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Optimizing Skull Base Anatomy Education: Qualitative Insights From Learner Interaction With 2D, Monoscopic 3D, and
Elizabeth N Liao1,2, Nina W Zhao1,3, Kendyl Naugle1,4
1Department of Otolaryngology-Head & Neck Surgery University of California, San Francisco San Francisco California USA.
Laryngoscope Investigative Otolaryngology
|June 19, 2026
Summary
Two-dimensional (2D) models are best for initial learning of head and neck anatomy, while three-dimensional (3D) and virtual reality (VR) models aid deeper understanding and review. Current anatomical models need better balance between clarity and comprehensiveness for otolaryngology residents.
Area of Science:
- Medical Education
- Anatomical Sciences
- Surgical Training
Background:
- Traditional anatomical learning models include cadaveric, 2D, 3D, and VR.
- Existing research often focuses on factual recall rather than deeper learning aspects.
- Effective learning tools for complex anatomy are crucial for otolaryngology residents.
Purpose of the Study:
- To investigate resident and faculty interaction with 2D, 3D, and VR anatomy learning models.
- To identify how different dimensional models impact learning complex head and neck anatomy.
- To inform the design of improved anatomical learning modalities for otolaryngology training.
Main Methods:
- Semi-structured interviews were conducted with otolaryngology and neurosurgery faculty and residents.
- Participants interacted with 2D, 3D, and VR models of the infratemporal fossa (ITF) anatomy.
- Thematic content analysis was used to analyze interview transcripts.
Main Results:
- Two-dimensional (2D) models are preferred for initial learning of head and neck anatomy.
- Three-dimensional (3D) and virtual reality (VR) models are favored for self-directed discovery and in-depth review.
- Participants prioritized models that enhance operating room preparedness, noting current models lack optimal clarity-comprehensiveness balance.
Conclusions:
- Findings provide insights into designing anatomical models tailored to resident training levels.
- The study highlights the need for models that support both initial learning and advanced understanding.
- Optimizing anatomical models can enhance surgical resident education and preparedness.
