Related Experiment Video
Updated: May 1, 2026
Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
Video-based method of quantifying performance and instrument motion during simulated phonosurgery
Ellen Conroy1, Ketan Surender, Zhixian Geng
1Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, U.S.A.
Objectives/Hypothesis:
To investigate the use of the Video-Based Phonomicrosurgery Instrument Tracking System to collect instrument position data during simulated phonomicrosurgery and calculate motion metrics using these data. We used this system to determine if novice subject motion metrics improved over 1 week of training.
Study Design:
Prospective cohort study.
Methods:
Ten subjects performed simulated surgical tasks once per day for 5 days. Instrument position data were collected and used to compute motion metrics (path length, depth perception, and motion smoothness). Data were analyzed to determine if motion metrics improved with practice time. Task outcome was also determined each day, and relationships between task outcome and motion metrics were used to evaluate the validity of motion metrics as indicators of surgical performance.
Results:
Significant decreases over time were observed for path length (P < .001), depth perception (P < .001), and task outcome (P < .001). No significant change was observed for motion smoothness. Significant relationships were observed between task outcome and path length (P < .001), depth perception (P < .001), and motion smoothness (P < .001).
Conclusions:
Our system can estimate instrument trajectory and provide quantitative descriptions of surgical performance. It may be useful for evaluating phonomicrosurgery performance. Path length and depth perception may be particularly useful indicators.
