Craniosynostosis surgery is ideally suited for simulation because the procedures are relatively rare, have a high risk of significant complications, and are technically demanding. Within this domain, fronto-orbital advancement (FOA) with anterior cranial vault remodeling (ACVR) is particularly challenging to perform and learn. FOA with ACVR requires performance of osteotomies in multiple planes and vectors in close proximity to the globes and brain.1 Several physical craniosynostosis simulators have previously been described, with varying levels of fidelity and validity.2–5 We present a novel FOA with ACVR surgical simulator for metopic craniosynostosis that is unique in that it comprises synthetic hard and soft tissue and is fully reusable. The simulator was implemented and evaluated by craniofacial fellows and experts during a comprehensive craniofacial bootcamp.
