Virtual Reality Surgical Training in Ear, Nose and Throat Surgery

Abstract

Virtual reality has been introduced to the medical field and it is now used in medical education as an alternative high fidelity simulator. The major components to successful learning that has contributed to the efficacy of the virtual reality system are the ability to provide repetitive practice under controlled environment, self-directed learning and proved construct validity. This review evaluated the validity and the efficacy of current virtual reality systems in ear, nose and throat surgery.

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Piromchai, P. (2014) Virtual Reality Surgical Training in Ear, Nose and Throat Surgery. International Journal of Clinical Medicine, 5, 558-566. doi: 10.4236/ijcm.2014.510077.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Rafiq, A., Tamariz, F., Boanca, C., Lavrentyev, V. and Merrell, R.C. (2008) Objective Assessment of Training Surgical Skills Using Simulated Tissue Interface with Real-Time Feedback. Journal of Surgical Education, 65, 270-274.
http://dx.doi.org/10.1016/j.jsurg.2008.05.012
[2] Kolb, D.A. (1984) Experiential Learning: Experience as the Source of Learning and Development. Prentice-Hall, Englewood Cliffs.
[3] George, A.P. and De, R. (2010) Review of Temporal Bone Dissection Teaching: How It Was, Is and Will Be. The Journal of Laryngology & Otology, 124, 119-125.
http://dx.doi.org/10.1017/S0022215109991617
[4] Satava, R.M. (2008) Historical Review of Surgical Simulation—A Personal Perspective. World Journal of Surgery, 32, 141-148.
http://dx.doi.org/10.1007/s00268-007-9374-y
[5] Rourke, L., Schmidt, M. and Garga, N. (2010) Theory-Based Research of High Fidelity Simulation Use in Nursing Education: A Review of the Literature. International Journal of Nursing Education Scholarship, 7, Article 11.
[6] Morgan, P.J., Cleave-Hogg, D., McIlroy, J. and Devitt, J.H. (2002) Simulation Technology: A Comparison of Experiential and Visual Learning for Undergraduate Medical Students. Anesthesiology, 96, 10-16.
http://dx.doi.org/10.1097/00000542-200201000-00008
[7] Zhao, Y.C., Kennedy, G., Yukawa, K., Pyman, B. and O’Leary, S. (2011) Improving Temporal Bone Dissection Using Self-Directed Virtual Reality Simulation: Results of a Randomized Blinded Control Trial. Otolaryngology Head Neck Surgery, 144, 357-364.
http://dx.doi.org/10.1177/0194599810391624
[8] Zhao, Y.C., Kennedy, G., Yukawa, K., Pyman, B. and O’Leary, S. (2011) Can Virtual Reality Simulator be Used as a Training Aid to Improve Cadaver Temporal Bone Dissection? Results of a Randomized Blinded Control Trial. Laryngoscope, 121, 831-837. http://dx.doi.org/10.1002/lary.21287
[9] Zhao, Y.C., Kennedy, G., Hall, R. and O’Leary, S. (2010) Differentiating Levels of Surgical Experience on a Virtual Reality Temporal Bone Simulator. Otolaryngology—Head and Neck Surgery, 143, S30-S35.
http://dx.doi.org/10.1016/j.otohns.2010.03.008
[10] Sedlack, R.E., Kolars, J.C. and Alexander, J.A. (2004) Computer Simulation Training Enhances Patient Comfort during Endoscopy. Clinical Gastroenterology and Hepatology: The Official Clinical Practice Journal of the American Gastroenterological Association, 2, 348-352.
[11] Sedlack, R.E. and Kolars, J.C. (2004) Computer Simulator Training Enhances the Competency of Gastroenterology Fellows at Colonoscopy: Results of a Pilot Study. The American Journal of Gastroenterology, 99, 33-37.
http://dx.doi.org/10.1111/j.1572-0241.2004.04007.x
[12] Varadarajan, V., Verma, R. and Auccott, W. (2010) The Portable Temporal Bone Lab—A Useful Training Adjunct for the ENT Trainee. Clinical Otolaryngology, 35, 449-450.
http://dx.doi.org/10.1111/j.1749-4486.2010.02203.x
[13] Sowerby, L.J., Rehal, G., Husein, M., Doyle, P.C., Agrawal, S. and Ladak, H.M. (2010) Development and Face Validity Testing of a Three-Dimensional Myringotomy Simulator with Haptic Feedback. Journal of Otolaryngology—Head & Neck Surgery, 39, 122-129.
[14] Wheeler, B., Doyle, P.C., Chandarana, S., Agrawal, S., Husein, M. and Ladak, H.M. (2010) Interactive Computer-Based Simulator for Training in Blade Navigation and Targeting in Myringotomy. Computer Methods and Programs in Biomedicine, 98, 130-139.
http://dx.doi.org/10.1016/j.cmpb.2009.09.010
[15] Steiner, K.V., Teixido, M., Kung, B., Sorensen, M., Forstrom, R. and Coller, P. (2007) A Virtual-Reality Approach for the Treatment of Benign Paroxysmal Positional Vertigo. Studies in Health Technology and Informatics, 125, 451-453.
[16] Arora, A., Khemani, S., Tolley, N., Singh, A., Budge, J., Varela, D.A., Francis, H.W., Darzi, A. and Bhatti, N.I. (2012) Face and Content Validation of a Virtual Reality Temporal Bone Simulator. Otolaryngology—Head and Neck Surgery, 146, 497-503.
http://dx.doi.org/10.1177/0194599811427385
[17] Agus, M., Giachetti, A., Gobbetti, E., Zanetti, G., Zorcolo, A., Picasso, B. and Franceschini, S.S. (2003) A Haptic Model of a Bone-Cutting Burr. Studies in Health Technology and Informatics, 94, 4-10.
[18] Kuppersmith, R.B., Johnston, R., Moreau, D., Loftin, R.B. and Jenkins, H. (1997) Building a Virtual Reality Temporal Bone Dissection Simulator. Studies in Health Technology and Informatics, 39, 180-186.
[19] Stredney, D., Wiet, G.J., Bryan, J., Sessanna, D., Murakami, J., Schmalbrock, P., Powell, K. and Welling, B. (2002) Temporal Bone Dissection Simulation—An Update. Studies in Health Technology and Informatics, 85, 507-513.
[20] Agus, M., Giachetti, A., Gobbetti, E., Zanetti, G., Zorcolo, A., John, N.W. and Stone, R.J. (2002) Mastoidectomy Simulation with Combined Visual and Haptic Feedback. Studies in Health Technology and Informatics, 85, 17-23.
[21] Francis, H.W., Malik, M.U., Varela, D.A.D.V., Barffour, M.A., Chien, W.W., Carey, J.P., Niparko, J.K. and Bhatti, N.I. (2012) Technical Skills Improve after Practice on Virtual-Reality Temporal Bone Simulator. The Laryngoscope, 122, 1385-1391.
http://dx.doi.org/10.1002/lary.22378
[22] Wiet, G.J., Rastatter, J.C., Bapna, S., Packer, M., Stredney, D. and Welling, D.B. (2009) Training Otologic Surgical Skills through Simulation-Moving toward Validation: A Pilot Study and Lessons Learned. Journal of Graduate Medical Education, 1, 61-66.
http://dx.doi.org/10.4300/01.01.0010
[23] Wiet, G.J., Stredney, D., Kerwin, T., Hittle, B., Fernandez, S.A., Abdel-Rasoul, M. and Welling, D.B. (2012) Virtual Temporal Bone Dissection System: OSU Virtual Temporal Bone System: Development and Testing. The Laryngoscope, 122, S1-S12.
http://dx.doi.org/10.1002/lary.22499
[24] McIsaac, W.J., Coyte, P.C., Croxford, R., Asche, C.V., Friedberg, J. and Feldman, W. (2000) Otolaryngologists’ Perceptions of the Indications for Tympanostomy Tube Insertion in Children. Canadian Medical Association or Its Licensor, 162, 1285-1288.
[25] Ho, A.K., Alsaffar, H., Doyle, P.C., Ladak, H.M. and Agrawal, S.K. (2012) Virtual Reality Myringotomy Simulation with Real-Time Deformation: Development and Validity Testing. The Laryngoscope, 122, 1844-1851.
http://dx.doi.org/10.1002/lary.23361
[26] Todd, C. (2011) Real-Time Haptic Modeling and Simulation for Prosthetic Insertion. World Academy of Science, Engineering and Technology, 49, 343-351.
[27] Arora, H., Uribe, J., Ralph, W., Zeltsan, M., Cuellar, H., Gallagher, A. and Fried, M.P. (2005) Assessment of Construct Validity of the Endoscopic Sinus Surgery Simulator. Archives of Otolaryngology—Head and Neck Surgery, 131, 217-221.
http://dx.doi.org/10.1001/archotol.131.3.217
[28] Fried, M.P., Sadoughi, B., Gibber, M.J., Jacobs, J.B., Lebowitz, R.A., Ross, D.A., Bent 3rd, J.P., Parikh, S.R., Sasaki, C.T. and Schaefer, S.D. (2010) From Virtual Reality to the Operating Room: The Endoscopic Sinus Surgery Simulator Experiment. Otolaryngology—Head and Neck Surgery, 142, 202-207.
http://dx.doi.org/10.1016/j.otohns.2009.11.023
[29] Fried, M.P., Sadoughi, B., Weghorst, S.J., Zeltsan, M., Cuellar, H., Uribe, J.I., Sasaki, C.T., Ross, D.A., Jacobs, J.B., Lebowitz, R.A., et al. (2007) Construct Validity of the Endoscopic Sinus Surgery Simulator: II. Assessment of Discriminant Validity and Expert Benchmarking. Archives of Otolaryngology—Head & Neck Surgery, 133, 350-357.
http://dx.doi.org/10.1001/archotol.133.4.350
[30] Tolsdorff, B., Pommert, A., Hohne, K.H., Petersik, A., Pflesser, B., Tiede, U. and Leuwer, R. (2010) Virtual Reality: A New Paranasal Sinus Surgery Simulator. The Laryngoscope, 120, 420-426.
[31] Edmond Jr., C.V. (2002) Impact of the Endoscopic Sinus Surgical Simulator on Operating Room Performance. The Laryngoscope, 112, 1148-1158.
http://dx.doi.org/10.1097/00005537-200207000-00002
[32] Solyar, A., Cuellar, H., Sadoughi, B., Olson, T.R. and Fried, M.P. (2008) Endoscopic Sinus Surgery Simulator as a Teaching Tool for Anatomy Education. The American Journal of Surgery, 196, 120-124.
http://dx.doi.org/10.1016/j.amjsurg.2007.06.026
[33] Ruthenbeck, G.S., Owen, H. and Reynolds, K.J. (2008) A Virtual Reality Throat Examination Simulation. Studies in Health Technology and Informatics, 132, 433-435.
[34] Contag, S.P., Klein, A.M., Blount, A.C. and Johns III, M.M. (2009) Validation of a Laryngeal Dissection Module for Phonomicrosurgical Training. The Laryngoscope, 119, 211-215.
http://dx.doi.org/10.1002/lary.20018
[35] Liu, A., Bhasin, Y. and Bowyer, M. (2005) A Haptic-Enabled Simulator for Cricothyroidotomy. Studies in Health Technology and Informatics, 111, 308-313.
[36] van Dongen, K.W., Ahlberg, G., Bonavina, L., Carter, F.J., Grantcharov, T.P., Hyltander, A., Schijven, M.P., Stefani, A., van der Zee, D.C. and Broeders, I.A. (2011) European Consensus on a Competency-Based Virtual Reality Training Program for Basic Endoscopic Surgical Psychomotor Skills. Surgical Endoscopy, 25, 166-171.
http://dx.doi.org/10.1007/s00464-010-1151-6
[37] Duffy, C. and Myles, P.S. (2008) Review: Thoracic-Anesthesia.com. Journal of Cardiothoracic and Vascular Anesthesia, 22, 644.
http://dx.doi.org/10.1053/j.jvca.2007.09.005
[38] [38] Dalal, P.G., Dalal, G.B., Pott, L., Bezinover, D., Prozesky, J. and Murray, W.B. (2011) Learning Curves of Novice Anesthesiology Residents Performing Simulated Fibreoptic Upper Airway Endoscopy. Canadian Journal of Anesthesia/Journal Canadien d’Anesthésie, 58, 802-809.
http://dx.doi.org/10.1007/s12630-011-9542-2

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