{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T01:07:20Z","timestamp":1771463240537,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec><jats:title>Objective(s)<\/jats:title><jats:p>To assess the impact of a novel 3D\u2010printed simulation model with Brainlab Image Guidance on enhancing otolaryngology residents' skills and confidence in performing transcervical intralaryngeal injection (TII) compared with conventional training methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Utilizing a 3D\u2010printed larynx model derived from computed tomography (CT) scans, this study involved 16 otolaryngology residents divided into two groups for TII training: one with Brainlab Image Guidance (LMIG) and the other without (LM). Pre\u2010 and post\u2010training evaluations measured participants' confidence while the Brainlab system measured the accuracy of their needle placements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After training, participants exhibited a significant increase in confidence with an average rise from 1.56 to 2.75 on a 5\u2010point scale. The LMIG group outperformed the LM group in accuracy achieving statistically significant reductions in target distances after training (3.5\u2009mm right, 3.6\u2009mm left). The LMIG also demonstrated a significantly greater increase in procedural confidence over the LM group after training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The TII laryngeal model with Brainlab Image Guidance significantly improves procedural confidence and accuracy among otolaryngology residents, signifying potential advantage over a more conventional training approach. The model's realistic tactile and live instrument positioning feedback augments the process of surgical skill refinement in a controlled, risk\u2010free, simulation environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 135:763\u2013768, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31835","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T04:06:57Z","timestamp":1728619617000},"page":"763-768","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Novel Image\u2010Guided Simulator for Transcervical Intralaryngeal Injection Training"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9260-9395","authenticated-orcid":false,"given":"Zane","family":"Kaiser","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of North Carolina  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Zeatoun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of North Carolina  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rupali N.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of North Carolina  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Buckmire","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of North Carolina  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414539922"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25940"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26326"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200210000-00008"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20018"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25561"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2016.09.007"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.03.004"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11010108"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-1984"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949210101101"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21966"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27696"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2019.04.007"},{"key":"e_1_2_7_16_1","unstructured":"BrainlabAG.Curve \u2014 Image Guided Surgery \u2010 Brainlab. 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