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May 9, 2026American Journal of Otolaryngology0 citationsOpen Access

Toward non-living training models: A trainee-preferred and sustainable 3D-printed model in microvascular anastomosis

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JBJunqiang BaiWWWeiyu WangXWXinmiao Wang

Key Points

  • This study aims to assess the training efficiency and practicality of a novel 3D-printed model for microvascular anastomosis.
  • Sixty postgraduate students were randomly assigned to either the 3D-printed model group or the chicken wing group.
  • Participants performed end-to-end anastomosis on live rats after training, evaluated using the OSATS scoring system.
  • A post-training questionnaire gathered feedback on the trainees' preference for the models.
  • OSATS scores improved significantly in both groups, with the chicken wing group scoring 22.330 ± 1.252 (P < 0.000) and the 3D-printed model scoring 23.080 ± 1.158 (P < 0.000).
  • The magnitude of improvement did not differ significantly between both groups (P = 0.290).
  • Participants showed a preference for the 3D-printed model (P = 0.013).

Abstract

OBJECTIVE: Various non-living models have been developed and showed their different characteristics for microvascular anastomosis training, but each has limitations. The aim of this study was to evaluate the training efficiency and the practicality of a novel 3D-printed model designed to address these shortcomings. METHODS: Sixty postgraduate students from the School of Stomatology were randomly assigned to either the 3D-printed model group or the chicken wing group to perform end-to-end anastomosis. After training, participants performed end-to-end anastomosis on the caudal artery of live rats to assess the training effect. Procedures were recorded and evaluated by two blinded experts using the validated Objective Structured Assessment of Technical Skills (OSATS) scoring system. A post-training questionnaire was also administered to gather participants' feedback on the models. RESULTS: Compared with pre-training, OSATS scores improved significantly in both the chicken wing group (from 9.083 ± 0.736 to 22.330 ± 1.252, P < 0.000) and the 3D-printed model group (from 8.750 ± 0.880 to 23.080 ± 1.158, P < 0.000). However, the magnitude of improvement did not differ significantly between the two groups (mean difference in change: 1.083 ± 0.970, P = 0.290). In addition, the post-training questionnaire revealed that participants were more likely to recommend the 3D-printed model for microvascular anastomosis training (P = 0.013). CONCLUSIONS: The 3D-printed model demonstrated a similar training effect to the chicken wing model for microvascular anastomosis. It can be considered a viable alternative to the chicken wing model in microvascular anastomosis training.

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Cite This Study

Bai et al. (2026) studied this question.

synapsesocial.com/papers/69fece83b9154b0b82875de8https://doi.org/10.1016/j.amjoto.2026.104854
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