Development of Skills and Abilities to the Management of Maxillary Osteotomies in Simulators

The practices in simulators from the simplest to live models, are an interesting and useful materials. The laboratory training and proprioceptive and associative abilities in relation to surgical skills are the basis of complex practices to be applied to future patients. In the period from 1 July 2006 to June 31, 2008, were performed 120 osteotomies in the context of the “hands on” course of plastic surgery, performed at the Center of Research and Development in Experimental Models of the HDU Adrogué, School of Medicine, University of Buenos Aires. We used 40kg of live pigs under general anesthesia and mechanical ventilation. Each student made 6 osteotomies being the number of vacancies in two students for the course was repeated five times a year, each of the three years (6 x 2 x 5 x 2 = 120). Were performed sagittal osteotomies branch and other osteotomies as Lefort I and II. These were made by residents with their respective trainers. As a final assessment, the students had to submit a report that deals about the osteotomy technique or variants used in performing them.The surgery on simulators enables the prior development of skills and abilities required to perform a safer surgery, helping to reduce the major risks caused by beginners in their first surgical practices.