Raymond W Tse, MD

Raymond W Tse, MD

Plastic Surgery, Brachial Plexus, Orthopedics, Craniofacial Center, Hand and Upper Extremity, Vascular Anomalies

On staff since November 2009

Children's Title: Brachial Plexus Program Director

Academic Title: Associate Professor

Research Center: Center for Clinical and Translational Research

"Its funny how life and dreams can take you places. After training as a plastic surgeon, then a hand surgeon, and then a cleft surgeon, life has brought me to Seattle Childrens. Treating the most important people in the world (kids) with irregularities that were there from day one or sometime not too long afterwards is highly rewarding. Whether the focus is on a child with a cleft, an ear anomaly, a birth paralysis, or a congenital hand difference, the approach is the same to partner with the family and provide the best possible care. Ive had many mentors throughout my career and I continue to learn and grow everyday but now its mostly the kids and their families that I learn from. I continue to strive for the unattainable because I know that my work is making an impact now and will last a lifetime."

  • Dr. Raymond Tse is an Associate Professor at the University of Washington and
    Director of the Brachial Plexus Program at Seattle Childrens Hospital. His
    clinical focus is in pediatric plastic surgery with special expertise in cleft
    lip and palate, ear reconstruction, brachial plexus palsy and hand

    Dr. Tse's research follows his clinical interests. It ranges from careful measurement of deformities/deficits and surgical results, to the family's experience through surgery and the decision-making process. Dr. Tse is heavily dedicated to clinical care and research; however, he also devotes time teaching medical and dental students, residents and fellows.

    • Satish Bothell, WA 03.28.23

      Dear Medical Director, I am writing to express my sincere gratitude and appreciation for the exceptional care and expertise provided by one of your outstanding surgeons, Dr. Raymond Tse , during my son's recent bone craft surgery. As a parent, it was an extremely difficult and emotional time, but Dr.Tse went above and beyond in ensuring that my son received the best possible care. From the initial consultation to the post-operative follow-up, Dr.Tse demonstrated an exceptional level of professionalism, compassion, and expertise. Dr.Tse dedication to his craft was evident throughout the entire process. He took the time to explain every aspect of the surgery, patiently answered all of our questions, and addressed any concerns we had. His attention to detail and commitment to excellence gave us confidence that we were in the best possible hands. The bone craft surgery was a done with extensive care and my son's recovery has been remarkable. We owe this incredible outcome to Dr.Tse's skill and dedication, as well as the unwavering support of your entire medical team. I cannot thank you and your team enough for the excellent care my son received. Dr.Tse is truly an asset to your organization, and I am grateful for the opportunity to express my appreciation. Thank you again for everything. Sincerely, Satish Chigullapally

    • Michelle Prosser, WA 09.20.22

      Our son was diagnosed with a cleft lip and palate at his 20 week ultrasound anatomy scan. We felt lost and helpless. Soon thereafter we were referred to Seattle Children's, which appointed us a cleft team to oversee our son's care. We were finally getting the guidance and answers to help sooth our concerns until he was born. After birth we were immediately seen by Dr. Blessing who was so informative, patient, and kind. We received a NAM device from Dr. Kapadia that brought his lip and gum line closer together in preparation for surgery. An educational experience. Would have no other doctor do this. He was so gentle and gracious with our sweet baby. Dr. Tse did an amazing job with both surgeries. Minimal scarring and life changing. His skill speaks for itself, but he was also gifted with amazing bedside manner and provided help post operation without hesitation. Glad to have Seattle Children's for our son's treatment.

    • Carolyn Belfair, WA 03.26.19

      We are a few days out of our little girl's cleft lip and nose repair and we are astonished at the results! We never dreamed that her sweet gappy smile that we loved so much could be transformed into a perfect little smile with an adorable perfect little nose. Everyone we share before and after pictures with is amazed at Dr. Tse's work. We are so grateful to him for doing such an amazing job. Our meetings with him have always been friendly and informative. We are so grateful to him and our entire craniofacial team at Seattle Children's for making this first step in our daughter's cleft affected journey close to miraculous!

    • Alice Roseville, CA 03.13.17

      Amazing Doctor that you won't regret going to. My son was born with extra thumbs on both hands (what an unexpected shock!). I went through two other doctors before choosing Dr. Tse. Best decision I've ever made for my son. Dr. Tse is kind, thorough, and listens to all your concerns. He never makes you feel rushed and answers all your questions. He's an excellent surgeon (just look at his education and experience). Most importantly I trust him. I have a hard time trusting doctors, but Dr. Tse is different. You're not just a number/paycheck to him. He wants your child to have the best outcome and he's willing to figure out how. I'm very pleased with my son's hands and would have traveled to even further to see him. Dr. Tse is truly a gift to Seattle Children's Hospital.

    • Denise Auburn, Washington 10.03.12

      This team was a Godsend to my grand daughter, Kayla. She was born with severe Brachial Plexus injury to her left arm. Dr. Tse completed two nerve transfers for Kayla at 6 months of age. We have spent many hours with this wonder doctor and his team of therapists (Heidi & Sarah) and hospital staff. What an amazing place. You would never find a doctor or therapists more loving and caring then these. They have the children totally at heart. Thank you so much for what you do! You all will never know what you have meant to Kayla and our family. God bles you all.

    • Angelica Greenville, SC 04.16.12

      Having a child born with a physical deformity is a scary and challenging thing. Choosing the person who will affect your child's face and life forever is a huge decision, and I'm glad that I found Dr. Tse when I needed to. He is incredibly compassionate, very knowledgeable and competent and did an amazing job repairing my son's cleft lip and palate. He had joined the SCH team right when my son was getting ready for his first surgery, so he was one of Dr. Tse's first patients at SCH. I am still in awe at the wonderful gift he gave my child, and would be proud to recommend him to yours if you're facing that difficult choice. The whole team at SCH was great, and it's kind and awesome doctors like this one that are part of it.

  • Manuscripts in Refereed Journals

    • 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

    Other Publications

    • Mercan E, Oestreich M, Fisher DM, Allori AC, Beals SP, Samson TD, Sitzman TJ, Matic DB, Siebold BS, Tse RW
      Objective Assessment of the Unilateral Cleft Lip Nasal Deformity Using Three-Dimensional Stereophotogrammetry: Severity and Outcome.
      29257001 Plastic and reconstructive surgery, 2018 April : 141(4)547e-558e PMCID:PMC5876085
    • Pet MA, Dodge R, Siebold B, Kinter S, Perkins J, Tse RW
      Speech and Surgical Outcomes in Children With Veau Types III and IV Cleft Palate: A Comparison of Internationally Adopted and Nonadopted Children.
      29437506 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2018 March : 55(3)396-404
    • Tse RW, Siebold B
      Cleft palate repair: description of an approach, its evolution, and analysis of post-operative fistulas.
      29351181 Plastic and reconstructive surgery, 2018 Jan 12
    • Oh E, Comstock BA, Gruss J, Hopper R, Birgfeld C, Tse R
      Reply: Crowdsourcing as a Novel Method to Evaluate Aesthetic Outcomes of Treatment for Unilateral Cleft Lip.
      28590972 Plastic and reconstructive surgery, 2017 Sept. : 140(3)515e
    • 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 Three-Dimensional Midfacial Reference Plane.
      26752127 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2016 Nov. : 53(6)695-704
    • Tse RW, Oh E, Gruss JS, Hopper RA, Birgfeld CB
      Crowdsourcing as a Novel Method to Evaluate Aesthetic Outcomes of Treatment for Unilateral Cleft Lip.
      27673519 Plastic and reconstructive surgery, 2016 Oct. : 138(4)864-74
    • Pet MA, Gupta D, Tse RW
      Harlequin Ichthyosis: A Surgical Perspective.
      27470191 Pediatric dermatology, 2016 Sept. : 33(5)e327-32
    • Shipe ME, Edwards TC, Evans KN, Schook CC, Leavitt D, Peter A, Saltzman BS, Davies JK, Tse R
      Optimizing Surgical Treatment of Internationally Adopted Children With Cleft Lip and/or Palate: Understanding the Family Experience.
      26068380 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2016 July : 53(4)444-52
    • Tse R
      Reply: Unilateral Cleft Lip Repair Using the Anatomical Subunit Approximation: Modifications and Analysis of Early Results in 100 Consecutive Cases.
      26910718 Plastic and reconstructive surgery, 2016 March : 137(3)645e-646e
    • Tse R
      Reply: Unilateral Cleft Lip Repair Using the Anatomical Subunit Approximation: Modifications and Analysis of Early Results in 100 Consecutive Cases.
      26291707 Plastic and reconstructive surgery, 2015 Dec. : 136(6)855e-7e
    • Miller EA, Goldin A, Tse GN, Tse R
      Extended Component Separation for Repair of High Ventral Hernia in Pediatric Omphalocele.
      26495216 Plastic and reconstructive surgery. Global open, 2015 Sept. : 3(9)e503 PMCID:PMC4596428
    • Menashe SJ, Tse R, Nixon JN, Ishak GE, Thapa MM, McBroom JA, Iyer RS
      Brachial plexus birth palsy: multimodality imaging of spine and shoulder abnormalities in children.
      25615781 AJR. American journal of roentgenology, 2015 Feb. : 204(2)W199-206
    • Tse R, Booth L, Keys K, Saltzman B, Stuhaug E, Kapadia H, Heike C
      Reliability of nasolabial anthropometric measures using three-dimensional stereophotogrammetry in infants with unrepaired unilateral cleft lip.
      24675205 Plastic and reconstructive surgery, 2014 April : 133(4)530e-42e
    • Tse R, Ko JH
      Nerve glue for upper extremity reconstruction.
      23101603 Hand clinics, 2012 Nov. : 28(4)529-40
    • Tse R, Marcus JR, Curtis CG, Dupuis A, Clarke HM
      Suprascapular nerve reconstruction in obstetrical brachial plexus palsy: spinal accessory nerve transfer versus C5 root grafting.
      21617471 Plastic and reconstructive surgery, 2011 June : 2391-6
    • Raymond W. Tse, MD, Tse R, Laub DR, Hentz VR
      Thumb Reconstruction
      Weinzweig J, ed. Plastic Surgery Secrets Plus, 2nd Edition, 2010 : 755-60
    • Temple CL, Ross DC, Kim S, Tse R, Bettger-Hahn M, Gan BS, MacDermid J
      Sensibility following innervated free TRAM flap for breast reconstruction: Part II. Innervation improves patient-rated quality of life.
      20009826 Plastic and reconstructive surgery, 2009 Nov. : 1419-25
    • Fisher DM, Tse R, Marcus JR
      Objective measurements for grading the primary unilateral cleft lip nasal deformity.
      18766053 Plastic and reconstructive surgery, 2008 Sept. : 874-80
    • Tse R, Hentz VR, Yao J
      Late reconstruction for ulnar nerve palsy.
      17765589 Hand clinics, 2007 Aug. : 373-92, vii
    • Tse R, Allen L, Matic D
      The white-eyed medial blowout fracture.
      17255684 Plastic and reconstructive surgery, 2007 Jan. : 277-86
    • Tse R, Howard J, Wu Y, Gan BS
      Enhanced Dupuytren's disease fibroblast populated collagen lattice contraction is independent of endogenous active TGF-beta2.
      15541177 BMC musculoskeletal disorders, 2004 Nov 12 : 41
    • Raymond W. Tse, MD, Tse R, Khan B, McKay D, Frieberg A
      Plastic Surgery
      M, Rottenberg R, eds. 2000 MCCQE Review Notes and Lecture Series. 16th ed, 2000
    • Tse R, Lipira A
      Brachial Plexus Palsies
      In Labow B, Rogers G, Taghinia A ed. Pediatric Plastic and Reconstructive Surgery
    • Oh E, Tse R.
      . Brachial Plexus Injuries
      Surgical Council on Resident Education – The SCORE Portal., http://sur
    • Tse R, Ljungquist K.
      Camptodactyly and Clinodactyly.
      Congenital Anomalies of the Upper Extremity: Causes and Treatment., ISBN 978-1
    • Tse R.
      Cleft Lip
      In Rogers C ed. Scientific American Plastic Surgery. Decker Intellectual Properties
    • 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
  • Presentations Title Event Location Date
    Team Building for Cleft Care Pan African Association of Cleft Lip and Palate , Kumasi, Ghana Jul 13, 2011
    Alveolar Bone Grafting for Cleft Lip and Palate Pan African Association of Cleft Lip and Palate , Kumasi, Ghana Jul 12, 2011
    Unilateral Cleft Lip Repair - Principles and Technique Pan African Association of Cleft Lip and Palate , Kumasi, Ghana Jul 11, 2011
    Update on Surgical Care for Brachial Plexus Palsies Washington Society of Plastic Surgeons Conference , Lake Chelan, WA Jun 25, 2011
    Brachial Plexus Palsies in Infants and Children Anchorage Alaska Pediatric Grand Rounds , Anchorage, AK Jun 7, 2011
    A Report of a Newborn with Isolated Lower Brachial XVII International Symposium on Brachial Plexus Surgery , Lisbon, Portugal May 19, 2011
    Surgical Treatment of the Brachial Plexus Washington State Hand Therapy Group , Bothell, WA Mar 29, 2011
    Brachial Plexus Palsies in Infants and Children North Pacific Pediatric Society 182nd Scientific Conference , Portland, OR Mar 11, 2011
    A Review of Congenital Hand Differences Canadian Plastic Surgery Chief Resident Review Course , Ottawa, Canada Feb 27, 2011
    Congenital Hand Differences Visiting Professor VIHA Plastic Surgery , Victoria, Canada Jul 5, 2010
    Microtia Reconstruction - The Nagata Technique Washington Society of Plastic Surgeons Conference , Suncadia, WA May 2, 2010
    Cleft lip/palate surgery American Cleft Palate Association Atlanta, GA 2016
    Cleft Palate and the CSW Pathway Seattle Childrens Hospital Operative Staff Seattle, WA 2016
    Innovations in Management of Children with Birth-Related Brachial Plexus Injuries American Society for Peripheral Nerve Phoenix, Arizona 2018
    Quality, Access and Value: A Road Map to Outcomes Quality: A Plastic Surgery Perspective American Cleft Palate Association Pre-Conference Symposium Atlanta, GA 2016
    Contemporary Approaches to Measure Outcomes: Cleft Lip and Palate University of Washington Department of Surgery Harkins Surgical Symposium Seattle, WA 2017
    Surgery for Cleft Lip and Palate Seattle Childrens Hospital Operative Staff Seattle, WA 2014
    Pediatric Brachial Plexus Injuries University of Washington Hand Therapy Course Seattle, WA 2015
    Hand and Upper Extremity: The Brachial Plexus American Association of Medical Assistants Seattle, WA 2011
    Pediatric Hand and Upper Extremity Woodinville Pediatrics Woodinville, WA 2012
    Facial Clefts Management, Repair, and Outcomes Fetal and Womens Imaging Seattle, WA 2013
    Pediatric Microsurgery: Fresh Faces, New Cases AAHS/ASPN/ASRM Combined Day Kauai, Hawaii 2014
    Neonatal Brachial Plexus Management and Outcomes American Society for Peripheral Nerve Waikaloa, Hawaii 2017


Medical/Professional School

University of Toronto, Toronto, ON


Hospital for Sick Children, University of Toronto, Toronto, ON

Clinical Interests

Cleft Lip and Palate, Brachial Plexus Palsy, Congenital Hand Anomalies, Ear Reconstruction

Research Description

Cleft lip and palate
Brachial plexus palsies