Evaluation of the Jena skin flap model for the training of the closure of facial skin defects

Introduction The complex anatomy of the human face requires a high degree of experience and skills in surgical wound care of facial soft tissue defects. The previous education of a surgeon contains literature studies and supervision during surgeries, according to the surgical spectrum of the educating hospital. A structured education including the training of different surgical methods on a model with slow increase of complexity considerably could improve the following education related to the patient. Methods During a cooperative project, the 3di GmbH and the Department of Otolaryngology of the University Hospital Jena developed a face model for surgical education. This model allows the training of surgical interventions and the closure of skin defects in the human face. The model was used in various workshops, in functional and aesthetic surgery for beginners, advanced surgeons and ENT physicians, as well as student courses in surgical suturing techniques, and tested and evaluated by the attendees. Results and discussion The attendees mostly rated the workability of the models and the possibility to practice on a realistic face model with artificial skin very well and beneficial. Conclusion These models allows both a repeatable and structured education as well as a refresher training of surgical standards, and is very helpful in preparation for operating facial defects of a patient for beginners as well as advanced surgeons. In an ongoing project, the development and production of multilayered models and the integration of nerves and vessels is intended, as well as a detailed reproduction of special facial regions (eyelids, nasal cartilage, and lips) for a more comprehensive training diversity.