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
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.
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