*Result*: Incorporating HTA and VR Simulation to Teach Trainees in Endoscopic Endonasal Skull Base Approaches.
Title:
Incorporating HTA and VR Simulation to Teach Trainees in Endoscopic Endonasal Skull Base Approaches.
Authors:
Samargandy S; Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.; Department of Otolaryngology-Head and Neck Surgery, University of Arizona, Tucson, Arizona, USA., Ahmadian D; College of Medicine, University of Arizona, Tucson, Arizona, USA., Zhang J; University of Arizona, Tucson, Arizona, USA., Biffar D; Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia., Avery MB; Department of Neurosurgery, University of Arizona, Tucson, Arizona, USA., Le C; Department of Otolaryngology-Head and Neck Surgery, University of Arizona, Tucson, Arizona, USA., Chang E; Department of Otolaryngology-Head and Neck Surgery, University of Arizona, Tucson, Arizona, USA.
Source:
The Laryngoscope [Laryngoscope] 2026 Feb; Vol. 136 (2), pp. 616-621. Date of Electronic Publication: 2025 Oct 10.
Publication Type:
Case Reports; Journal Article
Language:
English
Journal Info:
Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
Imprint Name(s):
Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
Original Publication: St. Louis, Mo. : [s.n., 1896-
MeSH Terms:
References:
S. Chen, J. Zhu, C. Cheng, et al., “Can Virtual Reality Improve Traditional Anatomy Education Programmes? A Mixed‐Methods Study on the Use of a 3D Skull Model,” BMC Medical Education 20, no. 1 (2020): 395, https://doi.org/10.1186/s12909‐020‐02255‐6.
M. P. Fried, R. Satava, S. Weghorst, et al., “Advances in Patient Safety the Use of Surgical Simulators to Reduce Errors,” in Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products), ed. K. Henriksen , J. B. Battles , E. S. Marks , and D. I. Lewin (Agency for Healthcare Research and Quality (US), 2005).
S. O. Rogers, Jr., A. A. Gawande, M. Kwaan, et al., “Analysis of Surgical Errors in Closed Malpractice Claims at 4 Liability Insurers,” Surgery 140, no. 1 (2006): 25–33, https://doi.org/10.1016/j.surg.2006.01.008.
M. Graafland, W. A. Bemelman, and M. P. Schijven, “Game‐Based Training Improves the Surgeon's Situational Awareness in the Operation Room: A Randomized Controlled Trial,” Surgical Endoscopy 31, no. 10 (2017): 4093–4101, https://doi.org/10.1007/s00464‐017‐5456‐6.
S. R. Barber, S. Jain, Y. J. Son, and E. H. Chang, “Virtual Functional Endoscopic Sinus Surgery Simulation With 3d‐Printed Models for Mixed‐Reality Nasal Endoscopy,” Otolaryngology—Head and Neck Surgery 159, no. 5 (2018): 933–937, https://doi.org/10.1177/0194599818797586.
M. P. Fried, R. Satava, S. Weghorst, et al., “Advances in Patient Safety the Use of Surgical Simulators to Reduce Errors,” in Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products), ed. K. Henriksen , J. B. Battles , E. S. Marks , and D. I. Lewin (Agency for Healthcare Research and Quality (US), 2005).
S. O. Rogers, Jr., A. A. Gawande, M. Kwaan, et al., “Analysis of Surgical Errors in Closed Malpractice Claims at 4 Liability Insurers,” Surgery 140, no. 1 (2006): 25–33, https://doi.org/10.1016/j.surg.2006.01.008.
M. Graafland, W. A. Bemelman, and M. P. Schijven, “Game‐Based Training Improves the Surgeon's Situational Awareness in the Operation Room: A Randomized Controlled Trial,” Surgical Endoscopy 31, no. 10 (2017): 4093–4101, https://doi.org/10.1007/s00464‐017‐5456‐6.
S. R. Barber, S. Jain, Y. J. Son, and E. H. Chang, “Virtual Functional Endoscopic Sinus Surgery Simulation With 3d‐Printed Models for Mixed‐Reality Nasal Endoscopy,” Otolaryngology—Head and Neck Surgery 159, no. 5 (2018): 933–937, https://doi.org/10.1177/0194599818797586.
Grant Information:
Bio5; Tech launch Arizona (TLA); 4260720/1-22-06456 Flinn Foundation; 5849068 18th Mile TRIF Award
Contributed Indexing:
Keywords: competency; evaluation; simulation training; surgical education; task analysis; transsphenoidal; virtual reality
Entry Date(s):
Date Created: 20251010 Date Completed: 20260112 Latest Revision: 20260112
Update Code:
20260130
DOI:
10.1002/lary.70188
PMID:
41070633
Database:
MEDLINE
*Further Information*
*This study introduces a novel educational framework for endoscopic endonasal skull base surgery that integrates hierarchical task analysis (HTA) and systematic human error reduction and prediction approach (SHERPA) into an immersive virtual reality (VR) simulator. The platform deconstructs complex procedures into structured steps, identifies potential errors, and embeds decision-making prompts to enhance both technical skill and situational awareness. This structured, error-aware VR approach offers a transformative advancement in surgical training, providing a safe, repeatable, and clinically relevant learning environment.
(© 2025 The American Laryngological, Rhinological and Otological Society, Inc.)*