Seeing Clearly, Working Comfortably: 3D Exoscopes in Cleft Surgery Ergonomics and Education

Ergonomics is the science of designing work environments and practices to improve comfort, efficiency, and safety. Traditional cleft surgery often compromises ergonomic principles by requiring surgeons to assume physically taxing positions. Additionally, the limited view of the oral cavity restricts visibility and diminishes the didactic value of the procedure for trainees and operating room staff. To address these challenges, we have adopted the use of an exoscope, a 4K three-dimensional surgical camera system, for cleft palate surgery to promote optimal surgical posture, minimize strain, and enhance surgical longevity. Furthermore, we have found that the exoscope can significantly improve education by providing an immersive perspective to all present in the operating room.