Fronto-Orbital Advancement: Description of Surgical Technique to Complement the Procedural Cognition Simulation in the Craniofacial Interactive Virtual Assistant-Professional Edition

The surgical treatment of nonsyndromic craniosynostosis is one of the most common procedures performed by craniofacial surgeons. However, for residents and fellows, the high degree of difficulty and complex anatomy may result in slow progress along a steep learning curve. This is particularly important in the context of contemporary academic practice, where work-hour limits and other factors restrict operative exposure and opportunities for trainees to learn. These issues have prompted the development of surgical simulation modalities that, while prevalent in other surgical specialties, have not been fully adopted in reconstructive surgery. Among these resources is the Craniofacial Interactive Virtual Assistant - Professional Edition (CIVA-Pro), a procedural cognition simulator that is free of charge. By integrating 3-dimensional virtual animation, voice over, and high-definition intraoperative video, CIVA-Pro describes cardinal craniofacial surgery procedures in an engaging platform. In this study, a detailed, step-by-step description of the fronto-orbital advancement surgical technique to complement the corresponding CIVA-Pro module was presented. This synergistic combination of multimedia educational resources provides a unique didactic option for current trainees to prepare for surgery. Address correspondence and reprint requests to Roberto L. Flores, MD, Joseph G. McCarthy Associate Professor of Reconstructive Plastic Surgery, Director of Cleft Lip & Palate, Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, 307 E 33rd Street, New York City, NY, 10016; E-mail: Roberto.Flores2@nyumc.org Received 26 March, 2018 Accepted 6 October, 2018 The authors report no conflicts of interest. © 2019 by Mutaz B. Habal, MD.

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