Supporting skill acquisition in cochlear implant surgery through virtual reality simulation

2017 ◽  
Vol 18 (2) ◽  
pp. 89-96 ◽  
Author(s):  
Bridget Copson ◽  
Sudanthi Wijewickrema ◽  
Yun Zhou ◽  
Patorn Piromchai ◽  
Robert Briggs ◽  
...  
2016 ◽  
Vol 131 (S1) ◽  
pp. S29-S35 ◽  
Author(s):  
P Piromchai ◽  
I Ioannou ◽  
S Wijewickrema ◽  
P Kasemsiri ◽  
J Lodge ◽  
...  

AbstractObjective:To investigate the importance of anatomical variation in acquiring skills in virtual reality cochlear implant surgery.Methods:Eleven otolaryngology residents participated in this study. They were randomly allocated to practice cochlear implant surgery on the same specimen or on different specimens for four weeks. They were then tested on two new specimens, one standard and one challenging. Videos of their performance were de-identified and reviewed independently, by two blinded consultant otolaryngologists, using a validated assessment scale. The scores were compared between groups.Results:On the standard specimen, the round window preparation score was 2.7 ± 0.4 for the experimental group and 1.7 ± 0.6 for the control group (p = 0.01). On the challenging specimen, instrument handling and facial nerve preservation scores of the experimental group were 3.0 ± 0.4 and 3.5 ± 0.7 respectively, while the control group received scores of 2.1 ± 0.8 and 2.4 ± 0.9 respectively (p < 0.05).Conclusion:Training on temporal bones with differing anatomies is beneficial in the development of expertise.


Author(s):  
C Thomas ◽  
J Westwood ◽  
G F Butt

Abstract Background YouTube is increasingly used as a source of healthcare information. This study evaluated the quality of videos on YouTube about cochlear implants. Methods YouTube was searched using the phrase ‘cochlear implant’. The first 60 results were screened by two independent reviewers. A modified Discern tool was used to evaluate the quality of each video. Results Forty-seven videos were analysed. The mean overall Discern score was 2.0 out of 5.0. Videos scored higher for describing positive elements such as the benefits of a cochlear implant (mean score of 3.4) and scored lower for negative elements such as the risks of cochlear implant surgery (mean score of 1.3). Conclusion The quality of information regarding cochlear implant surgery on YouTube is highly variable. These results demonstrated a bias towards the positive attributes of cochlear implants, with little mention of the risks or uncertainty involved. Although videos may be useful as supplementary information, critical elements required to make an informed decision are lacking. This is of particular importance when patients are considering surgery.


2020 ◽  
Vol 29 (10) ◽  
pp. 568-571
Author(s):  
Seita Fukushima ◽  
Noritaka Komune ◽  
Kenichi Kamizono ◽  
Nozomu Matsumoto ◽  
Kazutaka Takaiwa ◽  
...  

Although negative pressure wound therapy (NPWT) is widely used, its application to the head and neck region remains challenging due to anatomical complexities. This report presents the case of a female patient presenting with mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes, uncontrolled diabetes and severe bilateral sensorineural hearing loss. The patient had undergone cochlear implant surgery and five months later the wound was infected with methicillin-resistant Staphylococcus aureus (MRSA). NPWT was started shortly after removing the internal receiver and was stopped 11 days later. NPWT helped in controlling infection and led to a successful wound closure. In this case, NPWT was effective in treating infectious wounds around the auricle after cochlear implant surgery. Declaration of interest: The authors have no financial support for this article and no conflict of interest directly relevant to the content of this article.


2003 ◽  
Vol 24 (3) ◽  
pp. 404-408 ◽  
Author(s):  
Hussam K. El-Kashlan ◽  
H. Alexander Arts ◽  
Steven A. Telian

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