{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:36:13Z","timestamp":1789176973742,"version":"build-2803163510"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11]]},"abstract":"\n Summary:<\/jats:title>\n Limited visibility characteristic of cleft palate repair presents both ergonomic and educational challenges to cleft surgeons. Despite widespread recognition and reporting, posture-related spine disorders continue to represent a significant and potentially career-limiting problem for cleft\/craniofacial surgeons. In addition, education and participation during palate repairs is difficult because of visual field constraints. At the authors\u2019 institution, a novel videoscope system was designed and implemented to (1) provide visualization for all surgical team members during palate operations, (2) facilitate active resident education, and (3) improve surgeon ergonomics. The authors\u2019 prior report demonstrated proof of concept for this method, which is now used in all cleft palate operations at their center. The purpose of this report is to share the detailed methodology to facilitate implementation by others and a retrospective review of the authors\u2019 experience before and after implementation. Video demonstration of the videoscope setup and a representative, recorded case are provided. The use of the videoscope was feasible in palatoplasties regardless of palatal phenotype and repair technique and did not have an effect on operative time. Subjectively, the authors report reduced procedure time in cervical flexion and subjectively improved musculoskeletal strain associated with videoscope use. Importantly, use of this system also provided complete visualization for all operating room team members and enabled enhanced resident autonomy during palate operations. Finally, it has facilitated the creation and archive of high-definition educational videos with unparalleled perspective. The equipment required to implement the system is likely already available in many medical centers. Adoption of this system may provide an opportunity to improve posture and teaching capabilities for cleft surgeons.<\/jats:p>\n <\/jats:sec>\n \n CLINICAL QUESTION\/LEVEL OF EVIDENCE:<\/jats:title>\n Therapeutic, III.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/prs.0000000000007291","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T00:01:42Z","timestamp":1603411302000},"page":"1129-1132","source":"Crossref","is-referenced-by-count":10,"title":["Videoscope-Assisted Cleft Palate Surgery: Rationale, Experience, and Technical Implementation"],"prefix":"10.1097","volume":"146","author":[{"given":"Heather A.","family":"Levites","sequence":"first","affiliation":[{"name":"From the Division of Plastic, Maxillofacial, and Oral Surgery, Duke Children\u2019s Hospital; MedStar Plastic and Reconstructive Surgery; and the Department of Plastic Surgery, Georgetown University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda R.","family":"Sergesketter","sequence":"additional","affiliation":[{"name":"From the Division of Plastic, Maxillofacial, and Oral Surgery, Duke Children\u2019s Hospital; MedStar Plastic and Reconstructive Surgery; and the Department of Plastic Surgery, Georgetown University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banafesh","family":"Sharif-Askary","sequence":"additional","affiliation":[{"name":"From the Division of Plastic, Maxillofacial, and Oral Surgery, Duke Children\u2019s Hospital; MedStar Plastic and Reconstructive Surgery; and the Department of Plastic Surgery, Georgetown University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott T.","family":"Hollenbeck","sequence":"additional","affiliation":[{"name":"From the Division of Plastic, Maxillofacial, and Oral Surgery, Duke Children\u2019s Hospital; MedStar Plastic and Reconstructive Surgery; and the Department of Plastic Surgery, Georgetown University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander C.","family":"Allori","sequence":"additional","affiliation":[{"name":"From the Division of Plastic, Maxillofacial, and Oral Surgery, Duke Children\u2019s Hospital; MedStar Plastic and Reconstructive Surgery; and the Department of Plastic Surgery, Georgetown University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Marcus","sequence":"additional","affiliation":[{"name":"From the Division of Plastic, Maxillofacial, and Oral Surgery, Duke Children\u2019s Hospital; MedStar Plastic and Reconstructive Surgery; and the Department of Plastic Surgery, Georgetown University."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,10,23]]},"reference":[{"key":"R1-20230801","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1055\/s-0037-1608680","article-title":"Work-related musculoskeletal disorders among plastic surgeons: A systematic review.","volume":"34","author":"Epstein","year":"2018","journal-title":"J Reconstr Microsurg"},{"key":"R2-20230801","doi-asserted-by":"crossref","first-page":"165e","DOI":"10.1097\/PRS.0000000000003961","article-title":"Work-related musculoskeletal injuries in plastic surgeons in the United States, Canada, and Norway.","volume":"141","author":"Khansa","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"R3-20230801","doi-asserted-by":"crossref","first-page":"91e","DOI":"10.1097\/PRS.0000000000003957","article-title":"Teaching palatoplasty using a high-fidelity cleft palate simulator.","volume":"141","author":"Cheng","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"R4-20230801","doi-asserted-by":"crossref","first-page":"455e","DOI":"10.1097\/PRS.0000000000003010","article-title":"Infant robotic cleft palate surgery: A feasibility assessment using a realistic cleft palate simulator.","volume":"139","author":"Podolsky","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"R5-20230801","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1097\/01.prs.0000264394.27150.0d","article-title":"The first cleft palate simulator.","volume":"120","author":"Vadodaria","year":"2007","journal-title":"Plast Reconstr Surg"},{"key":"R6-20230801","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1597\/12-336","article-title":"Video-assisted palatopharyngeal surgery: A model for improved education and training.","volume":"51","author":"Allori","year":"2014","journal-title":"Cleft Palate Craniofac J"},{"key":"R7-20230801","doi-asserted-by":"crossref","first-page":"730e","DOI":"10.1097\/PRS.0000000000002558","article-title":"Computer simulation and digital resources for plastic surgery psychomotor education.","volume":"138","author":"Diaz-Siso","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"R8-20230801","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1097\/PRS.0000000000004924","article-title":"A new paradigm in cleft lip procedural excellence: Creation and preliminary digital validation of a lifelike simulator.","volume":"142","author":"Rogers-Vizena","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"R9-20230801","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1001\/jamafacial.2018.1237","article-title":"Development of a novel, low-cost, high-fidelity cleft lip repair surgical simulator using computer-aided design and 3-dimensional printing.","volume":"21","author":"Reighard","year":"2019","journal-title":"JAMA Facial Plast Surg"},{"key":"R10-20230801","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1097\/PRS.0000000000004426","article-title":"Assessing technical performance and determining the learning curve in cleft palate surgery using a high-fidelity cleft palate simulator.","volume":"141","author":"Podolsky","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"R11-20230801","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1097\/01.PRS.0000085598.26409.E3","article-title":"The use of the operating microscope for cleft palate repair and pharyngoplasty.","volume":"112","author":"Sommerlad","year":"2003","journal-title":"Plast Reconstr Surg"}],"container-title":["Plastic & Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PRS.0000000000007291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T23:15:00Z","timestamp":1690931700000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PRS.0000000000007291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,23]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/prs.0000000000007291","relation":{},"ISSN":["0032-1052"],"issn-type":[{"value":"0032-1052","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,23]]}}}