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interpretation laryngoscopy important diagnostic skill otolaryngology however limited understanding specific visual strategies used assessing flexible laryngoscopy video eyetracking technology allows objective study eye movements dynamic tasks purpose present study explore visual gaze strategies laryngoscopy interpretation unilateral vocal fold paralysis uvfp across clinician experience novice expert thirty individuals shown five flexible laryngoscopy videos 10 seconds long viewing video participants reported impressions left vocal fold paralysis right vocal fold paralysis vocal fold paralysis eye tracking data collected analyzed duration fixation number fixations select areas interest aoi diagnostic accuracy visual gaze patterns compared novice experienced expert groups diagnostic accuracy among learners novice group significantly lower experienced groups p 004 groups demonstrated similar visual gaze patterns viewing video normal bilateral vocal fold mobility spending greatest percentage time viewing trachea differences among groups viewing videos left right vfp trachea always top three structures greatest fixation duration highest number fixations eyetracking novel tool setting laryngoscopy interpretation study potential useful training otolaryngology learners improve diagnostic skills