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Updated: Sep 21, 2025

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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
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Simulation training in endoscopic skull base surgery: A scoping review.
Joel James1, Alexandria L Irace2, David A Gudis2
1City University of New York School of Medicine New York New York USA.
Summary
Simulation models enhance endoscopic skull base surgery training. This review synthesizes available literature on cadaveric, 3D-printed, and virtual reality models for skill development and surgical preparation.
Area of Science:
- Neurosurgery
- Medical Education
- Surgical Simulation
Background:
- Proficiency in endoscopic endonasal skull base surgery necessitates extensive training and continuous learning.
- Simulation models are crucial for advancing trainee education, preoperative planning, and surgical outcomes.
Purpose of the Study:
- To systematically review and synthesize current simulation models for endoscopic skull base surgery training.
- To identify and categorize different types of simulation modalities used in the field.
Main Methods:
- A systematic literature search was conducted across PubMed, Embase, CINAHL, and Cochrane databases.
- Studies were screened and categorized based on the simulation model type investigated, adhering to PRISMA guidelines.
Main Results:
- 55 studies met inclusion criteria from 238 unique references.
- Identified models include cadaveric dissection (19 studies), 3D-printed (17 studies), virtual reality/augmented reality (14 studies), and task trainers (5 studies).
Conclusions:
- A diverse range of simulation models, including cadaveric, 3D-printed, and virtual reality, are available.
- These simulation tools significantly benefit trainee development and preoperative surgical preparation in endoscopic skull base surgery.

