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BMC Surgery
Published in: BMC Surgery 1/2023

Open Access 01-12-2023 | Research

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

Authors: Sadam Ahmed Elayah, Mohammed Qasem Al-Watary, Karim Ahmed Sakran, Yang Chao, Li Jingtao, Huang Hanyao, Yang Li, Bing Shi

Published in: BMC Surgery | Issue 1/2023

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Abstract

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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Metadata
Title
Two cleft palate simulators of Furlow double-opposing Z- palatoplasty: a comparative study
Authors
Sadam Ahmed Elayah
Mohammed Qasem Al-Watary
Karim Ahmed Sakran
Yang Chao
Li Jingtao
Huang Hanyao
Yang Li
Bing Shi
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2023
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-023-02201-5

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