methods of visual presentation

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Blog Beginner Guides How To Make a Good Presentation [A Complete Guide]

How To Make a Good Presentation [A Complete Guide]

Written by: Krystle Wong Jul 20, 2023

A top-notch presentation possesses the power to drive action. From winning stakeholders over and conveying a powerful message to securing funding — your secret weapon lies within the realm of creating an effective presentation .  

Being an excellent presenter isn’t confined to the boardroom. Whether you’re delivering a presentation at work, pursuing an academic career, involved in a non-profit organization or even a student, nailing the presentation game is a game-changer.

In this article, I’ll cover the top qualities of compelling presentations and walk you through a step-by-step guide on how to give a good presentation. Here’s a little tip to kick things off: for a headstart, check out Venngage’s collection of free presentation templates . They are fully customizable, and the best part is you don’t need professional design skills to make them shine!

These valuable presentation tips cater to individuals from diverse professional backgrounds, encompassing business professionals, sales and marketing teams, educators, trainers, students, researchers, non-profit organizations, public speakers and presenters. 

No matter your field or role, these tips for presenting will equip you with the skills to deliver effective presentations that leave a lasting impression on any audience.

Click to jump ahead:

What are the 10 qualities of a good presentation?

Step-by-step guide on how to prepare an effective presentation, 9 effective techniques to deliver a memorable presentation, faqs on making a good presentation, how to create a presentation with venngage in 5 steps.

When it comes to giving an engaging presentation that leaves a lasting impression, it’s not just about the content — it’s also about how you deliver it. Wondering what makes a good presentation? Well, the best presentations I’ve seen consistently exhibit these 10 qualities:

1. Clear structure

No one likes to get lost in a maze of information. Organize your thoughts into a logical flow, complete with an introduction, main points and a solid conclusion. A structured presentation helps your audience follow along effortlessly, leaving them with a sense of satisfaction at the end.

Regardless of your presentation style , a quality presentation starts with a clear roadmap. Browse through Venngage’s template library and select a presentation template that aligns with your content and presentation goals. Here’s a good presentation example template with a logical layout that includes sections for the introduction, main points, supporting information and a conclusion: 

2. Engaging opening

Hook your audience right from the start with an attention-grabbing statement, a fascinating question or maybe even a captivating anecdote. Set the stage for a killer presentation!

The opening moments of your presentation hold immense power – check out these 15 ways to start a presentation to set the stage and captivate your audience.

3. Relevant content

Make sure your content aligns with their interests and needs. Your audience is there for a reason, and that’s to get valuable insights. Avoid fluff and get straight to the point, your audience will be genuinely excited.

4. Effective visual aids

Picture this: a slide with walls of text and tiny charts, yawn! Visual aids should be just that—aiding your presentation. Opt for clear and visually appealing slides, engaging images and informative charts that add value and help reinforce your message.

With Venngage, visualizing data takes no effort at all. You can import data from CSV or Google Sheets seamlessly and create stunning charts, graphs and icon stories effortlessly to showcase your data in a captivating and impactful way.

5. Clear and concise communication

Keep your language simple, and avoid jargon or complicated terms. Communicate your ideas clearly, so your audience can easily grasp and retain the information being conveyed. This can prevent confusion and enhance the overall effectiveness of the message. 

6. Engaging delivery

Spice up your presentation with a sprinkle of enthusiasm! Maintain eye contact, use expressive gestures and vary your tone of voice to keep your audience glued to the edge of their seats. A touch of charisma goes a long way!

7. Interaction and audience engagement

Turn your presentation into an interactive experience — encourage questions, foster discussions and maybe even throw in a fun activity. Engaged audiences are more likely to remember and embrace your message.

Transform your slides into an interactive presentation with Venngage’s dynamic features like pop-ups, clickable icons and animated elements. Engage your audience with interactive content that lets them explore and interact with your presentation for a truly immersive experience.

8. Effective storytelling

Who doesn’t love a good story? Weaving relevant anecdotes, case studies or even a personal story into your presentation can captivate your audience and create a lasting impact. Stories build connections and make your message memorable.

A great presentation background is also essential as it sets the tone, creates visual interest and reinforces your message. Enhance the overall aesthetics of your presentation with these 15 presentation background examples and captivate your audience’s attention.

9. Well-timed pacing

Pace your presentation thoughtfully with well-designed presentation slides, neither rushing through nor dragging it out. Respect your audience’s time and ensure you cover all the essential points without losing their interest.

10. Strong conclusion

Last impressions linger! Summarize your main points and leave your audience with a clear takeaway. End your presentation with a bang , a call to action or an inspiring thought that resonates long after the conclusion.

In-person presentations aside, acing a virtual presentation is of paramount importance in today’s digital world. Check out this guide to learn how you can adapt your in-person presentations into virtual presentations . 

Preparing an effective presentation starts with laying a strong foundation that goes beyond just creating slides and notes. One of the quickest and best ways to make a presentation would be with the help of a good presentation software . 

Otherwise, let me walk you to how to prepare for a presentation step by step and unlock the secrets of crafting a professional presentation that sets you apart.

1. Understand the audience and their needs

Before you dive into preparing your masterpiece, take a moment to get to know your target audience. Tailor your presentation to meet their needs and expectations , and you’ll have them hooked from the start!

2. Conduct thorough research on the topic

Time to hit the books (or the internet)! Don’t skimp on the research with your presentation materials — dive deep into the subject matter and gather valuable insights . The more you know, the more confident you’ll feel in delivering your presentation.

3. Organize the content with a clear structure

No one wants to stumble through a chaotic mess of information. Outline your presentation with a clear and logical flow. Start with a captivating introduction, follow up with main points that build on each other and wrap it up with a powerful conclusion that leaves a lasting impression.

Delivering an effective business presentation hinges on captivating your audience, and Venngage’s professionally designed business presentation templates are tailor-made for this purpose. With thoughtfully structured layouts, these templates enhance your message’s clarity and coherence, ensuring a memorable and engaging experience for your audience members.

Don’t want to build your presentation layout from scratch? pick from these 5 foolproof presentation layout ideas that won’t go wrong. 

4. Develop visually appealing and supportive visual aids

Spice up your presentation with eye-catching visuals! Create slides that complement your message, not overshadow it. Remember, a picture is worth a thousand words, but that doesn’t mean you need to overload your slides with text.

Well-chosen designs create a cohesive and professional look, capturing your audience’s attention and enhancing the overall effectiveness of your message. Here’s a list of carefully curated PowerPoint presentation templates and great background graphics that will significantly influence the visual appeal and engagement of your presentation.

5. Practice, practice and practice

Practice makes perfect — rehearse your presentation and arrive early to your presentation to help overcome stage fright. Familiarity with your material will boost your presentation skills and help you handle curveballs with ease.

6. Seek feedback and make necessary adjustments

Don’t be afraid to ask for help and seek feedback from friends and colleagues. Constructive criticism can help you identify blind spots and fine-tune your presentation to perfection.

With Venngage’s real-time collaboration feature , receiving feedback and editing your presentation is a seamless process. Group members can access and work on the presentation simultaneously and edit content side by side in real-time. Changes will be reflected immediately to the entire team, promoting seamless teamwork.

7. Prepare for potential technical or logistical issues

Prepare for the unexpected by checking your equipment, internet connection and any other potential hiccups. If you’re worried that you’ll miss out on any important points, you could always have note cards prepared. Remember to remain focused and rehearse potential answers to anticipated questions.

8. Fine-tune and polish your presentation

As the big day approaches, give your presentation one last shine. Review your talking points, practice how to present a presentation and make any final tweaks. Deep breaths — you’re on the brink of delivering a successful presentation!

In competitive environments, persuasive presentations set individuals and organizations apart. To brush up on your presentation skills, read these guides on how to make a persuasive presentation and tips to presenting effectively . 

Whether you’re an experienced presenter or a novice, the right techniques will let your presentation skills soar to new heights!

From public speaking hacks to interactive elements and storytelling prowess, these 9 effective presentation techniques will empower you to leave a lasting impression on your audience and make your presentations unforgettable.

1. Confidence and positive body language

Positive body language instantly captivates your audience, making them believe in your message as much as you do. Strengthen your stage presence and own that stage like it’s your second home! Stand tall, shoulders back and exude confidence. 

2. Eye contact with the audience

Break down that invisible barrier and connect with your audience through their eyes. Maintaining eye contact when giving a presentation builds trust and shows that you’re present and engaged with them.

3. Effective use of hand gestures and movement

A little movement goes a long way! Emphasize key points with purposeful gestures and don’t be afraid to walk around the stage. Your energy will be contagious!

4. Utilize storytelling techniques

Weave the magic of storytelling into your presentation. Share relatable anecdotes, inspiring success stories or even personal experiences that tug at the heartstrings of your audience. Adjust your pitch, pace and volume to match the emotions and intensity of the story. Varying your speaking voice adds depth and enhances your stage presence.

5. Incorporate multimedia elements

Spice up your presentation with a dash of visual pizzazz! Use slides, images and video clips to add depth and clarity to your message. Just remember, less is more—don’t overwhelm them with information overload. 

Turn your presentations into an interactive party! Involve your audience with questions, polls or group activities. When they actively participate, they become invested in your presentation’s success. Bring your design to life with animated elements. Venngage allows you to apply animations to icons, images and text to create dynamic and engaging visual content.

6. Utilize humor strategically

Laughter is the best medicine—and a fantastic presentation enhancer! A well-placed joke or lighthearted moment can break the ice and create a warm atmosphere , making your audience more receptive to your message.

7. Practice active listening and respond to feedback

Be attentive to your audience’s reactions and feedback. If they have questions or concerns, address them with genuine interest and respect. Your responsiveness builds rapport and shows that you genuinely care about their experience.

8. Apply the 10-20-30 rule

Apply the 10-20-30 presentation rule and keep it short, sweet and impactful! Stick to ten slides, deliver your presentation within 20 minutes and use a 30-point font to ensure clarity and focus. Less is more, and your audience will thank you for it!

9. Implement the 5-5-5 rule

Simplicity is key. Limit each slide to five bullet points, with only five words per bullet point and allow each slide to remain visible for about five seconds. This rule keeps your presentation concise and prevents information overload.

Simple presentations are more engaging because they are easier to follow. Summarize your presentations and keep them simple with Venngage’s gallery of simple presentation templates and ensure that your message is delivered effectively across your audience.

1. How to start a presentation?

To kick off your presentation effectively, begin with an attention-grabbing statement or a powerful quote. Introduce yourself, establish credibility and clearly state the purpose and relevance of your presentation.

2. How to end a presentation?

For a strong conclusion, summarize your talking points and key takeaways. End with a compelling call to action or a thought-provoking question and remember to thank your audience and invite any final questions or interactions.

3. How to make a presentation interactive?

To make your presentation interactive, encourage questions and discussion throughout your talk. Utilize multimedia elements like videos or images and consider including polls, quizzes or group activities to actively involve your audience.

In need of inspiration for your next presentation? I’ve got your back! Pick from these 120+ presentation ideas, topics and examples to get started. 

Creating a stunning presentation with Venngage is a breeze with our user-friendly drag-and-drop editor and professionally designed templates for all your communication needs. 

Here’s how to make a presentation in just 5 simple steps with the help of Venngage:

Step 1: Sign up for Venngage for free using your email, Gmail or Facebook account or simply log in to access your account. 

Step 2: Pick a design from our selection of free presentation templates (they’re all created by our expert in-house designers).

Step 3: Make the template your own by customizing it to fit your content and branding. With Venngage’s intuitive drag-and-drop editor, you can easily modify text, change colors and adjust the layout to create a unique and eye-catching design.

Step 4: Elevate your presentation by incorporating captivating visuals. You can upload your images or choose from Venngage’s vast library of high-quality photos, icons and illustrations. 

Step 5: Upgrade to a premium or business account to export your presentation in PDF and print it for in-person presentations or share it digitally for free!

By following these five simple steps, you’ll have a professionally designed and visually engaging presentation ready in no time. With Venngage’s user-friendly platform, your presentation is sure to make a lasting impression. So, let your creativity flow and get ready to shine in your next presentation!

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7 Types of Visual Presentations

When it comes to delivering a presentation, visuals can be extremely helpful in getting your point across. There are many types of visual presentations that can be used to communicate your message.

This blog post will discuss seven different types of visual presentations and when they might be appropriate to use. We will also provide examples of each kind of presentation. Let’s get started!

What are Visual Presentations?

3. whiteboards, 5. infographics, 7. paper handouts, which one is right for you.

Visual presentations are a visual aid that can be used in both business and academia to help explain concepts or topics that might otherwise be difficult for an audience member to understand without seeing them firsthand.

In addition, visuals allow the presenter to provide more information than just words alone would do on their own because they provide context and give the audience something concrete to look at while listening.

There are many types of visual presentations, but we will focus on seven of the most common ones here. Each type has its own strengths and weaknesses, so it’s important to understand when each would be appropriate to use.

Slides are the most common type of visual aid. You can use slides to demonstrate your point and make it easier for the audience to follow along with what you’re saying. They are also pretty easy to prepare.

For example, a slide that shows how much money was spent on advertising last year might be useful in an annual meeting where everyone’s attention span is short or they don’t want to take the time to read a long report.

Graphs and charts are other types of visual presentation that can be used to show trends or compare data.

For example, you might use a graph to illustrate how your company’s revenue has increased or decreased over the past five years. Or, you could use a chart to compare the number of sales your company has made this year compared to last year.

Whiteboards are a great way to explain something in detail, as they allow you to draw pictures and write on them. For example, if your company is thinking about designing a new website but needs some ideas first, then using whiteboards would help everyone get their thoughts out.

One issue about using whiteboards is that they cannot be easily saved and shared with others. Moreover, as you need to write manually, it can be time-consuming and prone to errors.

Videos are another type of visual aid that can be used to demonstrate a concept or show how something works. It’s beneficial when you want to show live instances of your products or services through movements.

For example, if you’re selling cars, then showing them driving around would help people get an idea of what they look like in action (and not just sitting still on a lot).

The downside to using videos is that creating one from scratch can be time-consuming and expensive, so this isn’t always feasible. In addition, videos can be challenging to follow if they are not properly edited.

Infographics are visual presentations that use images and text to convey information. They can be used in many ways, from illustrating trends or comparing data points graphically; to explaining complex concepts in an easy-to-understand manner.

Infographics are especially handy when trying to illustrate a point based on a massive number of data. For example, if you wanted to show how much data your company has collected over the past year, you could use an infographic.

Posters are used primarily in academic settings because they allow students to display their research findings at conferences or other events where the audiences are present.

For example, if someone were presenting on the use of social media in politics, they might create a poster with an image of the political landscape and then use text to explain how social media is being used.

Posters can be created using software or hand-drawing, but they should always be designed with legibility.

Paper handouts are visual aids that can be used to supplement slides or other visuals.

They can be especially useful if you want to provide the audience with additional information that isn’t easily conveyed in a slide or chart.

For example, you might use paper handouts to give the audience more details about the data shown in a graph or provide them with a list of your company’s products and services.

Now that you know about the different types of visuals, how do you decide which one is right for your presentation?

Well, it depends on what you’re trying to accomplish. If you want to make your presentation more interesting and engaging, then using slides or videos might be a good option.

However, if you need to show complex data or explain a concept in detail, charts, whiteboards, or infographics might be better.

In the end, it’s crucial to pick the right type of visual that will help you communicate your message most effectively.

While there are many different types of visual presentations, the seven we’ve outlined in this blog post should give you a good place to start when creating your own visual presentation.

Keep in mind the tone and purpose of your presentation as you select which type will work best for you. And always be sure to test out your visuals on a small audience before presenting them to a larger group. Happy presenting!

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What It Takes to Give a Great Presentation

by Carmine Gallo

Summary .   

I was sitting across the table from a Silicon Valley CEO who had pioneered a technology that touches many of our lives — the flash memory that stores data on smartphones, digital cameras, and computers. He was a frequent guest on CNBC and had been delivering business presentations for at least 20 years before we met. And yet, the CEO wanted to sharpen his public speaking skills.

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15 Essential Presentation Techniques for Winning Over Any Audience

• The Speaker Lab
• April 13, 2024

Table of Contents

Ever found yourself standing before an audience, your heart racing? That’s the moment when knowing effective presentation techniques can prove to be your unwavering ally. But what are presentation techniques? And what makes them so powerful? In this article, we’re going to answer those questions.

Before we can talk about presentation techniques, though, we first have to talk about good communication. The power of effective communication isn’t just in what you say. It’s how you say it; it’s in those deep breaths that steady nerves, and in maintaining eye contact. It’s about turning a room full of strangers into an engaged audience hanging onto your every word. When it comes to public speaking , real success comes from mastering non-verbal cues to punctuate our words and using visual aids not as crutches but as tools for engagement.

As you hone your communication skills, you will begin to form effective presentation techniques. Expect rough patches as you get the hang of things, but view them as mere footholds propelling you towards your ultimate triumph. Keep pushing forward.

Mastering Presentation Techniques for Impactful Delivery

Presentation techniques are more than just standing in front of a crowd and talking. They’re about making connections, telling stories that resonate, and leaving your audience with something to remember you by.

Elements of an Effective Presentation

For your presentation to resonate, ensure the visuals are straightforward and supportive, rather than distracting. Your message should be concise yet powerful enough to stick. And let’s not forget engagement; keeping your audience on their toes is key.

• Visuals: Keep them simple but impactful.
• Message: Make every word count.
• Engagement: Interact with your audience, ask questions, make them think.

We’ve all seen those slides crammed with text or charts. When you make your slides, don’t cram information, because nobody wants to squint at tiny fonts or decipher complex graphs while trying to listen to you speak. This resource suggests focusing on clarity and simplicity when designing slides—advice worth taking.

Strategies for Delivering a Successful Presentation

To deliver a knockout presentation, start strong. Grab attention from the get-go with an intriguing fact or story related directly back into the topic at hand. Maintain eye contact across the room so everyone feels included in the conversation. Finally, end on a memorable note, either with a call to action or insight gained during the time together. Leave them wanting more information and eager to learn about the subject matter discussed today.

• The opener: Hook your audience with a relevant fact or anecdote.
• Maintain connection: Eyes up, engage everyone around.
• Closing remarks : Last chance for impact–what’s your mic drop?

As author Lilly Walters once said, “The success of your presentation will be judged not by the knowledge you send but by what the listener receives.” This quote reminds us that the true goal of any speech is the understanding achieved between the speaker and the listeners.

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Engaging Your Audience with Nonverbal Communication

As the name implies, nonverbal communication denotes all of the ways you communicate without using words. This includes eye contact, body language , and facial expressions. Although nonverbal communication might not be the first presentation technique that comes to mind, it’s nevertheless a very powerful tool to have in your arsenal. Let’s take a look.

The Power of Eye Contact, Body Language, and Facial Expressions

Making eye contact isn’t just about looking someone in the eye; it’s about forging a connection. Aim for brief moments of eye contact across different sections of your audience throughout your presentation. Establishing fleeting eye connections across diverse audience segments fosters a sense of trust and keeps them hooked, all while ensuring no one feels on edge.

Body language is similarly important. Stand tall with good posture; it exudes confidence even when you feel nervous. As you grow more confident, mix up standing still with moving around subtly. This dynamic shift holds attention better than being rooted to one spot or nervous pacing. Use your hands to gesture naturally as you speak—it adds emphasis and keeps things lively.

If there’s one thing people can spot from miles away, it’s insincerity. So let those facial expressions match your words. Smile when you share something amusing, and furrow your brow when diving into serious stuff. After all, it’s not just what you say but how visually engaged and passionate you appear while saying it that counts.

Tying these elements together helps you deliver impactful, memorable talks. When done right, folks will leave feeling more connected, understood, and fired up by your presentation, all thanks to your techniques.

Designing Compelling Presentation Materials

Knowing how to design engaging presentation materials is one technique you can’t do without. Far from mere embellishments, these implements are crafted to hammer your message home. Hence, it’s vital to select these aids with great care and discernment.

Tips for Creating Effective Slides

When it comes to crafting slides, think of each as a billboard advertisement for your idea. You want it clear, impactful, and memorable.

• Keep it simple : One idea per slide keeps confusion at bay and attention locked in.
• Use bullet points : Break down your points so your audience can track.
• Pick a font size : Generally speaking, bigger is better.
• Use color : Harness colors that pop without blinding anyone; contrast is key.
• Use images with purpose : A good picture or chart can help illustrate your point, but keep it relevant and don’t overdo it.

With a few helpful visuals, your presentation can go from good to great. For more on creating slides, check out this link here .

Handling Questions and Interactions Professionally

For some speakers, it’s not the presentation itself that makes them nervous—it’s the Q&A session that follows. This is the moment where you get to shine or stumble based on how well you handle those curveballs from your audience. If you want to round off your presentation well, you’re going to want to learn a few techniques for fielding these questions. Let’s look at a few ways of doing this.

Preparing for Audience Questions and How to Address Them Effectively

Below are six techniques that will help you address audience questions effectively.

• Listen Up : The first rule of thumb is to listen like it’s a superpower. When someone throws a question at you, don’t just hear them out—really listen. Demonstrating this level of attentiveness not only conveys your respect but also affords you a brief moment to collect your ideas.
• Stay Calm : You’ve got this. Even if a question catches you off guard, take a deep breath before diving into your answer. No one expects perfection, but showing confidence matters.
• Practice Beforehand : Before presentation day arrives, think about potential questions folks might ask and prep some responses in advance. Practice makes perfect, after all.
• Vary Your Techniques : Not every question needs an essay as an answer; sometimes short and sweet does the trick. Mix up how detailed or brief your answers are depending on what’s asked.
• Show You Care : If you ever get a question that leaves you stumped, say so honestly—but add that magical line: “Let me find out more and I’ll get back to you.” Then actually do it.
• Appreciate Audience Curiosity : Remember that the reason you audience is asking questions is because they’re interested. So no matter what questions you get, keep engaging with enthusiasm.

Go forth with confidence, knowing not only can these moments boost credibility—they make connections too. So next time when facing down those queries remember to listen hard, stay calm & always engage warmly. With these techniques under your belt, answering audience questions after your presentation will feel much less daunting.

Techniques for a Memorable and Effective Presentation

No matter what topic you cover in your presentation, you can easily add in a story, and more likely than not you can add a little humor too. Together, these two presentation techniques are perfect for making your speech memorable.

Incorporating Storytelling into Your Presentation

One great technique for making your presentation stick is telling stories. Stories have the power to touch people profoundly, especially when they depict relatable experiences. So, when you’re up there presenting, kick things off with a story that ties into your main message. It could be personal, something from history, or even an anecdote that gets your point across. Stories are not just fluff; they’re the glue of your presentation. They make complex ideas digestible and memorable.

Using Humor to Connect with the Audience

Another great way of engaging your audience is by using humor. But here’s the deal—use humor wisely. Keep it tasteful and tied closely to the content at hand so it enhances rather than detracts from your message.

• Pick universal themes everyone can relate to.
• Avoid anything potentially offensive.
• Tie jokes back to your key points to make them relevant.

If humor isn’t your thing, or you’re worried about your comedic timing, it’s perfectly okay to skip the jokes. Especially if you’re new to public speaking, humor can be hard to nail immediately. But as you grow and hone your presentation techniques, consider stretching yourself a bit. By starting small, you can practice using humor to connect with your audience. That is your goal, after all—to leave a positive, memorable impression on your audience.

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Overcoming Public Speaking Anxiety

For some speakers, stepping in front of a crowd to speak causes immediate anxiety. But fear not! Conquering public speaking anxiety is entirely within your grasp.

Techniques to Manage Stage Fright and Boost Confidence

First off, feeling nervous before taking the stage is completely normal. Even Mark Twain admitted, “There are two types of speakers. Those who get nervous and those who are liars.” So take that flutter in your stomach as a sign you care deeply about delivering value to your audience. In addition, consider the following tips as you prepare to hit the stage.

• Breathe Deep: Before stepping up, take some deep breaths. In through the nose, out through the mouth. Feel every muscle relax with each exhale.
• Mind Over Matter: Visualization is key. Picture yourself nailing that presentation, because if you can see it, you can achieve it.
• Keep It Simple: Stick to what you know best; this isn’t the time for surprises or untested waters.
• Pace Yourself: Speak slowly but surely—there’s no rush here.

Believe it or not, acting relaxed often leads to actually being relaxed. Remember when we said mind over matter? Well, it applies here big time. The power pose backstage might just be what turns those nerves into excitement.

So next time you feel stage fright coming on, fight back with these techniques. With these tricks up your sleeve, you’re more than ready. So go ahead, breathe deep, and step onto that stage. You’ve got this.

Using Different Presentation Methods to Engage Your Audience

While learning styles is “ little more than urban myth ,” presenting your material in a variety of ways is a great technique for engaging your audience. By switching it up, you increase your chances of explaining something in a way that clicks with individual audience members. This is especially helpful for more complex topics that might be hard to grasp.

There are three main ways of presenting your material to your audience: through visuals, audio, and hands-on activities.

• Visuals: Use slides packed with images, graphs, and bullet points.
• Audio: Tell stories, play audio clips or engage in discussions.
• Hands-on Activities: Include activities or demonstrations that allow audience members to participate physically.

Making sure everyone gets something from your presentation means considering these techniques when planning content. Not only can incorporating various methods increase audience engagement, but it can also elevate your presentation from decent to memorable.

Essential Tips for First-Time Presenters

Stepping onto the stage or logging into that webinar platform as a first-time presenter can feel nerve-wracking. But fear not! With these tips on how to dress appropriately, arrive early, and make your presentation shine, you’ll be ready to confidently nail that presentation.

Dress Appropriately

Your outfit is your armor. Choose something professional yet comfortable. Whether it’s in-person or online, dressing one notch above what you expect your audience to wear usually hits the sweet spot. Aim for solid colors that won’t distract your audience.

Arriving Early

If possible, arrive at the venue before your audience does. This gives you time to settle in, test any tech gear like microphones or projectors, and take those deep breaths. This extra time also lets you chat with early birds. By connecting with people before taking center stage, you can ease nerves significantly.

Making Presentation Time Count

You only have the audience’s attention for so long. Keep an eye on the clock as you present, but avoid rushing through content. It especially helps to pause after key points, letting information sink in. Your end goal? Leave you’re audience wanting more. You’ll know if you succeeded based on the number of questions you get during the Q&A.

So there you have it—the techniques you need to deliver an engaging presentation. By honing nonverbal communication, like eye contact and posture, you can captivate your audience with your energy. And visual aids? They’re not just ornamental; they help bolster your point and drive it home.

We also learned that tackling audience questions is not an art reserved for the eloquent few but a skill sharpened by preparation and presence. While it takes a little work to nail good storytelling and well-timed humor, the ultimate outcome is worth it.

So while standing before an audience may set your heart racing, know that arming yourself with knowledge and technique can transform not just your presentation, but you yourself. So don’t be afraid to try your hand at these skills; in doing so, you build your own confidence and become a better speaker in the process.

• Last Updated: April 11, 2024

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Engage your audience with powerful visual presentations.

Visual tools are critical to have in any presentation as they’re one of the key presentation aids that will help enhance your overall presentation .

We’ll give you tips on how to develop a sense of good presentation design whether you’re using PowerPoint, Prezi, Google Slides or any presentation software under the sun. The secret to creating a great presentation does not lie in a superior software, but understanding a few universal design concepts that can applied for all types of visual presentations.

Don’t be afraid to use a few presentation templates – there are ways to make the presentation ideas in those templates your own ideas and advance it in several different ways. Let’s make your next presentation on point and designed beautifully.

Presentations Are The Visual Communication Tool To Your Story

In the age of information, people remember facts faster through stories. Keep your bullet points and information short. You can use a rule of thumb to not put more than a paragraph and 3 points per slide to start.

Make your presentation the visual component of your story, but not something your audience has to read. Something that is short and succinct on screen will capture your audience’s attention and make sure they retain the main points of your message.

This does not mean incomplete slides. A common mistake presenters make is putting too little information on a slide in the name of simplicity when in fact they’re leaving out the main context.

A well designed visual presentation has a great story behind it and a well rehearsed voice telling it as well. Engaging the audience is also a great way to associate meaning or connection to the content of your slide decks. Ask questions and tell stories while showing off a great visual presentation! Think of writing the copy like writing for social media – you only have a certain amount of characters to use and a short audience attention span.

General Tips For Visual Presentations

Before you begin creating your presentation, you first need to know what makes effective presentations – storytelling. Such presentations target the audience’s emotions leading to a stronger connection to the audience member and the main point of the presentation.

Below are some storytelling tips for your slides, but remember to keep the presentation itself simple and practice makes perfect. And again, these are more for your spoken component that accompanies the visual component. These tips can be useful because they can be applied to all your presentations in general.

Step 1 is to ask yourself who your audience is and how to convey the key message you have in mind to them. Once you settle on your message, you can start designing your slides with that direction in mind.

You may wonder how to connect with an audience with your slides. Look to your own experiences, your own speaking style and tailor your message to what you know. Not many people want to hear others recite facts with no real meaning driving the story. Ask yourself, “Why does this matter to the audience and why should they care?”.

There is a lot of trust that can be built when the audience has a genuine connection to the presenter. Overall, if you have something that can solve a problem or teach someone complex things, that is enough to form a connection with your audience.

Think of the last app you used, the last email you read or perhaps the last business you purchased from. What was the content or visual elements that pulled you in?

Are you making a PowerPoint, Prezi or other form of visual presentation but it’s taking too much of your time? Enlist the help of Presentation Geeks and consider outsourcing your presentation design . Outsourcing your presentation slides allows you to free more of your time while still getting the results of an interesting presentation. You’ll have the support of expert slide designers who know what presentation visuals work and don’t work thanks to years of presentation feedback and background knowledge.

Color Design Tips For Presentation Slides

When designing your presentation, make sure you take into consideration the colors you’re using. We’ve listed a few background color combinations you might want to consider when developing the overall slide deck and the font to use.

Color Wheel Alignments:

Primary Colors: Red, yellow, blue

Secondary Colors: Green, orange, purple

Tertiary Colors: Yellow-orange, red-orange, red-purple, blue-purple, blue-green & yellow-green

Analogous Colors: These are any three colors which are side by side on a color wheel. (Think green, lime green, yellow)

Complementary Colors: These are colors that are directly opposite of a color wheel. (Think green vs. purple, red vs. blue)

Monochromatic Colors: This is when you use one color and various shades or hues of it. It works well for minimal looks.

Color moods:

Red/Orange/Yellow: Generally these convey a sense of energy, are warm colors and catch your attention. Yellow is a happy warm color on one end and red is very striking and can warn of danger, and symbolizes importance, passion and sometimes violence.

Blue/Purple/Green: These colors are calming, reserved, elegant and often used for corporate slides. Think of how indigo blue is used for many large corporate entities. Green often is branded with earth or medical brands. Purple often conveys a sense of royalty, money and creativity.

Use The Power Of Photography Or Video

Pictures and videos are great visuals to incorporate into any presentation. Remember the saying, “A picture is worth a thousand words”? Well, it’s true! Photos help visualize complex information. You’ll often come across a lot of photos in research presentations as they help the audience understand examples better.

They can also save you from having to put a thousand thoughts into the PowerPoint presentation slide!

The first tip we can give to make a great visual presentation is to choose all your photos before you start. This way you can keep the consistency of the images across your slide deck and make sure they’re somewhat alike in terms of composition, mood and brand.

Use free stock photos

You don’t have to take the photos or videos yourself.

There are plenty of free resources and web pages for stock photos online – Unsplash , Pexels , Pixabay , Free Range , Creative Commons and some photos from Freepik are free to use with some accreditation.

Effective photo use

Make sure you pick an image that will focus on the main theme of the slide. One image is usually enough if the image choice is very relevant to the slide. If you have multiple photos, avoid poor or loose placement of photos all over the slide. Try to use a grid or gallery placement and it will immediately enhance the layout of the slide.

If you pick great images, making presentations can be faster. Instead of having to create an elaborate template with multiple elements, a photo with a couple of bullet points can go a long way in terms of capturing attention and making your presentation slides look professional. This is true on any presentation design platform – whether its PowerPoint, Google Slides, etc.

You can also embed videos whether they’re located on your computer, YouTube, Vimeo or other major video streaming sites. If you’re feeling nervous about your presentation or have a complex message that would be hard to condense in one slide, a video is a dynamic way of conveying your message in any type of presentation.

The Typography You Use Matters

Typography is how you will arrange and present the words in your presentation. An audience can engage when text is readable, functional and works well with the other elements in the presentation. Fonts and sizing are a good place to start establishing the tone of your presentation.

Overview of Font Choices

Elegant fonts often denote a sense of luxury or lifestyle tone. Use script fonts sparingly, but as titles they immediately give this polished and high-end look. This should not be used as body text or something lengthy to read. Think about if you sent an email in that text – it would be tedious to read. However, maybe if it were a title or a way to name email, the choice may be more correct.

Corporate fonts often are traditional, serif fonts or clean sans serif fonts that evoke a sense of trust and a clear message. Think of the fonts Lato, Helvetica or Arial – they’re go-to fonts that are easy to read, and work across many systems. This is especially helpful if you are working across teams when creating content or having to approve the content, idea or visuals.

Of course, you can incorporate more stylistic or playful fonts if you want to give your presentation a personal feel. Much like the scripted font, when used sparingly but in large titles, this choice of font can be very effective at conveying a certain personality.

Adding Symbols & Icons To Your Presentation

You can consolidate information by using symbols or icons to direct your eye to information such as an arrow symbol. What if you used a symbol instead of a bullet point? Think of symbols as anchors for the eye to quickly find information. You can collect symbols off free stock sites or use the built-in ones in PowerPoint that are free to use!

Depending on if your presentation is formal or informal , you may also want to consider adding emojis! Emojis are fun ways to express different emotions and can help connect with a younger demographic.

Overall Branding, Tone of Voice & Consistency

Another tool you may have at your disposal is if your brand, business or company has brand guidelines. It will be the guide and compass to your presentation’s information that goes within it. By keeping consistent you can achieve a polished look even if it looks very simple.

Use your business voice to communicate ideas and set the tone for your presentation. Are you in an investment banking business and want people to rely on the information given to you? That would inform perhaps using blues and purples, which are calmer colors and a cleaner look. Are you an influencer who’s buying power and spending choices matter to your audience? Maybe choosing bright colors with personal touches will make the connection. Are you designing an innovative app? Maybe more interactive slides would do the trick.

Use these questions to make sure your text and tone is consistent as this is a foundation of a well articulated brand or personal identity.

Consistent Hierarchy

Visual hierarchy is how you will arrange objects and text in relation to one another to guide your user and not confuse the objects and how they should read them in your slides. Setting rules helps differentiate and prioritize what’s important in order.

Look at the difference between these two.

Snoop Dogg just launched a wine and it’s coming to Canada

Daily hive branded content | aug 11 2020, 6:30 am.

Australian winery 19 Crimes recently announced that its new Cali Red wine, created in collaboration with Entertainment Icon, entrepreneur, and hip-hop artist Snoop Dogg, will be hitting shelves across Canada later this summer.

The collaboration offers a refreshing take on celebrity partnerships as the apparent shared values and history between the brand and famous rapper make for a perfectly organic pairing.

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You can see a clear distinction in the example below:

Think of hierarchy of a form of narration or story structure. Your eye goes to the title, then to the subtitle, then to the body copy in a logical manner. Where the eye travels is one of those things we don’t think about often. But you can also utilize eye lines in photos. Is your subject in the photo looking left or right? Consider placing text to where your subject is looking and see how effectively your eye travels to that text.

We’ll look at hierarchy strictly as sizing of words for now, but note you can establish hierarchy with type, white space, alignment, etc. As a general rule of thumb, you should have consistent sizing for your Header (or title slide / slide title), your subtitles and your body text. That’s it! If the sizing in your PowerPoint is consistent, your words will look uniform and clean. Everything will be much easier to read and the eye will be trained to move each slide.

Don’t Forget Your Own Style

Also don’t forget to incorporate your own style and what kind of visuals you like. Even if your early visuals may seem simple, build up that design muscle with the basics and design techniques that look clean and consistent.

You’ll find as you design these basics, you’ll probably start noticing other visuals and things you like in other mediums and presentations. Keep a note or screenshot the presentation that inspired you. Create a mood-board that you can refer to in the future for quick idea inspiration. Copying gets a bad rap, but learning how to design something you like even if it’s a clone copy will teach you many things about design. Build a collection of images that informs everything you do: for your color scheme, your designs, the cadence of images, etc.

That being said, you can also use free stock websites like Freepik for some design layouts inspiration. Creative Market is a paid website but the site offers a ton of design inspiration. This site has design templates for what’s currently in and trending. You can subscribe to an email newsletter on either site to get bite sized design influence each day that goes straight to your inbox.

However, don’t be afraid to try something new!

Once you get to a level of comfortable designing, these new ideas will be much easier to execute with the technical knowledge you amassed when you started. You could even try using a new app to design your ideas to keep your knowledge fresh! (Keep in mind that most online apps like SlideShare use cookies to improve functionality and performance.)

Ask your friends or people at your organization to give you feedback and critique, as that’s also crucial to honing your design skills. The people around you also represent different audiences!

The above image looks boring, right?

That’s because there are no visual elements!

Powerful visual presentations can engage audiences psychologically with both the presentation itself and the energy of the presenter. By understanding a few universal design concepts, you can begin your journey creating wonderful visual presentations and becoming a better presenter ! Thanks for reading this blog post, tell us your tips in the comments below.

Author:  Content Team

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The 8 Types of Presentation Styles: Which Category Do You Fall Into?

Updated: December 16, 2020

Published: May 05, 2016

Types of Presentations

• Visual Style
• Freeform Style
• Instructor Style
• Coach Style
• Storytelling Style
• Connector Style
• Lessig Style
• Takahashi Style

Everyone on the internet has an opinion on how to give the “perfect” presentation.

One group champions visual aids, another thinks visual aids are a threat to society as we know it. One expert preaches the benefits of speaking loudly, while another believes the softer you speak the more your audience pays attention. And don’t even try to find coordinating opinions on whether you should start your presentation with a story, quote, statistic, or question.

But what if there wasn’t just one “right” way to give a presentation? What if there were several? Below, I’ve outlined eight types of presentation styles. They’re used by famous speakers like Steve Jobs and Al Gore -- and none of them are wrong.

Check out each one and decide which will be most effective for you.

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Types of Presentation Styles

1. visual style.

What it is: If you’re a firm believer slides simply exist to complement your talking points, this style is for you. With this speaking style, you might need to work a little harder to get your audience engaged, but the dividends can be huge for strong public speakers, visionaries, and storytellers.

When to use it: This style is helpful when speaking to a large audience with broad interests. It’s also great for when you need to throw together slides quickly.

Visual style presenter: Steve Jobs

2. Freeform Style

What it is: This impromptu style of presenting doesn’t require slides. Instead, the speaker relies on strong stories to illustrate each point. This style works best for those who have a short presentation time and are extremely familiar with their talking points.

When to use it: Elevator pitches, networking events, and impromptu meetings are all scenarios in which to use a freeform style of speaking. You’ll appear less rehearsed and more conversational than if you were to pause in the middle of a happy hour to pull up your presentation on a tablet.

Freeform style presenter: Sir Ken Robinson

3. Instructor Style

What it is: This presentation style allows you to deliver complex messages using figures of speech, metaphors, and lots of content -- just like your teachers and professors of old. Your decks should be built in logical order to aid your presentation, and you should use high-impact visuals to support your ideas and keep the audience engaged.

When to use it: If you’re not a comfortable presenter or are unfamiliar with your subject matter (i.e., your product was recently updated and you’re not familiar with the finer points), try instructor-style presenting.

Instructor style presenter: Al Gore

4. Coach Style

What it is: Energetic and charismatic speakers gravitate towards this style of presenting. It allows them to connect and engage with their audience using role play and listener interaction.

When to use it: Use this presentation style when you’re speaking at a conference or presenting to an audience who needs to be put at ease. For example, this style would work well if you were speaking to a group of executives who need to be sold on the idea of what your company does rather than the details of how you do it.

Coach style presenter: Linda Edgecombe

5. Storytelling Style

What it is: In this style, the speaker relies on anecdotes and examples to connect with their audience. Stories bring your learning points to life, and the TED’s Commandments never let you down: Let your emotions out and tell your story in an honest way.

When to use it: Avoid this style if you’re in the discovery phase of the sales process. You want to keep the conversation about your prospect instead of circling every point or question back to you or a similar client. This style is great for conference speaking, networking events, and sales presentations where you have adequate time to tell your stories without taking minutes away from questions.

Storytelling style presenter: Jill Bolte Taylor

6. Connector Style

What it is: In this style, presenters connect with their audience by showing how they’re similar to their listeners. Connectors usually enjoy freeform Q&A and use gestures when they speak. They also highly encourage audience reaction and feedback to what they’re saying.

When to use it: Use this style of presenting early in the sales process as you’re learning about your prospect’s pain points, challenges, and goals. This type of speaking sets your listener at ease, elicits feedback on how you’re doing in real time, and is more of a dialogue than a one-sided presentation

Connector style presenter: Connie Dieken

7. Lessig Style

What it is: The Lessig Style was created by Lawrence Lessig , a professor of law and leadership at Harvard Law School. This presentation style requires the presenter to pass through each slide within 15 seconds. When text is used in a slide, it’s typically synchronized with the presenter’s spoken words.

When to use it: This method of presentation is great for large crowds -- and it allows the speaker to use a balance of text and image to convey their message. The rapid pace and rhythm of the slide progression keeps audiences focused, engaged, and less likely to snooze.

Lessig style presenter: Lawrence Lessig

8. Takahashi Style

What it is: This method features large, bold text on minimal slides. It was devised by Masayoshi Takahashi , who found himself creating slides without access to a presentation design tool or PowerPoint. The main word is the focal point of the slide, and phrases, used sparingly, are short and concise.

When to use it: If you find yourself in Takahashi’s shoes -- without presentation design software -- this method is for you. This style works well for short presentations that pack a memorable punch.

Takahashi style presenter: Masayoshi Takahashi

Slides from one of Takahashi’s presentations:

Whether you’re speaking on a conference stage or giving a sales presentation , you can find a method that works best for you and your audience. With the right style, you’ll capture attention, engage listeners, and effectively share your message. You can even ask an AI presentation maker tool to create presentations for you in your preferred style

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6 Major Types of Visual Presentation

Visual presentation refers to the expression of ideas about some matters while using visual aids such as visual multimedia. From electronic media such as television screens and web pages to environmental contexts such as retail displays and road signs, visual communication is virtually everywhere. Visual presentations such as graphs, tables, charts, and diagrams bring together the verbal and visual to add another dimension to the information and create a totally new path towards understanding its meaning.

A presenter can, therefore, use visual interpretation of information to maximize the effectiveness by making sure that the elements are presented as clearly as possible. The more complex and detailed the information is, the more important the information will be. If used well, visual presentation will support the presentation by strengthening audience involvement and impact. However, if badly managed, they can interfere with the presentation. Most visual presentations require prior preparation and should be operated with a lot of efficiencies. If you wish to use such presentations in an unfamiliar room, you need to check the facilities that are there in advance so as to plan your presentation well. Overall, the visual presentation must focus on the relevant information.

There are many different types of visual presentations. Here are main ones.

1. ezTalks Meetings

ezTalks is one of the best cloud video conferencing providers that will allow you to host a number of videos in HD quality with over 100 participants. It also provides free audio conferencing, instant messaging, file sharing, whiteboard collaboration, and remote control apps for presentations. Once you have  ezTalks  you can choose a plan that's suitable for you. It also gives you 24/7 customer support where you can contact their managers and get solutions to your queries or problems. As compared to other video conferencing providers, they have the best features and an excellent customer support.

2. Whiteboards and Interactive Whiteboard

When it comes to explaining the sequence of routines and ideas, whiteboards can be very useful. Whiteboards are good for developing diagrams and simple headings and for recording the interaction with the audience during the sessions. Writing on whiteboards not only take time but you will also have to turn your back to the audience in order to do so. While using a whiteboard, ensure that your handwriting is aligned horizontally and is legible and large enough for the audience to see. You should also ensure that you use nonpermanent instead of permanent markers. You also need to know that the background of whiteboard can lead to contrast issues for people with vision problems.

3. Flip Charts

A flip chart refers to a low cost, popular and low tech solution to record online meetings . A flip chart is a very flexible and useful way to recording information during a presentation. To help recap your main points, you can flip back through the pad. To show the progression from one point to another, use the turning of the page. A flip chart is not only portable but can also be prepared in advance. It requires no technical expertise or power source. They are suitable for collecting responses and ideas from the audience. However, if you have a large audience, a flip chart may be too small for everyone to see.

4. Paper Handouts

Handouts summarizing the main points are not only useful but also a good addition hence must be relevant. If you are presenting packages such as power slides you can easily generate handouts from your slides. Since giving out handouts at the start of the talk might consume time you need to know the best time to give handouts. However, if your handouts have complex figures and graphs, it's advisable to give the audience handouts before the presentation starts. The audience may also be able to make their own notes during the presentation.

Overall, you need to consider the best method and time to distribute handouts including either giving them at the end of the presentation or placing them on the seats prior the start. If your presentation includes discussions and questions, this will give them enough time to summarize them well. For high-quality handout printing, Prints4sure offers affordable options with fast turnaround times.

Video is a type of presentation that gives you an opportunity to show visual information. You can use videos to bring pictures, movement, and sound into your presentation. When using videos, it's important to ensure that the clip is relevant to your content. Avoid showing more film than you need and ensure that your audience knows what to look for. If there is a computer connected to the projector then videos can be shown as files through you tube or from a DVD and other online sources. Videos can also be used to build presentations in various video presentation software .

High-quality slides , crucial for impactful presentations, require effective blackout for clear images and eye contact. Numbering ensures easy reordering if dropped. However, the prevalence of digital photography has diminished the reliance on slides. When opting for a visual presentation, consider your preferences, audience needs, and enlist the expertise of a presentation writer .

7. Digital flipbooks

Captivating your audience's attention is essential, especially when it comes to visual presentations. One powerful tool gaining popularity is the digital flipbook maker, offering a dynamic and engaging way to present your ideas through digital flipbooks. A flipbook maker allows you to create interactive presentations with a page-flipping effect and animations . You have many features you can use like adding interactive elements, previewing, and sharing your presentation. By using a digital flipbook for your presentation, you can easily capture the attention of your audience.

.css-1qrtm5m{display:block;margin-bottom:8px;text-transform:uppercase;font-size:14px;line-height:1.5714285714285714;-webkit-letter-spacing:-0.35px;-moz-letter-spacing:-0.35px;-ms-letter-spacing:-0.35px;letter-spacing:-0.35px;font-weight:300;color:#606F7B;}@media (min-width:600px){.css-1qrtm5m{font-size:16px;line-height:1.625;-webkit-letter-spacing:-0.5px;-moz-letter-spacing:-0.5px;-ms-letter-spacing:-0.5px;letter-spacing:-0.5px;}} Best Practices The #1 rule for improving your presentation slides

by Tom Rielly • May 12, 2020

When giving presentations, either on a video conference call or in person, your slides, videos and graphics (or lack of them) can be an important element in helping you tell your story or express your idea. This is the first of a series of blog posts that will give you tips and tricks on how to perfect your visual presentations.

Your job as a presenter is to build your idea -- step-by-step -- in the minds of your audience members. One tool to do that is presentation graphics, such as slides and videos.

Why graphics for your presentation?

A common mistake is using slides or videos as a crutch, even if they don’t actually add anything to your presentation. Not all presentations need graphics. Lots of presentations work wonderfully with just one person standing on a stage telling a story, as demonstrated by many TED Talks.

You should only use slides if they serve a purpose: conveying scientific information, art, and things that are hard to explain without pictures. Once you have decided on using slides, you will have a number of decisions to make. We’ll help you with the basics of making a presentation that is, above all, clear and easy to understand. The most important thing to remember here is: less is more.

Less is so much more

You want to aim for the fewest number of slides, the fewest number of photos, the fewest words per slide, the least cluttered slides and the most white space on your slides. This is the most violated slide rule, but it is the secret to success. Take a look at these examples.

As you can see in the above example, you don’t need fancy backgrounds or extra words to convey a simple concept. If you take “Everything you need to know about Turtles”, and delete “everything you need to know about” leaving just “turtles”, the slide has become much easier for your audience to read, and tells the story with economy.

The above example demonstrates that a single image that fills the entire screen is far more powerful than a slide cluttered with images. A slide with too many images may be detrimental to your presentation. The audience will spend more mental energy trying to sort through the clutter than listening to your presentation. If you need multiple images, then put each one on its own slide. Make each image high-resolution and have it fill the entire screen. If the photos are not the same dimensions as the screen, put them on a black background. Don’t use other colors, especially white.

Your slides will be much more effective if you use the fewest words, characters, and pictures needed to tell your story. Long paragraphs make the audience strain to read them, which means they are not paying attention to you. Your audience may even get stressed if you move on to your next slide before they’ve finished reading your paragraph. The best way to make sure the attention stays on you is to limit word count to no more than 10 words per slide. As presentation expert Nancy Duarte says “any slide with more than 10 words is a document.” If you really do need a longer explanation of something, handouts or follow-up emails are the way to go.

Following a “less is more” approach is one of the simplest things you can do to improve your presentation visuals and the impact of your presentation overall. Make sure your visuals add to your presentation rather than distract from it and get your message across.

Ready to learn more about how to make your presentation even better? Get TED Masterclass and develop your ideas into TED-style talks.

© 2024 TED Conferences, LLC. All rights reserved. Please note that the TED Talks Usage policy does not apply to this content and is not subject to our creative commons license.

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Deciding the Presentation Method

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There is much to consider in deciding on an appropriate presentation method.

This page assumes that you have already prepared your presentation , or at least decided on the key messages that you wish to get across to your audience, and given at least some thought to how to organise your material .

On this page, then, we focus on the mechanics of your presentation method: how you will present.

This includes using sound systems, how to manage visual aids, how you stand, and how much interaction you want with your audience.

What Helps you to Decide your Presentation Method?

In making a decision about your presentation method, you have to take into account several key aspects. These include:

The facilities available to you by way of visual aids, sound systems, and lights. Obviously you cannot use facilities that are not available. If you are told that you will need to present without a projector, you’re going to need to decide on a method that works without slides.

The occasion. A formal conference of 200 people will require a very different approach from a presentation to your six-person team. And a speech at a wedding is totally different again. Consider the norms of the occasion. For example, at a wedding, you are not expected to use slides or other visual aids.

The audience, in terms of both size and familiarity with you, and the topic. If it’s a small, informal event, you will be able to use a less formal method. You might, for example, choose to give your audience a one-page handout, perhaps an infographic that summarises your key points, and talk them through it. A more formal event is likely to need slides.

Your experience in giving presentations. More experienced presenters will be more familiar with their own weak points, and able to tailor their preparation and style to suit. However, few people are able to give a presentation without notes. Even the most experienced speakers will usually have at least some form of notes to jog their memory and aid their presentation.

Your familiarity with the topic. As a general rule, the more you know about it, the less you will need to prepare in detail, and the more you can simply have an outline of what you want to say, with some brief reminders.

Your personal preferences. Some people prefer to ‘busk it’ (or ‘wing it’) and make up their presentation on the day, while others prefer detailed notes and outlines. You will need to know your own abilities and decide how best to make the presentation.  When you first start giving presentations you may feel more confident with more detailed notes. As you become more experienced you may find that you can deliver effectively with less.

Some Different Methods of Presentation

Presentation methods vary from the very formal to the very informal.

What method you choose is largely dictated by the occasion and its formality: very formal tends to go with a larger audience, whose members you do not know well. Your role is likely to be much more providing information, and much less about having a discussion about the information.

Form Follows Function

It’s not going to be possible, for instance, to present to 200 people from a chair as part of the group, because most of your audience will not see or hear you. You need to apply common sense to your choice of presentation method.

Audience Participation

While much of your presentation method will be dictated by the event, there is one area where you have pretty much free rein: audience interaction with you and with each other.

It is perfectly feasible, even in a large conference, to get your audience talking to each other, and then feeding back to you.

In fact, this can work very well, especially in a low-energy session such as the one immediately after lunch, because it gets everyone chatting and wakes them up. It works particularly well in a room set out ‘café-style’, with round tables, but it can also work in a conference hall.

The key is to decide on one or two key questions on which you’d welcome audience views, or on which audience views could improve your session. These questions will depend on your session, but it’s always more helpful to invite views on:

• Something that you haven’t yet decided; or
• Something that the audience is going to do themselves.

For example, you might ask people to talk to their neighbour and identify one thing that they could do to put your speech into action when they return to work and/or home. You can then ask four or five people to tell you about their action points.

Handling your Notes

You also have a choice over how you manage your text, in terms of notes. For more about this, see our page on Managing Your Notes in a Presentation .

The Importance of Iteration

You will probably find that deciding on the presentation method means that you need to change or amend your presentation.

For example, if you want to include some audience participation, you will need to include that in your slides, otherwise, you might well forget in the heat of the moment.

Fortunately, revisiting your presentation in light of decisions about how you will present is probably a good idea anyway. It will enable you to be confident that it will work in practice.

Continue to: Managing your Presentation Notes Working with Visual Aids

See also: Preparing for a Presentation Organising the Presentation Material Dealing with Questions

Presentation Types and Styles Explained

Table of Contents

From high school, then all through college, and now in the workplace — presentations have been a pillar of passing down knowledge to various audiences. 

But, what are presentations? 

They are a tool used to inform and educate audiences in a fun and informative way. 

Well, that is the simple way of explaining their purpose and meaning. 

We want to dig in deeper, and that is what this article will bring to you — a deeper understanding of different types and styles of presentation, so you never get overwhelmed or confused when you need to make a presentation. 

We will discuss: 

• Different types and styles of presentations,
• The purpose of using presentations in the workplace, and 
• How to utilize and recognize types and styles of presentations.

We will also show you: 

• Famous presenters for each style, 
• How you can use each presentation style, and
• A quote for each style to work as a useful reminder if you ever get confused.

Let’s dive in, shall we?

What are the purposes of presentations?

Sometimes, when a term is widely used, to the point where we subconsciously know the meaning and its purpose, it’s hard to pinpoint the true definition from memory. 

So, let’s start with the basics — what is the definition of presentations? 

Presentation is a manner of passing down knowledge from the speaker to the audience. A presentation can be a: 

• Demonstration,
• Lecture, or 
• Speech. 

The purpose of a presentation is whatever goal you set up to achieve. Those goals can be:

• To educate, 
• To persuade, and/or 
• To entertain.

According to LinkedIn’s article 4 goals for any speech, pitch or presentation , when you combine the goals we mentioned, your presentation will become powerful, meaningful, and impactful. The goals mentioned above are general and can be applied to any situation. Different types and styles of presentation can lead to different results. With the right type and style, you can: 

• Better your work and image with clients,
• Be more effective when presenting new ideas or solutions, and
• Ensure more progressive career growth.

These are only some of the business goals you can achieve with the right presentation type and presenting style. The more types and styles you try out, the more skillful you become, which helps you achieve your goals more efficiently.

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What are the different presentation types?

Presentation types illustrate the way you structure your presentation . 

We’ve mentioned the 4 purposes of presentations — every goal or purpose corresponds to a certain type. Before you can choose a structure, you need to answer the question “ What is the purpose of this presentation? ” 

And methods and techniques, which we’ll talk about later, help you maintain that structure.

Once you know what you want to achieve with your presentation, you can choose its type. 

Here’s what you need to know about each presentation type:

Type #1: Informative presentations 

Informative presentations are analytical and, as the name states, informative. With this type of presentation, your end goal is to inform and educate . 

Your audience only has to listen and soak up all the knowledge that is given by you. 

With this type of presentation, you can report on new findings and new data or deliver a lecture. 

Since the goal is to educate, your presentation must be precise and correct. Make sure that the information you are communicating has real value. When presenting, try to engage your audience with visuals of your data to help them understand.

Type #2: Persuasive presentations

To use persuasive presentations, you must answer the question “ What do I want my audience to do after listening to me ?”

The point of this type of presentation is to persuade your audience, change their minds, or offer a new point of view, so that they take action .

Persuasive presentation comes in handy if you are presenting a new product or a service and you want your audience to feel the urge to buy said product.

When you use this presentation type you must exude confidence, since you are your audience’s only source of information for your product. 

Type #3: Motivational presentations

You’ve probably heard of motivational speakers, and if you haven’t, here’s a quick crash course. Motivational presentations have a purpose to inspire and change people’s minds . 

Most people who use this type of presentation have a story to tell. These people use their own experiences as key points in their presentations to help the audience to relate to them. 

Since the goal is to inspire and change people’s minds, you have to have a powerful topic to discuss. 

Remember to cater to your audience and adjust your presentation to them and their level.

Type #4: Instructive presentations

Instructive presentation is technical, precise, and often longer than other types we mentioned. This type is here to offer instructions to an audience. 

So, if your goal is to explain step by step how to achieve a goal or do a task— an instructive presentation should be your choice. 

When you are delivering this type of presentation you need to make sure that every instruction is clear, understandable, and easy to follow.  

How to determine which presentation type you should use?

To choose the correct type for your presentation, you must determine your goal. Once you have your goals clear, it will be easy to see which type works best with your presentation. 

Here are some helpful questions that will help you to narrow it down to one type: 

• What do I want the audience to take away from my presentation?’
• What am I trying to give the audience? Is it information, a lecture, or a look into a new product/feature?
• What obstacles are keeping me from delivering my presentation effectively?

Determining the correct type for your presentation is a trial-and-error process. You will find that some types are more your speed, while others might give you trouble. But, keep in mind that the end goal should always be to give your audience what they came for. 

No matter which type you prefer, they all exist for a reason. Give them all a chance, and remember that practice makes perfect.

Presentation methods and techniques

When you define the type of your presentation, it’s time to get into methods and techniques for delivering a presentation. 

There are a lot of ways you can deliver your presentation, and here is our take on it. 

Presentation methods

A method is how you approach your problem . 

When it comes to presentation methods, we linked them with public speaking. Methods cover:

• How you choose to deliver your presentation and 
• How you structure your speech. 

Here are the 4 main methods:

Method #1: Impromptu or unscripted 

The impromptu method applies to speeches that are: 

• Not prepared , 
• Emotionally charged, and 
• ‘Given on the spot’. 

This method of speaking is purely done by improvising, so there are no written rules on how it should be done. 

Improvising and making up your speech as you go is not a wrong way to deliver your presentation. Still, instead of basing your entire speech on your ability to ramble on, incorporate this method in segments where you see fit or feel inspired to do so. 

Method #2: Memorizing 

The memorizing method implies that the speaker needs to know their speech word for word. 

It is mostly used in oratory contests for high school and college students. This method is difficult, and you would need to spend a lot of time reading and memorizing your text.

But, this method is the easiest when it comes to performance anxiety. Since the text is perfectly constructed and your only job is to memorize and relay it to the audience, it’s less nerve-racking. 

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If you struggle with anxiety before a presentation, we have an article to help you with that: 

• How not to be nervous for a presentation

The memorizing method, while being challenging at its core, can be freeing once the speaker is on stage. With this method, you can practice your body language to go with the text. And since the text is scripted and perfected, the speaker can move around the stage as they see fit.

Method #3: Extemporaneous

Extemporaneous is a synonym for impromptu and unscripted — so why is a synonym to a method we’ve already covered, now a completely new method? 

Well, that is because when it comes to the extemporaneous method, we think of a speaker that allows help during their performance . 

The extemporaneous method is a combination of the first two methods we mentioned. This method allows the speaker to prepare their speech and use notes and key points as an aid to keep on course. However, they will not learn their presentation by heart, but use their own words and speak in a conversational manner.

Method #4: Scripting 

The scripting method used to require a written speech from which the orator reads to the audience. Nowadays, we can see this method used by news outlets, with a teleprompter. 

So, to make use of this method, you need to write down your speech and read it proficiently to your audience. 

When it comes to in-person presentations and public speaking, this method is not the go-to. 

You shouldn’t spend the whole presentation just reading off of papers. When we present, we need to maintain eye contact and overall connection with the audience — and holding a piece of paper in front of the audience will get in the way of that connection.

Presentation techniques 

Presentation techniques are what you use before and during the presentation to make it compelling, informative, and easier to understand . 

Here are some of the techniques that we find quite useful: 

Technique #1: Practice

As a presenter, you want to make sure that everything goes smoothly — and for that to happen, you need to practice. The key to giving the best presentation is to practice relentlessly. 

Some useful tips to help you make the most of your practice are to: 

• Practice in front of a friend. — Practicing in front of a friend will not only help you with performance anxiety, but a friend might also have some useful tips on how to perform better. 
• Film yourself practicing. — When you film yourself giving your presentation aloud, it will help you to get used to cameras and the spotlight. Also, the camera will capture every mistake you make, and from there you can see what needs to be worked on.
• Practice in the auditorium. — It will do you good if you can practice giving your presentation in a meeting room or the auditorium. If you practice in the place you will be presenting, you will get used to the space, and it will be familiar to you on the day of your presentation.

Technique #2: Use visuals 

There is no need to overwhelm your audience with endless blocks of text. Think about how you can transform the data or information into a simple visual . 

The important thing to remember is that your audience might not be on the same level of knowledge as you. So, use visuals to help them follow your point. 

Technique #3: Incorporate stories 

No matter how informative and to the point your presentation is, including a story that is illustrating your point can be very helpful to your audience. 

Not only is storytelling a great way to engage and entertain your audience, but it is also a great way to show how your information is relevant to real-world events.

If you are curious to see what more you can do to prepare for your presentation, check out our article: 

• How to prepare for a presentation: Your 9-step guide to a successful presentation

Technique #4: Incorporate appropriate style 

Your presentation style is how you choose to deliver your presentation as a speaker. Style builds on the methods we have mentioned earlier, and it comes down to how you choose to speak to your audience. You can be a storyteller or a coach to your audience, and with each style comes a different influence. 

Methods and techniques are a great starting point when you are approaching your presentation structure and topic. 

But, there are different styles of presentation that you also should consider before walking up to that stage. Let’s learn more about them.

What is a presentation style?

A style is your preferred way of doing things, and when it comes to presentations, a style is how you choose to deliver your speech . Everything from your vocabulary to your tone defines your presenting style. 

If you are not sure what your personal presentation style is, you can always pick and choose from the already-established styles. Those include: 

• Storyteller, 
• Instructor, 
• Closer, 
• Connector, 
• Coach, 
• Lessig style, and
• Visual style.

Let’s get into more detail about each one of them.

Style #1: The Storyteller

The storytelling style consists of a (usually personal) story or anecdote. 

This style is used when the presentation doesn’t have any data or numbers that need to be explained. 

You can use this style to emphasize your point and to easily relay your goal to the audience. 

The storytelling style is great for the beginning of the presentation, as it is there to capture the audience’s attention. 

Formality level for the Storyteller style: Low

Since this style uses the speaker’s personal experiences and anecdotes to help the audience relate to the topic easily, the language used is conversational. There is no need for any excessive formality , and the speaker can address the audience in a friendly and familiar tone.

The Storyteller style characteristics

What characteristics should you be aware of when you want to utilize this style? 

The vocabulary that storytellers use is simple and conversational. Think about how you tell a story to your friends, colleagues, or family. Once you have that in mind, becoming a storyteller on stage won’t be a problem. 

Since the formality level is low, there is no need to overcomplicate things or to use synonyms for words that already have simpler and more known versions. 

Your story should have an introduction, where you will introduce the problem. Then, you can move into the main plot point that explains your topic. And finally, you should have a conclusion where you can circle back to the beginning and where you will untangle the web you cast and leave your audience with a final thought.

The pros of the Storyteller style 

Now let’s look at some of the pros of this style: 

• It’s easy to follow. 
• It illustrates your problem and solution in a creative way.
• It’s relatable and, therefore, more influential to the audience.

The cons of the Storyteller style 

Here are the cons of being the storyteller type: 

• A story that’s too long or not interesting enough can leave your audience bored. 
• Getting too caught up in the story can make your presentation longer than it should be.

Who is the Storyteller style best suitable for?

This style is great if you want to truly connect with your audience and have them feel as if you speak to them, rather than at them. Many people don’t like to be lectured, and if you are trying to make a point or a message stick out, try out the storytelling style.

Famous presenter with the Storyteller style

The storytelling style is preferred among TED talk speakers. 

But, when we think of storytelling, one particular speaker comes to mind — Nick Vujicic. He overcame great obstacles and has learned how to take what’s best from life. So now, when he tries to spread his message of endurance, he puts his trust into the storytelling style and lets his emotions and experiences speak to his audience. 

Quote by Nik Vujicic that embodies the Storyteller style

“ What really matters are the lives you touch along the way and how you finish your journey .” ― Nick Vujicic

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Style #2: The Instructor

The instructing style of presenting shares some traits of the storytelling style. It still uses the power of metaphors to get the message across to the audience. 

But, the difference is that the instructing style has more of a commanding voice . The instructor can carefully align the story and the data in a logical and compelling manner, leaving the audience convinced and educated.

Formality level for the Instructor style: Medium

A lot of politicians use the Instructor style when they are trying to influence a larger crowd. Since this style has a higher formality level than the storytelling one, it allows the speaker to use more serious vocabulary and address the audience as superior. 

The Instructor style characteristics:

The Instructor’s style is characterized by logic and command. As we mentioned, the speaker who is fond of the Instructor’s style needs to be able to handle the facts and connect with the audience. 

So, the main characteristics of this style would be: 

• More formal use of language, 
• Commanding voice, and  
• Persuasive nature.

The pros of the Instructor style 

Let’s take a look at some of the pros of this style: 

• It helps get a complicated message across. 
• It’s persuasive. 
• It’s fairly easy to use. 

The cons of the Instructor style 

Here are some of the cons to be aware of: 

• The speaker could be deemed distant or cold. 
• The audience can lose interest if the presentation is too focused on pure data. 

Who is the Instructor style best suitable for?

This style is great if the speaker has a complicated topic to discuss with a less knowledgeable audience. This style is used mainly for lectures and political speeches. 

Famous presenter with the Instructor style

A famous presenter with the Instructor style is none other than the former Vice President of the United States, Al Gore. He uses metaphors, data, his own personal experience, and even visuals to bring complex issues closer to a wide audience.

Quote by Al Gore that embodies the Instructor style

“ When you have the facts on your side, argue the facts. When you have the law on your side, argue the law. When you have neither, holler. ” — Al Gore

Style #3: The Closer style

The Closer style of presenting is a style that demands action from the audience . Presenters who opt for this style want their audience to not only learn something new but to get up from their seats with a newfound urge to make a change. 

This style is a personification of a call to action. The presentations made in this style are short, since the speaker has a goal in mind. They then use this style to convincingly reach said goal.

Formality level for the Closer style: Medium

This style is a great tool to connect with the audience. So, to make a connection between the speaker and the audience, the formality level drops. But instead of treating the audience as friends, the speaker simply talks to them. 

The Closer style characteristics

The Closer style is persuasive and somewhat commanding. People who are fond of the Closer style cut right to the chase and make their audience get to a decision. With this presentation style, there are no boring statistics or data. The key points are clear and delivered with a short and clear explanation.

The pros of the Closer style 

Here are some of the pros of the Closer style: 

• The presentation is short.
• The Closer is confident and knows how to deliver a point.
• The audience rarely gets bored with this style.

The cons of the Closer style 

Take a look at some of the cons of this style: 

• Some audiences aren’t ready to make a quick decision.
• Some audiences might feel that this style is too harsh or rash.

Who is the Closer style best suitable for? 

The Closer style is best to use when you need your audience to make a decision or to give them the urge to make things happen. 

This style is mainly used by CEOs and salesmen.

Famous presenter with the Closer style

Many presenters use this style, but the one that stands out the most is the philosopher Ruth Chang. She has delivered great presentations on how to make hard decisions. She keeps her presentations short, sweet, and straight to the point. 

Quote by Ruth Chang that embodies the Closer style

“A world full of only easy choices would enslave us to reasons.” — Ruth Chang

Style #4: The Connector style

The Connector style speaker is most comfortable engaging with the audience . Some could say that the storytelling style is very similar to the Connector in that sense. Both styles base their presentations on the connection with the audience. The difference here is that the Connector is both a presenter and a member of the audience — and they are comfortable in both roles. 

This style of presentation (as the name suggests) allows the speaker to connect to the audience, and therefore deliver the materials easier. One way that this style connects the speaker and the audience is through Q&A.

Formality level for the Connector: Low 

Since this style’s main purpose is to connect the speaker to the audience, the formality level is low. The speaker appears as one of the audience, even though they are on stage. To keep the audience engaged and get them to ask questions, the Connector treats the audience as friends and acquaintances. 

The Connector style characteristics

The user of this style needs to appear as if they are one of the members of the audience, but they just happen to be on the stage instead in a seat. One of the main characteristics that stand out for this style is the eagerness of the speaker to engage with the audience. When a speaker is a Connector, they will constantly ask questions and listen to the audience’s opinions.

The pros of the Connector style

Let’s take a look at the pros of this style: 

• The audience is engaged and encouraged to participate.
• The presentation flows at a relaxed pace.
• The audience feels connected to the subject.

The cons of the Connector style

• Audience might not be comfortable with asking questions.
• The presentation might be longer than planned. 
• Too many opinions will derail the presentation.

Who is the Connector style best suitable for?

The great thing about the Connector style is that it can be used in any presentation and any setting. Since the main goal of this style is to connect the speaker and the topic with the audience, there are no rules or limits as to where it can and where cannot be used.

Famous presenter with the Connector style

Padraig Hyland is a TED Talk speaker and a specialist in audience engagement, so it is only natural that he uses the Connector style. He has delivered countless speeches on how to be a great presenter and how to connect with any audience.

Quote by Padraig Hyland that embodies the Connector style

“ To successfully navigate the current disruption, organizations need to nourish their authentic leadership voice and create a new story that engages their people on the journey .” — Padraig Hyland

Style #5: The Coach style

What is a coach? In every sense of the word, a coach is a person who guides you, teaches you, and helps you achieve your goals. 

It is the same with the coaching style. The person who uses this style guides their audience with their own enthusiasm for the subject. The Coach style is mainly used in motivational speeches, as it allows the coaches to interact with the audience and share knowledge on a topic they feel passionate about.

Formality level for the Coach style: Medium

The Coach style serves as a guide . It gives the speaker freedom to use their knowledge and personal experience to drive the audience to feel the same passion about the subject as the speaker does. To achieve that level of familiarity with the audience, the formality level drops, and the speaker talks to the audience as a teacher and, well, as a coach would.

The Coach style characteristics

The Coach style allows the speaker to guide their audience from point A to point Z, through knowledge and passion, which makes the presentation interactive and informative. 

This style of presentation can be seen in motivational speeches, lectures, and speeches delivered by sports coaches. The main characteristic that follows this style is that it is delivered by enthusiastic speakers.

The pros of the Coach style 

Here are some of the pros of this style to look into: 

• It allows the speaker to connect to the audience through enthusiasm. 
• Presentations in this style are interactive and engaging. 
• It gives the audience step-by-step instructions on the topic.

The cons of the Coach style 

Let’s examine some of the cons: 

• The speaker’s passion can be overwhelming to the audience.
• The speaker can forget to ask for feedback . 

Who is the Coach style best suitable for?

The Coach style, since it serves as a guide, is commonly used by motivational speakers and in self-help presentations. 

They tend to choose this presentation style because it allows them to connect with the audience while still delivering a detailed step-by-step on the topic they are discussing.

Famous presenter with this style

There are a lot of motivational speakers today that are a fan of the Coach style, but the one that caught our attention is Mel Robbins. She is a lawyer and a motivational speaker that helps her audience to form healthy habits and attain discipline to achieve their goals.

Quote by Mel Robbins that embodies the Coach style

“ You have been assigned this mountain so you can show others that it can be moved .” — Mel Robbins

Style #6: The Lessig style

If you are in a time crunch, but you have a lot of material to cover, then the Lessig style is the perfect style for you. 

The Lessig style was invented by Lawrence Lessig, and it states that a speaker should spend only 15 seconds on each slide or point during a presentation . This style usually agrees very well with the visual style. 

Since not all presentations have slides, this style cannot be used with any type of presentation. However, if you have too many slides and too many points to make, then the Lessig style can help you use your time slot well.

Formality level for the Lessig style: Depends

The Lessig style is not a style of speaking per se, but a style for presentation time management . So, the formality of the language you use will be up to you and your topic. You can decrease or increase the formality level and the Lessig style would still be the same.

The Lessig style characteristics

The main characteristic of this style is that it includes slides or at least some visual aid. 

This style is also the one that is not concerned with your verbal cues and style of speaking. If you choose to try out this style you can combine it with any of the styles we previously mentioned.

The pros of the Lessig style 

Here are the pros of this style: 

• It’s easy to use. 
• It helps you keep track. 
• It saves time.

The cons of the Lessig style

Here are some of the cons of this style: 

• It is not applicable to presentations without slides. 
• Sometimes the suggested 15-second rule isn’t enough. 
• The presentation may feel rushed or unfinished.

Who is the Lessig style best suitable for?

The Lessig style bases its rules on slides and visual aids, so it’s best suitable for presentations that consist of slides. The topics for this style are endless, and it is up to the speaker to see where this style works best in their presentation.

The most logical choice is, of course, the founder of this style — Lawrence Lessig, a lawyer and a political activist. 

Quote by Lawrence Lessig that embodies the Lessig style

“ Technology means you can now do amazing things easily .” — Lawrence Lessig

Style #7: The Visual style

Presentations can be all about the slides, data, or videos, and there are also powerful presentations that are delivered with only the speaker on the stage. But, technology is not something to shy away from . There are great advantages to using technology and feeding your audience with visuals that will support your claims. As they say, a picture is worth a thousand words. 

Formality level for the Visual style: Depends

The formality of this style doesn’t depend on the visuals used, but on the speaker and the topic. The great thing about the visual style is that it can be used with almost any topic and type of data. So, when using this style of presentation, you can choose the level of formality you feel comfortable with.

The Visual style characteristics

The Visual presentation style’s main characteristics are the visuals, as the name suggests. The visuals can be anything from a picture, video, or creatively shown data and statistics. 

This style can be used together with any other style that we mentioned, as long as you add some pictures or other visual elements.

The pros of the Visual style 

Here are the pros of the Visual style: 

• Visuals help the audience understand the presentation better — sometimes, they can illustrate your point better than your own words. 
• Visuals can help you move your presentation forward. 

The cons of the Visual style 

Here are some of the cons of the Visual style: 

• Overusing visuals in your presentation can take focus away from you. 
• Visuals can be redundant. 

Who is the Visual style best suitable for?

If you are creative enough or confident enough to not let the glamor of visuals take over your spotlight, you can incorporate visuals into any workplace presentation. Visuals can be helpful almost everywhere, and they can aid your audience if the topic is too complicated for them to follow.

Famous presenter with the Visual style

One of the best visual presenters is Steve Jobs. He was one of the founders of Apple, and every year he used to give a great visual presentation or a rundown of Apple’s new product releases.

Quote by Steve Jobs that embodies the Visual style

“ For you to sleep well at night, the aesthetic, the quality, has to be carried all the way through .” — Steve Jobs

How to determine which presentation style to use?

If you are wondering which style to use, first you need to ask yourself what kind of audience will be attending your presentation . Once you have an idea of who you will be talking to, you can start to think about your presentation style. 

Also, you need to know what is the purpose of your presentation and what you wish to achieve. 

Beyond that, try out different styles until you find the one you are comfortable with.

Collaborate easily with Pumble — Even when creating presentations

If you’re working on a presentation with your colleagues — no matter what type of a presentation it might be — you’ll probably find yourself in need of an efficient communication tool. 

Luckily, Pumble, a team communication app , makes your collaboration more simple and efficient, while keeping communication lines open at all times. 

Here are all the ways Pumble can help you create various types of presentations:

• Thanks to the voice call feature, you can stay connected to your colleagues while you work together on the presentation. 
• If there is a problem you have to address , you can always give them a quick video call and share your screen with them so you can brainstorm or problem-solve together. 
• If you need a second (or third, fourth, etc.) opinion , you can always ask for it on some of the Pumble channels . 
• If you have to provide further explanations or continue the discussion without cramming the channel space, you can continue your conversation in threads or reach out to particular colleagues via direct messages .   

Finally, one of the best things about Pumble is that you can never lose important information or shared files because it has unlimited history . 

Jana Pavlovic is a communication author and researcher. She enjoys educating herself and others on various team collaboration and technology topics. She found that working from home in a hybrid-type company is her perfect combination for work-life balance, and she’s eager to share her new-found knowledge with you.

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How to make a great presentation

Stressed about an upcoming presentation? These talks are full of helpful tips on how to get up in front of an audience and make a lasting impression.

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How to Make a Successful Research Presentation

Turning a research paper into a visual presentation is difficult; there are pitfalls, and navigating the path to a brief, informative presentation takes time and practice. As a TA for  GEO/WRI 201: Methods in Data Analysis & Scientific Writing this past fall, I saw how this process works from an instructor’s standpoint. I’ve presented my own research before, but helping others present theirs taught me a bit more about the process. Here are some tips I learned that may help you with your next research presentation:

More is more

In general, your presentation will always benefit from more practice, more feedback, and more revision. By practicing in front of friends, you can get comfortable with presenting your work while receiving feedback. It is hard to know how to revise your presentation if you never practice. If you are presenting to a general audience, getting feedback from someone outside of your discipline is crucial. Terms and ideas that seem intuitive to you may be completely foreign to someone else, and your well-crafted presentation could fall flat.

Less is more

Limit the scope of your presentation, the number of slides, and the text on each slide. In my experience, text works well for organizing slides, orienting the audience to key terms, and annotating important figures–not for explaining complex ideas. Having fewer slides is usually better as well. In general, about one slide per minute of presentation is an appropriate budget. Too many slides is usually a sign that your topic is too broad.

Limit the scope of your presentation

Don’t present your paper. Presentations are usually around 10 min long. You will not have time to explain all of the research you did in a semester (or a year!) in such a short span of time. Instead, focus on the highlight(s). Identify a single compelling research question which your work addressed, and craft a succinct but complete narrative around it.

You will not have time to explain all of the research you did. Instead, focus on the highlights. Identify a single compelling research question which your work addressed, and craft a succinct but complete narrative around it.

Craft a compelling research narrative

After identifying the focused research question, walk your audience through your research as if it were a story. Presentations with strong narrative arcs are clear, captivating, and compelling.

• Introduction (exposition — rising action)

Orient the audience and draw them in by demonstrating the relevance and importance of your research story with strong global motive. Provide them with the necessary vocabulary and background knowledge to understand the plot of your story. Introduce the key studies (characters) relevant in your story and build tension and conflict with scholarly and data motive. By the end of your introduction, your audience should clearly understand your research question and be dying to know how you resolve the tension built through motive.

• Methods (rising action)

The methods section should transition smoothly and logically from the introduction. Beware of presenting your methods in a boring, arc-killing, ‘this is what I did.’ Focus on the details that set your story apart from the stories other people have already told. Keep the audience interested by clearly motivating your decisions based on your original research question or the tension built in your introduction.

• Results (climax)

Less is usually more here. Only present results which are clearly related to the focused research question you are presenting. Make sure you explain the results clearly so that your audience understands what your research found. This is the peak of tension in your narrative arc, so don’t undercut it by quickly clicking through to your discussion.

• Discussion (falling action)

By now your audience should be dying for a satisfying resolution. Here is where you contextualize your results and begin resolving the tension between past research. Be thorough. If you have too many conflicts left unresolved, or you don’t have enough time to present all of the resolutions, you probably need to further narrow the scope of your presentation.

• Conclusion (denouement)

Return back to your initial research question and motive, resolving any final conflicts and tying up loose ends. Leave the audience with a clear resolution of your focus research question, and use unresolved tension to set up potential sequels (i.e. further research).

Use your medium to enhance the narrative

Visual presentations should be dominated by clear, intentional graphics. Subtle animation in key moments (usually during the results or discussion) can add drama to the narrative arc and make conflict resolutions more satisfying. You are narrating a story written in images, videos, cartoons, and graphs. While your paper is mostly text, with graphics to highlight crucial points, your slides should be the opposite. Adapting to the new medium may require you to create or acquire far more graphics than you included in your paper, but it is necessary to create an engaging presentation.

The most important thing you can do for your presentation is to practice and revise. Bother your friends, your roommates, TAs–anybody who will sit down and listen to your work. Beyond that, think about presentations you have found compelling and try to incorporate some of those elements into your own. Remember you want your work to be comprehensible; you aren’t creating experts in 10 minutes. Above all, try to stay passionate about what you did and why. You put the time in, so show your audience that it’s worth it.

For more insight into research presentations, check out these past PCUR posts written by Emma and Ellie .

— Alec Getraer, Natural Sciences Correspondent

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The role of intervention timing and treatment modality in visual recovery following pituitary apoplexy: a systematic review and meta-analysis

• Open access
• Published: 06 November 2024

Cite this article

You have full access to this open access article

• Nolan J. Brown 1 ,
• Saarang Patel 1 ,
• Julian Gendreau 2 &
• Mickey E. Abraham 3  

Introduction

Pituitary apoplexy has historically been considered an emergent condition that necessitates surgical intervention when there is acute symptomatic onset. This potentially serious condition often occurs in the setting of an underlying adenoma, cystic lesion, or other sellar mass. When these mass lesions hemorrhage within the confined space of the sella turcica, the pituitary gland is subjected to hemorrhagic ischemia. Furthermore, critical neurovasculature in close proximity to the sella can sustain collateral damage. In the present study, we investigate whether early versus delayed surgical intervention (in terms of three timelines: before versus after 48 h, 72 h, and 7 days, respectively) results in differences in visual outcomes for patients experiencing pituitary apoplexy with acute onset neurological and/or neuro-opthalmic symptoms. Furthermore, we compare the efficacy of surgical decompression versus expectant management of this condition.

Accordingly, we queried the PubMed, Scopus, and Embase databases in adherence to PRISMA guidelines. Quantitative meta-analysis was performed according to the Mantel–Haenszel method and forest plots were generated using Review Manager v5.4. P -values < 0.05 were defined as the threshold for statistical significance.

Twenty-nine studies remained eligible for review following initial search and screen, including 16 studies describing the role of intervention timing and 15 studies comparing intervention modality. Most patients presented with a visual deficit, and all patients underwent surgery – most commonly via the endoscopic endonasal (EEA) approach. Two hundred and twenty patients were included in the sub-analysis for the 7-day cutoff point. Furthermore, 81 patients underwent surgical decompression of the sella prior to 48 h, and 32 patients underwent surgical decompression between 48–72 h following presentation. Almost all patients exhibited improved vision post-decompression, including 19/19 patients (100%) in the post-72-h cohort. On meta-analysis using the Mantel–Haenszel method, there was a significant difference in vision outcomes in favor of patients who underwent surgical decompression before 7 days as compared to after seven days (OR 5.88, 95% CI [1.77, 19.60], I 2  = 0%, p  < 0.01). In a separate sub-analysis, there was a total of 288 patients across 15 studies comparing surgical versus conservative management of pituitary apoplexy. These management options proved equivocal on meta-analysis ( p  > 0.05).

In the present study, timing of surgical intervention for pituitary apoplexy was predictive of visual function recovery only at the 7-day timepoint, as has been reported by previous studies. Ultimately, this suggests that pituitary apoplexy involving severe visual deficits or altered mental status is best addressed within the first seven days post-presentation, and that both surgery and conservative management can offer similar outcomes. When apoplexy is suspected, IV corticosteroids should be administered independent of acuity or severity to prevent secondary adrenal crisis. Subsequently, for patients presenting without severe visual or other neurological deficits, expectant management is recommended. Management should be patient-specific and dependent upon the severity of symptoms present at onset.

Avoid common mistakes on your manuscript.

Pituitary apoplexy (PA) is a serious condition resulting from hemorrhage or infarction of a mass lesion within the pituitary gland [ 1 ]. In select cases, apoplexy leads to infarction and merits urgent medical resuscitation (e.g., IV corticosteroid replacement therapy) followed by surgical decompression [ 1 ]. Signs of meningismus or altered mental status may conflate varying causes of a vague clinical picture and potentially delay diagnosis [ 2 ]. The etiology of PA involves sudden expansion of a hemorrhagic mass within the sella turcica, with the mass typically being a non-functioning pituitary macroadenoma, but sometimes involving a normal pituitary gland or other mass lesion [ 3 ]. In patients with adenomatous lesions, the incidence of apoplexy is approximately 13% [ 3 , 4 ].

With respect to evaluation, CT or MRI will reveal a hemorrhagic mass within the sella turcica or parasellar region that frequently distorts the anterior wall of the 3rd ventricle [ 2 ]. MRI is useful for detecting fresh bleeding, and DWI can show increased signal intensity representative of ischemic tissue – including the smallest of infarcts – within minutes of the apoplectic event (by comparison, T1 and T2 sequences may not demonstrate infarct until > 6 h post-apoplexy). Furthermore, CTA can also be useful for surgical planning to aid in delineation of surrounding vascular structures during surgical planning for macroadenomas. It is important to note that cerebral angiography has also been described as a precipitant of PA, and is not standard of care for diagnosis. Once a diagnosis of PA is confirmed, first line treatment for acutely symptomatic patients consists of rapid administration of IV corticosteroids and surgical decompression. Furthermore, steroids should be administered independent of the level of acuity or severity for any patient exhibiting neurologic deficits in whom apoplexy is suspected.

As an alternative to medical resuscitation + surgery, some have reported Level III evidence suggesting that medical management alone is suitable for all severities of PA and that most patients with PA do not require emergent surgical intervention [ 4 , 5 ]. Regardless, a majority of studies suggest that surgical decompression will eventually be needed for patients with severe neuro-opthalmic deficits [ 6 , 7 , 8 ]. Surgical decompression is normally performed through the transsphenoidal EEA approach, which enables facile resection of the hemorrhagic tumor or cyst [ 2 ]. Interestingly, optimal timing of surgical intervention for pituitary apoplexy remains an unsettled matter of debate [ 9 ]. In most cases, surgery within seven days of onset is recommended, yet others recommend operation within the first 48–72 h. Further investigation of optimal timing therefore seems warranted. To this end, we performed a systematic review of the literature to shed light on optimal timing of surgical intervention for pituitary apoplexy [ 5 , 6 ]. Additionally, we compared visual outcomes by assessing functional recovery by type of intervention (surgical versus conservative).

Search strategy

A comprehensive search of the PubMed, Scopus, and Embase databases was performed on August 16th, 2023 in accordance with PRISMA guidelines to identify 1) all primary literature (including prospective trials, retrospective cohort studies, and case series) assessing 2) timing of surgical intervention for PA or 3) comparing surgical versus conservative treatment modalities. Each database was queried using the following Boolean search term: (pituitary apoplexy) AND (surgery OR intervention OR vision).

Selection criteria

Studies were selected for inclusion if they: 1) presented data regarding timing of surgical intervention for PA and the role timing and intervention modality may have played in outcomes of treatment, including 2) rates of resolution of neuro-ophthalmologic symptoms and postoperative visual function recovery rates. Furthermore, studies were included if they 3) presented primary data in the form of prospective or retrospective cohort studies or multi-institutional experiences with pituitary apoplexy. Studies were excluded if they did not present primary data or were not available in full text in English or a suitable translation (Tables 1 and 2 ).

Study selection process

Search results were screened against title and abstract by two reviewers. Points of disagreement were resolved by consultation with a third author serving as arbitrator until consensus was reached. Full texts were then screened to determine suitability for inclusion in the final review. The references of all included studies were examined to identify additional studies that may have been missed during initial screening for inclusion.

Data extraction

Using standardized pro-forma, the following variables were extracted from each study: author and year of publication, study sample size, mean age, gender, timing of intervention relative to the onset of PA, visual acuity and/or field deficits, and ophthalmoplegia. The primary outcome of interest was visual recovery as measured by subjective postoperative patient symptomatology (improvement versus lack of improvement) and/or quantifiable measure of visual acuity via improved versus non-improved Snellen chart examination. Secondarily, we surveyed the literature in order to gather information regarding our second outcome of interest: visual recovery following conservative versus surgical management of PA.

Data extraction and statistical analysis

Descriptive statistics were performed using Microsoft Excel 2019 (Redmond, WA, USA). Baseline characteristics along with outcomes of interest are presented as mean ± standard deviation for continuous outcomes, and counts and proportions for dichotomous, ordinal, and categorical variables. Quantitative meta-analysis was performed according to the Mantel–Haenszel method using Review Manager v5.4 (Nordic Cochrane Centre, Cochrane Collaboration, Copenhagen, Denmark). Comparisons made included pre- to post-operative changes in vision outcomes as stratified by timing (i.e., post-operative day (POD) 7 versus < POD 7). Additionally, surgical outcomes were compared to those obtained when conservative management was pursued. Odds ratios (ORs) and pooled 95% confidence intervals (CIs) were calculated to assess for the effect size of timing of surgical interventions and intervention modalities on primary outcomes. Results were presented as forest plots, representing ORs, relative weights, and 95% CIs. Heterogeneity across studies was evaluated using the Chi-square, I 2 and τ 2 tests. When I 2  ≥ 50%, indicating substantial heterogeneity, a random-effects model was used. Alternatively, when I 2  < 50%, indicating relatively less heterogeneity across studies, a fixed-effects model was used. Throughout all analyses, p  < 0.05 was defined as the threshold for statistical significance. Review Manager provided funnel plots specific to each outcome as a representation of the risk of bias and the relationship between cohort size and effect size.

Study selection and characteristics of included studies

Of 294 unique search results, 44 studies focused on the timing of intervention for PA and met criteria for inclusion in full-text review (Fig.  1 ) [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. After strict application of pre-defined inclusion and exclusion criteria, 29 studies remained eligible for review of vision outcomes follow pituitary apoplexy. Sixteen studies reported results with a focus on timing of surgical intervention, while 15 studies compared conservative versus surgical management of PA (two of the 29 studies were included in both sub-analyses). The most common reasons for exclusion were failure to report an overall rate for improvement in visual function [in other words, a total for all types of visual deficits combined] ( n  = 7), unclear delineation between intervention timepoints for each patient ( n  = 6), and failure to report the age and sex composition of the cohort ( n  = 4). The most common nations represented among the authors of these 29 studies included the UK ( n  = 8), USA ( n  = 4), and Korea ( n  = 4). The overall quality and risk of bias of included studies, according to the Newcastle–Ottawa Scale, was moderate.

PRISMA flow diagram detailing study selection process

Patient demographics and interventions assessed: timing of surgical intervention

There was a total of 322 patients across the 16 [ 9 , 10 , 11 , 12 , 14 , 15 , 16 , 17 , 18 , 20 , 38 , 39 , 40 , 41 , 42 ] studies included in the analysis of outcomes by timing of surgical intervention. With respect to sex, 83.6% ( n  = 269) of patients identified as male. The average ages of the patients included in the overall cohort ranged from 41 – 58.6 years (range: 10 – 90). Across all studies, most patients (range – min, max: 56%—100%) presented with a visual deficit. All patients in the cohort underwent surgical intervention for pituitary apoplexy, most commonly via the endoscopic endonasal approach (EEA), and those who underwent conservative management were excluded from this analysis. Surgical intervention was compared before versus after the 7-day timepoint in 12 studies, while other intervention timepoints of interest included 48 h and 72 h, in three studies and one study, respectively.

Comparative assessment of interventions by timing

Across all studies, a majority ( n  = 274, 91.9%) of patients for whom preoperative visual status was reported presented with preoperative visual field deficits. There was no significant difference in baseline visual function deficits between patients who underwent surgery prior to versus after 7 days. The cohort comprising the comparison for the 7-day timepoint was the largest of the three comparison cohorts (220 patients) included in the present study. Furthermore, 28 patients underwent surgical decompression of the sella prior to 48 h and an additional 28 patients underwent decompression post-48 h (across the three studies focused on the 48-h timepoint). Finally, Rutkowski’s 2017 study was the only to assess outcomes prior to versus after intervention at the 72 h timepoint. Almost all patients in this study exhibited improved vision post-decompression, including 19/19 (100%) in the post-72-h cohort. Only one patient experienced worsened vision function 12/13 (92%), and this patient underwent surgery prior to 72 h.

On meta-analysis using the Mantel–Haenszel method, there was a significant difference (Fig.  2 ) in “absence of visual decline”, meaning stabilization or improvement of visual function pre-intervention, between patients who underwent surgical decompression before 7 days as compared to after seven days (OR 5.87, 95% CI [2.00, 17.27], I 2  = 0%, p  = 0.001). However, this trend was not noted for the studies investigating the 48-h ( p  = 0.28) or 72-h ( p  = 0.36) intervention timepoints.

Forest plot demonstrating rates of improvement versus stabilization/decline in visual function following PA prior to versus after each designated time point. Values are represented as OR and 95% confidence intervals. The overall I. 2  = 31% across all studies indicates homogeneity and minimal heterogeneity. The overall effect of timing of intervention appears to be insignificant, as noted by p  > 0.05

Patient demographics among studies comparing conservative and surgical interventions

There was a total of 288 patients across the 15 [ 4 , 5 , 8 , 11 , 17 , 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 43 ] studies comparing surgical versus conservative management of pituitary apoplexy. The average ages of the patients included in studies featured in this sub-analysis ranged from 34 – 68 years.

Comparative assessment of interventions by type (conservative versus surgical)

Overall odds for recovery of visual deficits were comparable between conservative and surgical treatment cohorts across all studies and deficit categories reported. For example, although the OR for recovery from ophthalmoplegia and/or cranial nerve palsy was 0.91 [0.36, 2.31] for the surgical relative to conservative group (Fig.  3 ), this result was not statistically significant ( p  = 0.84). As I 2  = 18%, heterogeneity across studies appears to have been low and is less likely to have influenced results. Similarly, results were equivocal with respect to recovery of visual field (OR 0.66 [0.36, 1.21], I 2  = 2%, p  = 0.18) and visual acuity (OR 0.63 [0.26,1.51], I 2  = 0%, p  = 0.30) for patients who underwent surgical intervention versus conservative treatment (Figs.  4 and 5 ).

Forest plot demonstrates rates of ophthalmoplegia observed in conservative versus surgical management of pituitary apoplexy

Forest plot demonstrating rates of visual field deficits observed in conservative versus surgical management of pituitary apoplexy

Forest plot demonstrating rates of “good” visual acuity obtained following conservative versus surgical management of pituitary apoplexy

In the present study, timing of intervention for acute, severe, symptomatic pituitary apoplexy was found to be predictive of visual function recovery at only the 7-day timepoint, as has been reported by previous studies [ 18 , 44 , 45 ]. However, no significant difference in post-operative visual outcomes was found when comparing interventions performed prior to versus after the 48 h or 72 h timepoints. Ultimately, this suggests that no further optimization of outcomes is obtained by taking PA patients to surgery “as soon as possible”. Nonetheless, drawing upon multiple studies that have been published over recent decades, operating within the first week does appear to afford superior vision outcomes when compared to “late” interventions (operating at > 7 days beyond the onset of apoplexy).

Furthermore, surgical decompression and conservative management appear to be effective treatments for pituitary apoplexy. Neither demonstrates superiority when assessing for ophthalmoplegia or cranial nerve deficits, visual field testing, or visual acuity [ 45 ]. Previously, reports have suggested that initiating conservative management is indicated when symptoms are mild at onset, but that severe visual deficits warrant emergent surgical decompression of the pituitary gland [ 11 , 28 ]. Thus, both interventions can be effective when selected on a patient-to-patient basis. Ultimately, this is consistent with the results of the present meta-analysis. Nonetheless, since the 1970s, reports have described spontaneous recovery and remission of hyperpituitarism in PA, citing conservative management as instrumental to the successful outcomes obtained [ 21 , 46 , 47 ]. Eventually, this practice ascended to become the first-line treatment for severe PA at multiple pituitary centers worldwide [ 45 ]. Simultaneously, others have argued that surgical intervention should be automatically performed for patients demonstrating any acute onset neurological deficits [ 45 ].

Ultimately, the present analysis confirms that the standard-of-care management of PA has shifted over the decades from “surgical emergency” (take to OR immediately) to surgically urgent (< 48 h) to the present trend in care: surgery within 7 days or treatment with conservative management in patients with mild deficits. At present, the precise timing of surgery appears to be surgeon specific and training-dependent. In other words, preferences may be experience-dependent as well as based on the acuity and severity of symptoms, tumor size, histopathology, and secretory function of the tumor. All things considered, the present manuscript is intended to provide guidance for the subacute management of patients who develop this condition, as most cases will likely lie somewhere between clearly emergent (meriting immediate surgery) and non-emergent apoplexy.

Perspectives on management of pituitary apoplexy over the decades

Clearly, management continues to represent an ongoing source of debate, and thus some skull base surgeons have taken a midline stance, choosing to tailor their approach to the specific patient. For example, some reserve surgery for patients with acute vision loss or other neurological deficits and manage patients with mild symptoms conservatively [ 45 ]. Even when these patients are treated conservatively, elective pituitary surgery remains an option for them down the line. Though simple in concept, implementing this treatment paradigm in reality is nuanced and not always straightforward. Most PA patients typically present somewhere along a spectrum ranging between the two categories: 1) mild, benign and 2) acute, emergent. As a result, many patients experiencing apoplexy contain hemorrhagic pituitary lesions that can be managed conservatively. However, some might argue that these patients should be taken to surgery [ 45 ].

To facilitate clinical decision-making, it can be helpful to reference a pituitary apoplexy grading scale. One such example is the Pituitary Apoplexy Score (PAS), which has previously been validated by Bujawansa and colleagues [ 28 ]. The PAS assigns points for diminished level of consciousness (GCS 15 = 0, GCS 2–7 = 4), visual acuity (normal = 0, reduced-unilateral = 1, reduced-bilateral = 2), visual field deficits (similar to visual acuity scoring), and ocular paresis (scored from 0–2 in a manner similar to visual acuity and visual field) [ 45 ]. One issue with this scale is that it does not necessarily provide precise quantification of deficits in mild forms of PA; as such, Jho and colleagues designed a modified Pituitary Apoplexy Grading System that simplifies grading into a scale ranging from 1–5. A score of “1” corresponds to absence of symptoms, while a score of “2” designates endocrinopathy only. Any visual acuity loss or visual field deficit is automatically assigned a score of 5, as is any patient presenting with a GCS too low for testing. The benefit of the Pituitary Apoplexy Grading System is that it is more sensitive for detection of mild symptomatology and enables a more straightforward indication-based assessment of visual function and overall neurologic status.

United Kingdom guidelines for the management of pituitary apoplexy [ 48 ]

Currently, one of the most referenced guidelines for the treatment of PA are the U.K. guidelines developed by Wass and colleagues of the University of Oxford’s Churchill Hospital [ 48 ]. As stated within the guidelines, PA is a rare emergency most often associated with clinically nonfunctioning macroadenoma [ 11 , 49 ]. Greater than three-quarters of the time, it is the first indication that a patient has an underlying, nonfunctioning pituitary macroadenoma. The condition is associated with a slight male predominance of approximately 1.6:1, and indeed the majority of patients in the current study were male [ 50 , 51 ].

Because PA is often acute in onset and the first sign of an underlying pituitary lesion, diagnosis and intervention must proceed in a timely manner, but the reality is that the clinical picture can be conflated by uncertainty. For example, initial management is often dependent on the health care setting patients initially present to. In various settings, access to subspecialty opinions from endocrine, neurosurgical, and ophthalmologic providers may not be readily available [ 48 ]. When taken together with the fact that early versus late surgical decompression for PA is a topic of great debate, the waters surrounding optimal management of PA remain murky. It is thus not entirely clear which approach is the best for minimizing morbidity and mortality.

The underlying etiologies of the visual deficits associated with pituitary apoplexy – aside from optic nerve compression – are similar to deficits observed in cavernous sinus syndrome. Deficits are the result of sudden hemorrhage that results in rapid accumulation of blood in the confined space of the sella turcica and cavernous sinus, explaining why emergent alleviation of rapid bleeds is referred to as surgical decompression of the pituitary and its surrounding structures.

Type of surgical intervention

Compression of cranial nerves III and VI can result in ophthalmoplegia, an extraocular muscle palsy that has been reported in 70% of cases of pituitary apoplexy [ 52 , 53 ]. Of the cranial nerve palsies observed in apoplexy, CN III palsy is in fact the most common and represents approximately half [ 49 ]. When mass effect is exerted upon the optic chiasm, bitemporal hemianopsia will be a presenting sign/symptom – reported in approximately 75% of pituitary apoplexy patients with visual dysfunction [ 41 ]. Prior literature suggests that patients with mild visual deficits are candidates for conservative treatment and that ophthalmoplegia will resolve without surgical intervention in these cases [ 54 ]. Nonetheless, exceptions to this rule can arise and this is only reasonable management for patients with an overall clinical presentation that can be considered mild [ 24 ].

When permissible, conservative treatment is preferred because surgical decompression is associated with risks of any surgical procedure involving the pituitary gland: endocrinopathy, hemorrhage, CSF leak, and death [ 11 ]. Performing surgery for pituitary apoplexy is indicated when significant cranial nerve and/or ophthalmologic defects are detected on exam or the patient presents in or deteriorates into a low state of consciousness/mental status (indicating significant mass effect or elevated ICP). Altogether, our analysis suggests that, among studies claiming to adhere to treatment protocols along these lines, outcomes are roughly equivocal following conservative management and surgery. Both can be effective when patient selection is performed carefully and dictated by the results of a thorough, meticulous neurological examination and subsequent documentation of any deviations from the baseline exam [ 38 ].

Timing of surgical intervention

Of course, management of pituitary apoplexy is not quite this simple: seeing this through is easier said than done, no single patient is alike, and like most pathologies of the CNS, management can be nuanced, and gray areas do exist. As previously mentioned, the seven-day window is generally considered the ideal timeframe within which to operate, and this recommendation is supported by the U.K. guidelines [ 48 ]. Despite this being a commonly respected recommendation, previous studies have found that visual field and acuity outcomes before and after the seven-day timepoint are comparable; however, this does not appear to be the case for patients with preoperative ophthalmoplegia. In fact, these patients experience ocular palsy recovery rates of roughly 30%-60%, far lower than ocular functional recovery rates observed when ophthalmoplegia is absent (70%-90%) [ 13 , 24 , 28 ]. This suggests that ophthalmoplegia is a sign indicating that more urgent surgical intervention is warranted.

Regardless of timing, it is essential that fluid resuscitation and possibly corticosteroids be administered in any severe presentation that is slated to undergo surgery [ 53 ]. PA patients should be stabilized through monitoring of electrolyte levels and managing pituitary hormone imbalances (such as administering hydrocortisone to prevent circulatory collapse) [ 8 ]. Furthermore, the PAS grading system has emerged as a useful tool that can help neurosurgeons decide whether to intervene operatively (after the patient is stabilized). The PAS, introduced by Reddy and colleagues, offers a method for deriving a calculated measure of the severity of a given PA presentation, and several retrospective studies have suggested that it is useful in predicting whether conservative versus surgical management should be pursued [ 28 , 55 , 56 ]. Further investigations are merited so that the validity of this tool can be verified for clinical application.

Recent updates regarding treatment of pituitary apoplexy

In 2021, Shepard and colleagues received attention after publishing their single-center retrospective study on clinical and radiologic outcomes of pituitary apoplexy by management strategy (conservative versus early surgical intervention) [ 7 ]. The authors reported that most PA cases can be successfully managed with conservative treatment, particularly when patients present with minimal visual defects such as incomplete bilateral temporal hemianopia or partial cranial neuropathy). However, as pointed out by Wang and colleagues, early surgery was not categorized on the basis of what would typically be defined as “early” (< 48 h) [ 57 ]. Instead, the authors defined early surgery as surgery within 1 week of PA diagnosis. The study’s findings, that surgery should be performed within 1 week for patients with severe visual field deficits and ocular palsies, are therefore consistent with recommendations offered in the literature. With respect to the surgery versus conservative treatment debate, patients who underwent surgery in Shepard’s study had larger PA volumes and tumor diameters, on average, than patients in the conservative group. Coupled with the finding that patients in the early surgical group had larger tumors on average, Shepard reported that patients with deteriorating vision and/or severe visual impairment were more likely to undergo early surgery [ 7 ]. The difficulty in interpreting these results is that it is difficult to capture what role initial presentation had in ultimate prognosis. In other words, were ultimate outcomes influenced more by severity of presentation or the course of treatment pursued (surgical versus conservative)? In response to this question, Shepard and Jane Jr. acknowledged that management of PA remains a highly controversial topic. Furthermore, they reiterated that their series was meant to illustrate their institutional practice for management of patients with PA: conservative treatment with high-dose steroids and close neurologic/ophthalmologic monitoring, and that their goal was to supply evidence indicating that successful outcomes can be obtained through conservative management of PA, indicating that it is not universally a condition that merits emergency surgery [ 7 , 58 ]. Furthermore, Shepard and Jane Jr. emphasized that all patients with normal visual function were managed conservatively, and that there were no cases of visual function decline in these patients. Of patients in whom conservative management failed, only three had transient decline in visual function that improved following surgery. By contrast, all patients who underwent early surgery for visual acuity or field deficits (or ophthalmoplegia) in the setting of PA experienced subsequent visual decline. Though their outcomes were worse, Shepard and Jane Jr. argue that this is because early surgery should be reserved for the most severe cases of PA; the cases that by default will exhibit more advanced deficits post-intervention (as this is further proof of the urgent and/or emergent nature of their presentation). Otherwise, Shepard and Jane Jr. suggest that conservative management is effective for non-severe cases of apoplexy and that the challenge that has hindered the development of one standard guideline for treatment of PA is that apoplexy is a spectrum of diseases as opposed to a single clinical entity. Finally, they acknowledge that early surgery may be reserved for select cases in which patients present with severe visual acuity loss or visual field defects, but that the majority of cases can be managed conservatively. When surgical intervention is indicated, there is no evidence that performing surgery < 48 h following apoplexy provides any advantage over intervening < 1 week after onset. Accordingly, multiple reports within the current literature consider any surgery performed within 1 week as “early” surgical intervention [ 7 ].

Finally, another relevant question that has emerged is whether or not outcomes differ depending on whether or not the pituitary tumor is a functioning or non-functioning adenoma. At present, the literature indicates that there is little to no difference in outcomes between patients experiencing apoplexy who harbor functioning adenomas as compared to those who have underlying non-functioning adenomas [ 59 ]. Of course, the vast majority of patients with apoplexy secondary to pituitary macroadenoma experience apoplexy as the first sign of their underlying pituitary mass. If not for the apoplexy, the pituitary lesion would continue growing in an asymptomatic manner until becoming symptomatic due to mass effect. Because non-functioning pituitary adenomas are non-secretory and therefore do not directly cause hormonal imbalances or systemic side effects (hyperprolactinemia, acromegaly, Cushing’s disease, etc.), they can grow insidiously until they become quite large. Oftentimes, their clinically silent nature means that they will grow until apoplexy occurs as the first sign of their presence. By this time, they are often > 10 mm in diameter, and this explains why patients experiencing pituitary apoplexy most commonly harbor non-functioning pituitary macroadenomas. Nonetheless, although far less common, it is possible for apoplexy to occur in the setting of functioning pituitary macro- and microadenomas. Although these lesions technically possess active secretory endocrine activity, they usually do not manifest with noticeable symptoms or hormonal side effects prior to apoplexy; when apoplexy occurs in the setting of a functioning pituitary adenoma it is often the first presenting sign, just as is the case for nonfunctioning adenomas. According to Nakhleh and colleagues, no differences in endocrine or neuro-opthalmic outcomes were observed between patients with functioning and nonfunctioning adenomas by final follow-up in their retrospective study spanning over two decades [ 59 ]. Just as clinical course did not vary by adenoma subtype, consistent results were obtained for patients who underwent conservative and surgical management [ 59 ].

Limitations

We acknowledge several limitations to the present study. First and foremost, its retrospective nature as a study featuring heterogeneous data makes it difficult to rule out potential sources of bias. Therefore, the results would benefit from validation through large, multi-institutional randomized controlled trials or registry database studies to investigate the influence of intervention timing and modality on both visual and non-visual clinical outcomes.

Additionally, the analysis was unable to determine specific recovery rates based on the type of visual deficit due to the heterogeneity in the manner by which visual deficits were reported. Unfortunately, subgroup analyses of visual recovery based on the type of presenting visual deficit could not be conducted. Visual recovery was mainly assessed qualitatively, relying on subjective patient-reported improvement in vision as the primary outcome measure. Future investigations should include objective ophthalmologic testing methods such as optical coherence tomography (OCT) and perimetry to quantify improvements in visual deficits before and after surgical intervention. Positive-publication bias is another potential concern, as published data may be more likely to report positive outcomes rather than negative ones in relation to postoperative vision changes. This bias could artificially inflate the reported visual recovery rates. Future prospective or registry studies should aim to evaluate the effects of timing of surgical decompression on clinical outcomes in patients with pituitary apoplexy. Finally, it is unclear whether the population of patients included in this study are representative of the general population of apoplexy patients. The main factor suggesting this is that males comprised approximately 84% of the study population, even though previous studies have consistently reported that apoplexy demonstrates a male predominance ranging from 1.1 to 2.3/1 [ 60 , 61 , 62 ]. The patients included in the present study exhibit a fairly extreme male predominance, suggesting that the generalizability of the study population is a potential limitation of our meta-analysis.

In summation, while this meta-analysis provides a foundation for future prospective or registry studies, it is important to acknowledge the limitations of the available literature regarding timing of intervention, intervention modality, and functional recovery in patients with pituitary apoplexy. The analysis supports the benefits of surgical intervention, but further investigation is needed to determine whether there is an optimal timing cutoff that must be adhered to when managing pituitary apoplexy that would prevent potentially devastating ocular consequences.

In the present study, timing of surgical intervention for pituitary apoplexy was only found to be predictive of visual function recovery when surgery commenced prior to the 7-day timepoint, as has been reported by previous studies. Ultimately, this suggests that timing of intervention may have a significant impact on one of the most serious consequences of PA: visual field loss and/or ocular dysfunction. However, it does not appear that the specific time the patient is taken to surgery (within the 7-day time frame) influences outcomes. Furthermore, with respect to intervention modality, it appears that both surgical and conservative management can prove effective in carefully selected patients. Overall, the specific treatment modality selected and the timing of treatment appear to be less important than the immediate administration of IV corticosteroids once the diagnosis of apoplexy is confirmed. Thus, urgent medical resuscitation and/or management is paramount, but the specifics of subsequent treatment may not be as pivotal as they were long thought to be. In other words, any cases of circulatory shock should be addressed from a medical standpoint, as should corticotropic deficiency because secondary adrenal insufficiency can prove lethal if not promptly addressed. Otherwise, the literature is lacking official guidelines to assist patient selection for surgical intervention and thus future prospective and multicenter studies are warranted.

Abbreviations

Cranial nerve

Cerebrospinal fluid

Endoscopic endonasal

• Pituitary apoplexy

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Brown, N.J., Patel, S., Gendreau, J. et al. The role of intervention timing and treatment modality in visual recovery following pituitary apoplexy: a systematic review and meta-analysis. J Neurooncol (2024). https://doi.org/10.1007/s11060-024-04717-z

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DOI : https://doi.org/10.1007/s11060-024-04717-z

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• Pituitary adenoma
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