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The Egyptian Journal of Plastic and Reconstructive Surgery
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Hweidi, A., Massoud, K., Zidane, A., Ghanem, M. (2021). A Novel 3D Model for Training on Basics of Cleft Palate Surgery: Development and Validation Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 45(1), 7-14. doi: 10.21608/ejprs.2021.165776
Ahmed S. Hweidi; Karim S. Massoud; Ahmed Zidane; Mohamed A. Ghanem. "A Novel 3D Model for Training on Basics of Cleft Palate Surgery: Development and Validation Study". The Egyptian Journal of Plastic and Reconstructive Surgery, 45, 1, 2021, 7-14. doi: 10.21608/ejprs.2021.165776
Hweidi, A., Massoud, K., Zidane, A., Ghanem, M. (2021). 'A Novel 3D Model for Training on Basics of Cleft Palate Surgery: Development and Validation Study', The Egyptian Journal of Plastic and Reconstructive Surgery, 45(1), pp. 7-14. doi: 10.21608/ejprs.2021.165776
Hweidi, A., Massoud, K., Zidane, A., Ghanem, M. A Novel 3D Model for Training on Basics of Cleft Palate Surgery: Development and Validation Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 2021; 45(1): 7-14. doi: 10.21608/ejprs.2021.165776

A Novel 3D Model for Training on Basics of Cleft Palate Surgery: Development and Validation Study

Article 3, Volume 45, Issue 1, January 2021, Page 7-14  XML PDF (10.29 MB)
Document Type: Research article
DOI: 10.21608/ejprs.2021.165776
View on SCiNiTO View on SCiNiTO
Authors
Ahmed S. Hweidi email ; Karim S. Massoud; Ahmed Zidane; Mohamed A. Ghanem
The Department of Plastic, Reconstruction, Maxillofacial Surgeries and Burn Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Background: Plastic surgery is considered one of the
unique surgical specialties as any minimal surgical inaccuracy
may cause affection of the final outcome, so simulation technology,
which considered the future of plastic surgery education,
should be introduced for surgical skills and knowledge transfer.
Training programs have been changed to be performed in
surgical skills laboratories rather than surgical theaters, in
which, trainee can gain surgical skills by using training models.
These laboratories have been settled not to replace the operating
theater experience, but to supplement it.
Aim of Study: Is to develop a bench model for training
on all crucial basic steps in cleft palate surgery, and to validate
this model regarding its educational effectiveness and its
ability to transfer operative skills from the bench in the skills
lab to real life in operative theaters.
Material and Methods: A life-size bench model of cleft
palate was customized with respect to actual size and anatomy
of tissues at 18 month of age. The study period was 6 months,
it entails comparing performance and operative timing of two
groups of plastic surgery trainees performing primary repair
of isolated cleft palate in theatre. Our model was delivered
to group II only before real surgical assessment. Intraoperative
evaluation of both groups of surgeons was done using the
Global Rating index for Technical Skills (GRITS) and the
time taken to complete the operation.
Results: Our study revealed a significant improvement
in Group II GRITS score by 63.2% and significant shortening
of operative time in Group II by 36.5%.
Conclusion: This study provides the plastic surgery community
with a novel cleft palate bench model as a validated
training tool. After a single session, we observed improvement
in cleft palate procedural skills, confidence, knowledge and
shortening in time taken to finish the operation among trainees.
Additional research is needed to assess the durability of these
improvements over time, and also the benefit of additional
sessions with the bench model.
Keywords
Training; Cleft palate; Validation
Main Subjects
Maxillofacial and cranio-maxillo-facial surgery
References
1- Hopper R.A., Cutting C. and Grayson B.: Cleft lip and
palate. Grabb and Smith's Plastic Surgery. 6th Edition.
Philladelphia: Lippincott Williams and Wilkins, 201,
2007.
2- Denadai R. and Toledo A.P.: Martinhão Souto LR. Basic
plastic surgery skills training program on inanimate bench
models during medical graduation. Plastic Surgery International,
2012.
3- Reznick R.K. and MacRae H.: Teaching surgical skillschanges
in the wind. New England Journal of Medicine,
355 (25): 2664-9, 2006.
4- Desender L.M., Van I.H., Aggarwal R., Vermassen F.E.
and Cheshire N.J.: Training with simulation versus operative
room attendance. The Journal of Cardiovascular
Surgery, 52 (1): 17-37, 2011.
5- Sarker S. and Patel B.: Simulation and surgical training.
International Journal of Clinical Practice, 61 (12): 2120-
5, 2007.
6- McDougall E.M.: Surgical education in the 21st century:
Hit or miss?. JSLS: Journal of the Society of Laparoendoscopic
Surgeons, 8 (4): 297, 2004.
7- Wanzel K.R., Matsumoto E.D., Hamstra S.J. and Anastakis
D.J.: Teaching technical skills: Training on a simple,
inexpensive, and portable model. Plastic and Reconstructive
Surgery, 109 (1): 258-64, 2002.
8- Vadodaria S., Watkin N., Thiessen F. and Ponniah A.: The
first cleft palate simulator. Plastic and Reconstructive
Surgery, 120 (1): 259-61, 2007.
14 Vol. 45, No. 1 / A Novel 3D Model for Training on Basics of Cleft Palate Surgery
9- Nagy K. and Mommaerts M.Y.: Advanced s (t) imulator
for cleft palate repair techniques. The Cleft Palate-
Craniofacial Journal, 46 (1): 1-5, 2009.
10- Sentürk S.: The simplest cleft palate simulator. Journal
of Craniofacial Surgery, 24 (3): 1056, 2013.
11- Cheng H., Podolsky D.J., Fisher D.M., Wong K.W., Lorenz
H.P., Khosla R.K., Drake J.M. and Forrest C.R.: Teaching
palatoplasty using a high-fidelity cleft palate simulator.
Plastic and Reconstructive Surgery, 141 (1): 91e-8e, 2018.
12- Doyle J.D., Webber E.M. and Sidhu R.S.: A universal
global rating scale for the evaluation of technical skills
in the operating room. Am. J. Surg. May, 193 (5): 551-
5; discussion 555, 2007.
13- Rohrich R.J.: “See one, Do one, Teach one”an old adage
with a new twist. Plast. Reconstr. Surg., 118 (1): 257-8,
2006.
14- REZNICH R.K. and MacRAE H.: Teaching surgical skills-
Changes in the wind. N. Engl. J. Med., 355 (25): 2664-
9, 2006.
15- Grantcharov T.P.: Is virtual reality simulation an effective
training method in surgery? Nat. Clin. Pract Gastroenterol.
Hepatol., 5 (5): 232-3 Epub 2008 Apr 1, 2008.
16- ROSEN J.M., LONG S.A., McGRATH D.M. and GREER
S.E.: Simulation in Plastic Surgery training and education:
The path forward. Plast. Reconst. Surg., 123 (2): 729-38;
discussion 39-40, 2009.
17- HWEIDI A.S., ELBARBARY A., ABDALAZIZI Y., SAFE
I. and McARTHUR P.: Assessment and Development of
Training models in Plastic Surgery. MD Thesis, Faculty
of Medicine, Ain Shams University, 2012.
18- PINHO A.S., RAPOSO-AMARAL C.A., RAPOSOAMARAL
C.E. and DENADAI R.: Cleft palate surgical
skills training using an alternative synthetic bench model.
Chinese Medical Journal, 129 (11): 1382, 2016

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