title: Evaluation of a three-dimensional educational computer model of the larynx: voicing a new direction.
abstract: OBJECTIVE
  To evaluate a novel method of teaching laryngeal anatomy.
  
  
  METHODS
  Prospective, randomized, controlled trial.
  
  
  METHODS
  University educational program.
  
  
  METHODS
  Computer model development: A three-dimensional (3D) educational computer model of the larynx was created from high-resolution computed tomography and magnetic resonance images of cadaveric necks using segmentation software (Amira) (Visage Imaging, Inc., Carlsbad, CA). E-learning authoring software (Articulate, Articulate Global, Inc, New York, NY) then was used to make the model interactive and multimedia. The model was launched on a Web-based platform. Model evaluation: One hundred students (age 23.8 +/- 2.2 years; 55% male) were randomized to either the 3D computer model group (3D group) (n = 50) or the standard written instruction group (SWI group) (n = 50).
  
  
  METHODS
  The primary outcome measure was the score on a 20-question laryngeal anatomy test; the secondary outcome measure was a student opinion questionnaire.
  
  
  RESULTS
  The mean score on the laryngeal anatomy test was 14.2 +/- 2.8 (72.0 +/- 15.1%). The mean score for the 3D group was 13.6 +/- 3.0 (67.0 +/- 16.1%) versus 14.8 +/- 2.5 (76.0 +/- 12.7%) for the SWI group (t = 2.194, df = 98, p < .031). A majority of students felt that the 3D model was effective, clear, user-friendly, and a preferred supplement to traditional methods of instruction. The 3D group rated the computer model more enjoyable than the SWI group.
  
  
  CONCLUSIONS
  A 3D educational computer model of the larynx was not shown to be superior to written lecture notes in its efficacy in teaching anatomy; however, it was judged to be a preferred and valuable supplement to traditional teaching methods.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of Western Ontario, London, Ontario.
authors.forename: Amanda
authors.initials: A
authors.lastname: Hu
authors.forename: Tim
authors.initials: T
authors.lastname: Wilson
authors.forename: Hanif
authors.initials: H
authors.lastname: Ladak
authors.forename: Peter
authors.initials: P
authors.lastname: Haase
authors.forename: Philip
authors.initials: P
authors.lastname: Doyle
authors.forename: Kevin
authors.initials: K
authors.lastname: Fung
mesh_terms: D005260:Female; D006801:Humans; D007830:Larynx / Q000033:anatomy & histology* / Q000502:physiology*; D008297:Male; D008953:Models, Anatomic; D010036:Otolaryngology / Q000193:education* / Q000639:trends*; D011795:Surveys and Questionnaires; D055815:Young Adult