206.
- Clarke H, Tse R, Malessy M, Kozin S. IFSSH Scientific Committee on Neonatal Brachial Plexus Palsy: The role of nerve transfers in the treatment of neonatal brachial plexus palsy. IFSSH Ezine 2015;5(2):16-24.
- Tse R, Kozin S, Malessy M, Clarke H. IFSSH Committee Report: The Role of Nerve Transfers in the Treatment of Neonatal Brachial Plexus Palsy. Journal of Hand Surgery 2015;40(6):1246-59.
- Iorio M, Menashe S, Iyer R, Lewis S, Steinman S, Whitlock K, Tse R. Glenohumeral dysplasia following neonatal brachial plexus palsy: presentation and predictive features during infancy. Journal of Hand Surgery 2015 Dec;40(12):2345-51.e1
- Osorio M, Lewis S, Tse R. Multimodal management and triple nerve transfer for optimal recovery of shoulder function following neonatal brachial plexus palsy: A case report. Physical Medicine and Rehabilitation 2019 May;11(5):558-61.
- Adidharma W, Lewis S, Liu Y, Osorio M, Steinman S, Tse R. Shoulder release and tendon transfer following neonatal brachial plexus palsy: gains, losses, and midline function. Plastic and Reconstructive Surgery 2020 Aug;146(2):321-31.
- Crowe C, Mosca V, Osorio M, Lewis S, Tse R. Partial tibial nerve transfer for foot drop from deep peroneal nerve palsy – lessons from 3 pediatric cases. Microsurgery 2020 Sep (Online ahead of print; doi:10.1002/micr.30650)