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Revisit,Reform, and Redesign: A Novel Dissection Approach for Demonstrating Anatomy of the Orbit for Continuing Professional Development Education
Authors:Sebastian Cotofana  Diana L Gavril  Konstantin Frank  Thilo L Schenck  Wojciech Pawlina  Nirusha Lachman
Institution:1. Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota;2. Private Practice, Cluj-Napoca, Romania

Contribution: Supervision (equal), Validation (equal), Writing - original draft (equal), Writing - review & editing (equal);3. Department for Hand, Plastic, and Aesthetic Surgery, Ludwig-Maximilian University Klinikum, Ludwig-Maximilian University, Munich, Germany;4. Department for Hand, Plastic, and Aesthetic Surgery, Ludwig-Maximilian University Klinikum, Ludwig-Maximilian University, Munich, Germany

Contribution: Resources (equal), Supervision (equal), Validation (equal), Visualization (equal), Writing - original draft (equal), Writing - review & editing (equal);5. Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota

Contribution: Supervision (equal), Validation (equal), Visualization (equal), Writing - original draft (equal), Writing - review & editing (equal)

Abstract:Advanced postgraduate medical education for health-care professionals is constantly evolving. Understanding facial anatomy and especially its vascular system is crucial when performing soft tissue filler injections to avoid adverse events including tissue loss or irreversible blindness. Standard anatomical resources often fall short of elucidating clinically relevant concepts in more highly specialized areas of interest. A novel dissection approach for demonstrating the anatomy of the lateral orbit was presented at scientific meetings to participants from dermatology, plastic surgery, and general practice. Results from the post-course online survey (n = 52) were analyzed. The results of the survey reveal a high educational impact and a high clinical relevance of the novel dissection approach. In addition, the majority of respondents (97.7%; n = 51) felt that the exposed anatomical structure of the orbit and face improved their ability to safely perform cosmetic procedures on the face. More experienced respondents who had previously attended at least five cadaveric dissections were more likely to strongly agree that reviewing anatomy through this novel dissection approach increased their confidence in avoiding periorbital vascular danger zones. As minimally invasive outpatient procedures continue to evolve, practicing physicians and mid-level providers often face the challenge of having to reconcile preexisting anatomical knowledge with new clinical practice. Skills required to navigate high impact anatomy include visualization of structures that form the navigational landscape and avoidance of key danger zones. The novel dissection approach to the lateral orbit reflects the increasing focus on revisiting, reforming, and redesigning anatomy for continuing professional development activities.
Keywords:gross anatomy education  surgical education  cadaveric dissections  facial anatomy  orbit dissection  soft tissue fillers  continuing professional development
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