scholarly journals The Impact of Virtual Reality Training on the Quality of Real Antromastoidectomy Performance

2020 ◽  
Vol 9 (10) ◽  
pp. 3197
Author(s):  
Wojciech Gawęcki ◽  
Magdalena Węgrzyniak ◽  
Patrycja Mickiewicz ◽  
Maria Bratumiła Gawłowska ◽  
Marcin Talar ◽  
...  

Background: The aim of this paper is to analyze the results of virtual reality (VR) antromastoidectomy simulation training and the transferability of the obtained skills to real temporal bone surgery. Methods: The study was conducted prospectively on a group of 10 physicians, and was composed of five VR simulation training sessions followed by live temporal bone surgery. The quality of performance was evaluated with a Task-Based Checklist (TBC) prepared by John Hopkins Hospital. Additionally, during every VR session, the number and type of mistakes (complications) were noted. Results: The quality of performance measured by the TBC increased significantly during consecutive VR sessions. The mean scores for the first and fifth sessions were 1.84 and 4.27, respectively (p < 0.001). Furthermore, the number of mistakes in consecutive VR sessions was gradually reduced from 11 to 0. During supervised surgery, all the participants were able to perform at least part of an antromastoidectomy, and the mean TBC score was 3.57. There was a significant strong positive correlation between the individual results of the fifth VR session and the individual results of supervised surgery in the operating room (rp = 0.89, p = 0.001). Conclusions: Virtual reality for temporal bone training makes it possible to acquire surgical skills in a safe environment before performing supervised surgery. Furthermore, the individual final score of virtual antromastoidectomy training allows a prediction of the quality of performance in real surgery.

2015 ◽  
Vol 40 (2) ◽  
pp. 153-159 ◽  
Author(s):  
A. Arora ◽  
A. Hall ◽  
J. Kotecha ◽  
C. Burgess ◽  
S. Khemani ◽  
...  

2012 ◽  
Vol 10 (8) ◽  
pp. S38
Author(s):  
Chloe Swords ◽  
Asit Arora ◽  
Sam Khemani ◽  
Arvind Singh ◽  
Nasir Bhatti ◽  
...  

2017 ◽  
Vol 156 (6) ◽  
pp. 1018-1024 ◽  
Author(s):  
Justin T. Lui ◽  
Monica Y. Hoy

Background The increasing prevalence of virtual reality simulation in temporal bone surgery warrants an investigation to assess training effectiveness. Objectives To determine if temporal bone simulator use improves mastoidectomy performance. Data Sources Ovid Medline, Embase, and PubMed databases were systematically searched per the PRISMA guidelines. Review Methods Inclusion criteria were peer-reviewed publications that utilized quantitative data of mastoidectomy performance following the use of a temporal bone simulator. The search was restricted to human studies published in English. Studies were excluded if they were in non-peer-reviewed format, were descriptive in nature, or failed to provide surgical performance outcomes. Meta-analysis calculations were then performed. Results A meta-analysis based on the random-effects model revealed an improvement in overall mastoidectomy performance following training on the temporal bone simulator. A standardized mean difference of 0.87 (95% CI, 0.38-1.35) was generated in the setting of a heterogeneous study population ( I2 = 64.3%, P < .006). Conclusion In the context of a diverse population of virtual reality simulation temporal bone surgery studies, meta-analysis calculations demonstrate an improvement in trainee mastoidectomy performance with virtual simulation training.


2002 ◽  
Vol 112 (5) ◽  
pp. 820-833 ◽  
Author(s):  
Henry C. K. Kwok ◽  
Randall P. Morton ◽  
John M. Chaplin ◽  
Nicholas P. McIvor ◽  
Hamish A. Sillars

2008 ◽  
Vol 118 (6) ◽  
pp. 1040-1046 ◽  
Author(s):  
Stephen J. O'Leary ◽  
Matthew A. Hutchins ◽  
Duncan R. Stevenson ◽  
Chris Gunn ◽  
Alexander Krumpholz ◽  
...  

2007 ◽  
Vol 17 (3) ◽  
pp. 203-207 ◽  
Author(s):  
RUDOLF LEUWER ◽  
ANDREAS PETERSIK ◽  
BERNHARD PFLESSER ◽  
ANDREAS POMMERT ◽  
BORIS TOLSDORFF ◽  
...  

2021 ◽  
Author(s):  
Patrycja Mickiewicz ◽  
Wojciech Gawęcki ◽  
Maria Bratumiła Gawłowska ◽  
Marcin Talar ◽  
Magdalena Węgrzyniak ◽  
...  

AbstractVirtual reality (VR) may be a good alternative for cadaveric temporal bone surgical dissection courses, which are an important part of otolaryngology resident’s training. The aim of the study was to assess the VR temporal bone surgery simulator in an antromastoidectomy simulation. The VR system was based on the Geomagic Touch Haptic Device from 3D System. The research was designed as a prospective study, with three sessions of VR simulation training. The group of four ENT specialists unexperienced in otosurgery and 11 otorhinolaryngology residents performed a series of virtual dissections of a VR temporal bone model. Two experts with a broad experience in ear surgery participated in the study as supervisors for all the participants. At the end of each session, the experts controlled the accuracy of the simulated surgery performance assigning positive points for each correctly performed step and negative points for each mistake. After each session, participants of the study were asked to fill in the questionnaire concerning their impression of a VR system simulation. The evaluation of every simulation (total score) was based on the duration of a VR session, the quality of performance (positive points) and the number of mistakes (negative points). During consecutive VR sessions, evident shortening of the length of performance, as well as an improvement in the quality of performance and reduction in mistakes, was observed. Sixty percent of study participants answered that signaling damage to the critical elements was good (40%—sufficient), and 67% assessed that they had made a progress in consecutive sessions. After three sessions, 100% of participants indicated higher self-confidence in relation to their own surgical skills. Also, all the participants indicated that VR training should be included in a routine educational program for medical students. VR training provides a structured, safe and supportive environment to familiarize oneself with complex anatomy and practical skills.


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