Volume 129, Issue 6 pp. 1280-1285
Allergy/Rhinology

Three-dimensional endoscopy: The future of nasoendoscopic training

Robert Bickerton BSc(Hons)

Corresponding Author

Robert Bickerton BSc(Hons)

Department of Anatomy, Birmingham, United Kingdom

Send correspondence to Robert Bickerton, BSc(Hons), 24 Moor Pool Avenue, Harborne, Birmingham, United Kingdom B17 9HN. E-mail: [email protected]Search for more papers by this author
Abdul-Karim Nassimizadeh MBChB, BMedSci, MRCS

Abdul-Karim Nassimizadeh MBChB, BMedSci, MRCS

Department of Ear, Nose and Throat (ENT) Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom

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Shahzada Ahmed MBChB, BSc(Hons), DLO FRCS (ORL-HNS), PhD

Shahzada Ahmed MBChB, BSc(Hons), DLO FRCS (ORL-HNS), PhD

Department of Ear, Nose and Throat (ENT) Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom

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First published: 09 January 2019
Citations: 18
This work was conducted at the University of Birmingham College of Medical and Dental Sciences, Birmingham, United Kingdom.
The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

Objectives/Hypothesis

Three-dimensional (3D) endoscopy is an emerging tool in surgery that provides real-time depth perception. Its benefits have been investigated in surgical training, but the current literature lacks significant objective outcome data. We aimed to objectively compare the efficacy of two-dimensional (2D) versus 3D high-definition endoscopes in novice users.

Study Design

Prospective, randomized crossover study.

Methods

Ninety-two novice medical students who used both 2D and 3D endoscopes to complete two validated tasks in a box trainer participated in the study. Time taken and error rates were measured, and subjective data were collected.

Results

Wilcoxon tests showed 3D technology was significantly faster than 2D (78 vs. 95 seconds, P = .004), and errors per task were significantly lower (3 vs. 5, P < .001). Sixty-nine percent of participants preferred the 3D endoscope.

Conclusions

3D high-definition endoscopy could be instrumental in training the next generation of endoscopic surgeons. Further research is required in a clinical setting.

Level of Evidence

2b

Laryngoscope, 129:1280–1285, 2019

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