title: Gelatin Facial Skin Simulator for Cutaneous Reconstruction.
abstract: Reconstruction of facial defects can be an intimidating endeavor, especially to resident physicians. When local flap reconstruction is preferred, design of the optimal flap can be a difficult choice. Poor selection can lead to unsightly scarring as well as increased morbidity. A low-cost, easy-to-fabricate gelatin prosthetic facial skin simulator is presented to offer training experience in wound closure, local tissue rearrangement, and facial defect reconstruction for resident instruction. In conjunction with a didactic lecture, 10 participants were asked to perform a Z-plasty, bilobed, rhomboid, and paramedian forehead flap, followed by an 18-question survey. While initial impressions are favorable, further validation studies are warranted.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Missouri, Columbia, Missouri, USA.
authors.forename: Steven R
authors.initials: SR
authors.lastname: Taylor
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Missouri, Columbia, Missouri, USA Changda@health.missouri.edu.
authors.forename: C W David
authors.initials: CW
authors.lastname: Chang
mesh_terms: D002280:Basal Cell Carcinoma / Q000601:surgery; D004502:Education, Medical, Continuing / Q000379:methods*; D005153:Facial Neoplasms / Q000601:surgery*; D005546:Forehead; D005780:Gelatin; D006801:Humans; D008348:Manikins; D015361:Rhytidoplasty / Q000193:education* / Q000379:methods; D000066908:Simulation Training / Q000379:methods; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps
chemical_list: D005780:Gelatin
keywords: facial cutaneous reconstruction; local flap; medical education; surgical skill simulation