Cleft lip and palate repair is a delicate procedure, and the outcome is sometimes hard to predict. One wrong move inside the tiny mouth of a 1-year-old could mean a child with speech defects, problems eating, or lifelong problems breathing. Training for the surgery takes years of practice โ€”ย surgeons are still improving 10ย years after they graduate, said Dr. Christopher Forrest, chair of plastic surgery and reconstructive surgery at the University of Toronto.

โ€œItโ€™s where I get the biggest level of coronary spasm,โ€ said Forrest, of watching apprentice surgeons take the lead. โ€œIt requires measurement in millimeters, familiarity with the nuances of anatomy, and the tissues are particularly fragile.โ€

For years, no other model existed. But in Toronto, a plastic surgery resident at SickKids Hospital has fused his engineering and medical skills to build 3-D printed models that resemble childrenโ€™s mouths. Theyโ€™ve been a welcome innovation.