An Update on Cleft Palate Simulators for Training on Cleft Palate Treatment in Developing Countries

Wang, Xiaoming; Yang, Chao; Shi, Bing; Li, Chenghao

doi:10.1097/prs.0000000000007743

Cited by 1 publication

(4 citation statements)

References 5 publications

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“…While cleft palate is one of the most common congenital defects, surgical correction continues to remain challenging and may result in serious complications when performed by inexperienced surgeons [ 18 , 19 ]. By repetition and anatomical replication in a controlled environment, simulation allows residents to enhance both their cognitive and physical skills.…”

Section: Discussionmentioning

confidence: 99%

“…Huang et al [ 18 ] reported that the porcine tongue-based cleft palate simulator can help residents to practice double-opposing Z-plasty of palatoplasty. Cote et al [ 19 ] developed a 3D-printed haptic simulator for von-Langenbeck palatoplasty simulation and reported that the 3D-printed cleft palate simulator performed well in terms of anatomical correctness, tissue similarity, and the ability to carry out all the steps of von-Langenbeck palatoplasty. There has been an increase in the use of 3D-printed simulators in surgical training because of their enhanced anatomical visualization [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…This repeatability helps refine surgical techniques and reduce the learning curve. Additionally, a 3D-printed simulator allows for an infinite number of types of clefts with simulated faces and oral cavities, and several repair techniques might be tried on the models in the future [ 19 , 29 ]. These simulators eliminate the potential risks associated with practicing on live animals or cadavers, such as cross-infection.…”

Section: Discussionmentioning

confidence: 99%

“…3D-Printed Simulators mimic the face and oral cavity, which is crucial for surgical training. Surgeons can gain a better understanding of the spatial relationships and structures they will encounter during palatoplasty [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

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Two cleft palate simulators of Furlow double-opposing Z- palatoplasty: a comparative study

Elayah,

Al-Watary,

Sakran

et al. 2023

BMC Surg

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Purpose This study aimed to evaluate the efficiency of the porcine tongue for palatoplasty simulation compared to 3D-printed simulators and their surgical education role. Materials and methods A total of 18 senior cleft surgeons participated in a palatoplasty simulation-based workshop conducted using porcine tongue simulators and 3D-printed simulators. This workshop consisted of a didactic session followed by a hands-on simulation session. Each participant independently used both simulators to perform Furlow double-opposing Z-plasty, which was assessed and scored by senior cleft surgeons using a scoring system including organizational flexibility and ductility, anatomical design simulation, proper incision, proper suturing, and convenience of operation. A paired t test was used for data statistical analysis and a P value < 0.05 was regarded as a statistically significant difference. Results All senior cleft surgeons strongly agreed that the simulation-based workshop was a valuable learning experience, and both simulators were useful and easy to manipulate (P = 1.00). The results of this comparative study showed that a porcine tongue palatoplasty simulator had an effectively significant difference in terms of organizational flexibility and ductility (P = 0.04), and suturing was better than the 3D-printed palatoplasty simulator (P < 0.01). There were no significant differences between the simulators regarding anatomical design simulation (P = 0.76) and incision simulation (P = 0.65). Conclusion Both porcine tongue simulator and 3D-printed simulator have their unique strengths in surgical education for palatoplasty. Thus, the combined use of a porcine tongue and a 3D-printed cleft palate simulators are efficient as an educational model to practice Furlow double-opposing Z- palatoplasty. The porcine tongue simulators are superior in terms of organizational flexibility, ductility, and suturing simulators, while with the 3D-printed simulator, various palatoplasty techniques can be repeatedly practiced with better-simulated face and oral cavity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%