The eFACE vs Cleft Marking

Application designed to provide rapid quantitative and graphic depiction of facial function scores in patients suffering from unilateral facial paralysis, using visual analog scales. The instrument is divided into resting (static) readings, dynamic movement readings, and synkinesis (misrouting) scores. During real-time examination of the patient, or afterwards from a video clip of facial movements, the app can be used to obtain clinician-rated scores for 16 separate facial function features. Graphs provide data regarding resting facial positions, and dynamic facial movements, and synkinesis features.

**MEDICAL DISCLAIMER: This application is designed exclusively for educational purposes for medical and surgical trainees. It is NOT intended for patient diagnosis, treatment, or clinical decision-making. This app does not provide medical advice. If you are a patient, please consult with your physician or healthcare team. This application is not intended to replace formal medical training.** **Fisher Cleft Incision-Design Trainer** is an educational application for medical and surgical trainees learning cleft lip repair procedures. This interactive 3D training simulator provides practice with pre-operative anatomical landmark identification and surgical marking techniques. **Key Features** • Interactive 3D models of cleft lip anatomy for comprehensive examination • Point placement practice with scoring based on expert markings • Multiple interaction modes: navigate, place points, draw lines, measure distances • Educational tutorial explaining anatomical landmarks and surgical approach • Progress tracking with personal leaderboard system • Training modes including guided practice and testing modes • Apple Pencil support for enhanced precision on iPad **Educational Foundation** The anatomical markings are based on peer-reviewed literature, specifically Tse and Fisher's work on unilateral cleft lip repair. The app acknowledges that individual surgeons may have different preferences and techniques. **Privacy and Security** Complete offline functionality with no data collection. All user information remains locally on your device. The app does not access the internet or share information with third parties. **Target Audience** Designed for medical students, surgical residents, plastic surgery fellows, and practicing surgeons. Serves as a supplementary educational tool for formal medical training programs. **Important Notes** All patient imagery used has appropriate consent. This represents one surgical approach among many valid techniques. Clinical decisions should be based on direct patient examination and consultation with experienced surgeons. The scoring system is for educational feedback only.