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• W4377013398 abstract "PURPOSE: Surgical simulation provides resident surgeons with high-fidelity operative experience to master complex procedures outside the operating room. The osteocutaneous fibula free flap is a microsurgical procedure for mandibular defects among patients with tumors in the region. It is taught to surgical residents, but the procedure is challenging in terms of understanding and execution. This study describes an innovative approach to microsurgical education using virtual surgical planning (VSP) and free fibula cadaveric dissection for mandibular reconstruction. We also aim to review the literature for applications of VSP in a simulated environment for resident education. METHODS: An index class of junior plastic surgery residents participated in a two-day simulation experience on VSP and free fibula harvest. The first day included a didactic lecture on VSP, followed by plating of model mandibles as with VSP guides. The second day of the experience involved a fresh tissue dissection and plating of the free fibula flap in a cadaver per the VSP guide. The systematic review was conducted using the following databases: PubMed, Scopus, Embase, Web of Science, and Cochrane. Search terms included those related to VSP and surgical simulation training. RESULTS: Our search criteria identified 1869 articles, 23 of which met the inclusion criteria. Simulation model topics included free fibula flap (8.7%), orbital fracture (4.3%), and a range of procedures related to various surgical fields. Three (13.0%) models discussed procedures related to plastic surgery. Only one article applied VSP to a cadaveric model on temporal bone dissection. Regarding the cadaveric free fibula model, all residents thought that their surgical technique, anatomical knowledge, and perceived confidence improved due to the simulation. All residents believed that the VSP experience with a free fibula dissection was better than standard preparation methods. CONCLUSION: VSP has continued to evolve patient care in plastic surgery, but there is a unique opportunity to apply it to resident training. We demonstrated successful completion of a VSP-guided mandibular reconstruction simulation. The simulation improved resident confidence and technical skill. Early adoption of such education strategies may prove beneficial when introducing complex reconstructive procedures to early trainees." @default.
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• W4377013398 date "2023-05-01" @default.
• W4377013398 modified "2023-10-18" @default.
• W4377013398 title "65. A Novel Application of Virtual Surgical Planning & Fresh Tissue Dissection to Resident Education in Complex Microsurgery" @default.
• W4377013398 doi "https://doi.org/10.1097/01.gox.0000937852.77005.0f" @default.
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