Suture simulator - Cleft palate surgery

• Published in: Annales de chirurgie plastique et esthétique Vol. 62; no. 2; pp. 167 - 170
• Main Authors: Devinck, F, Riot, S, Qassemyar, A, Belkhou, A, Wolber, A, Martinot Duquennoy, V, Guerreschi, P
• Format: Journal Article
• Language: English; French
• Published: France 01-04-2017
• Subjects: Cleft Lip - surgery; Cleft Palate - surgery; Hospitals, Teaching; Humans; Infant; Infant, Newborn; Models, Anatomic; Oral Surgical Procedures - education; Suture Techniques - education; Cleft palate; Suture endobuccale; Pedagogy; Simulateur; Chirurgie plastique; Intraoral suture; Plastic surgery; Pédagogie; Simulator; Fente palatine
• ISSN: 1768-319X
• DOI: 10.1016/j.anplas.2016.11.002

Cleft palate requires surgery in the first years of life, furthermore repairing anatomically the soft and hard palate is complex on a surgical level because of the fine tissues and the local intraoral configuration. It is valuable to train first on simulators before going to the operating room. However, there is no material dedicated to learning how to perform intraoral sutures in cleft palate surgery. We made one, in an artisanal manner, in order to practice before the real surgical gesture.
The simulator was designed based on precise anatomical data. A steel pipe, fixed on a rigid base represented the oral cavity. An adapted split spoon represented the palate. All pieces could be removed in order to apply a hydrocellular dressing before training for sutures.
Our simulator was tested by 3 senior surgeons in our department in close to real-life conditions in order to evaluate its anatomical accuracy.
It is valuable to have a simulator to train on cleft palate sutures within teaching university hospitals that manage this pathology. Our simulator has a very low cost, it is easy to make and is anatomically accurate.