Torres-Gómez B, Ramírez-Solís ME, Caravantes-Cortés MI

Language: Spanish
References: 8
Page: 17-22
PDF size: 379.36 Kb.

ABSTRACT

The objective of the study was to design an unanimated biologic simulator of the lagomorphs’ species for the teaching of surgical skills in cleft lip and palate surgery, in order to reduce the rate of complications, iatrogenic interventions and poor results in patients operated by inexperienced surgeons. A comparative anatomy study of rabbits and humans with cleft lip and palate was carried out. Eight dead rabbits were employed to simulate clefts lips and palates. Two experienced plastic surgeons (Group I) compared the use of the model for the development of surgical skills. Three residents (Group II) carried out the same procedures at two different times to measure the learning curve. Rabbits have naturally occurring cleft lips and the tissues of the palate are similar to those in human beings. Successful procedures can be performed to correct the defects of cleft lip and palate on rabbits. The repeated practice of these skills can reduce performance time and improve the learning curve. We concluded that rabbits are an excellent unanimated biologic simulator to recreate clefts of lips and palates, wich is feasible, accessible and inexpensive. This model is very important in the teaching of skills for this type of surgery.

REFERENCES

1. PUEM: Propuesta de líneas de argumentación para fundamentar las solicitudes de modificación del requisito académico de ingreso y o duración de los cursos de especialización. UN AM, enero de 2006.

2. Grober ED et al. The educational impact of bench model fidelity on the acquisition of technical skill: the use of clinically relevant outcome measures. Ann Surg 2004; 240(2): 374-381.

3. N eumann M et al. The Erlangen endo-trainer: Life-like simulation for diagnostic and interventional endoscopic retrograde cholangiography. Endoscopy 2000; 32(11): 906-910.

4. R amírez ME y cols. Diseño y descripción de simuladores biológicos inanimados para entrenamiento en endoscopia gastrointestinal. Endoscopia 2006; 18(1): 30-36.

5. R amírez ME, Torres GB, Caravantes CI. Utilidad de un biosimulador inanimado para cirugía plástica endoscópica facial. Rev Hosp Gral Dr. M Gea González 2006; 7(3): 126-131.

6. McCarthy. Cleft lip and palate and craniofacial anomalies. In: McCarthy. Plastic surgery. WB Saunders 1990, vol. 4, pp. 2581- 2770.

7. Byrd S. Cleft lip I: Primary deformities. Selected readings in plastic surgery 1997; 8(21): 1-35.

8. Millard RD . Cleft craft. Boston: Little Brown 1977.