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A Web-Based Interactive Simulator of Cleft Surgery

Roberto Flores, Aaron Oliker, Court Cutting
Indiana University
2013-03-15

Presenter: Roberto Flores

Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. Please make a statement as to how much of the above work represents the original work of the resident.

Director Name: John Coleman

Author Category: Other Specialty Resident
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial

Background
We introduce the first web-based interactive cleft surgery simulator.

Methods
Previously constructed digital animations of cleft surgery, were upgraded in Maya 10 (Autodesk, San Rapheal, CA) in preparation for web-based simulation. In addition, new animations were created demonstrating the surgical markings as well as the normal and pathologic anatomy relevant to the procedures. These animations were exported into a web-based, interactive surgical simulator produced by BioDigital Systems Inc. (New York, NY). High-definition intra-operative video recordings of all procedures were edited in Adobe Premiere CS5.5 (Adobe, San Jose, CA) and exported into the simulator with the addition of voiceover.

Results
Six cleft surgical repairs are demonstrated in this interactive surgical simulator: Extended Mohler unilateral cleft lip, Cutting bilateral cleft lip, Furlow cleft palate, Intervelar veloplasty cleft palate, Superiorly-based pharyngeal flap and secondary cleft rhinoplasty. Through a customized digital interface the user can manipulate the 3D simulations in real-time including the ability to alter perspective, pace and order of the operation. High-definition intra-operative video footage compliments the critical steps of each procedure demonstrated in the simulation. A voiceover and text guides the user through each tutorial. Access is zero cost and the tutorial can be viewed on a modern laptop or desktop computer with a current web-browser.

Conclusion
We present a freely available, internet-based surgical simulator of cleft care.

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