Virtual reality simulation training in Otolaryngology

INTERNATIONAL JOURNAL OF SURGERY

卷:12

Review

Arora, Asit¹  Lau, Loretta Y. M.²  Awad, Zaid¹  Darzi, Ara³  Singh, Arvind⁴  Tolley, Neil¹ 

[1] Imperial Coll Healthcare NHS Trust, St Marys Hosp, Dept ENT, London W2 1NY, England

[2] Imperial Coll Sch Med, London SW7 2AZ, England

[3] Univ London Imperial Coll Sci Technol & Med, St Marys Hosp, Dept Biosurg & Surg Technol, London W2 1NY, England

[4] Northwick Pk Hosp & Clin Res Ctr, Dept Otolaryngol, London HA1 3UJ, England

关键词: Simulation training;    Virtual reality;    Otolaryngology;    Temporal bone surgery;    Myringotomy;    Endoscopic sinus surgery;    Validity;    Surgical training;   

DOI  :  10.1016/j.ijsu.2013.11.007

来源: Elsevier

【 摘 要 】

Objective: To conduct a systematic review of the validity data for the virtual reality surgical simulator platforms available in Otolaryngology. Data sources: Ovid and Embase databases searched July 13, 2013. Review methods: Four hundred and nine abstracts were independently reviewed by 2 authors. Thirty-six articles which fulfilled the search criteria were retrieved and viewed in full text. These articles were assessed for quantitative data on at least one aspect of face, content, construct or predictive validity. Papers were stratified by simulator, sub-specialty and further classified by the validation method used. Results: There were 21 articles reporting applications for temporal bone surgery (n = 12), endoscopic sinus surgery (n = 6) and myringotomy (n = 3). Four different simulator platforms were validated for temporal bone surgery and two for each of the other surgical applications. Face/content validation represented the most frequent study type (9/21). Construct validation studies performed on temporal bone and endoscopic sinus surgery simulators showed that performance measures reliably discriminated between different experience levels. Simulation training improved cadaver temporal bone dissection skills and operating room performance in sinus surgery. Conclusion: Several simulator platforms particularly in temporal bone surgery and endoscopic sinus surgery are worthy of incorporation into training programmes. Standardised metrics are necessary to guide curriculum development in Otolaryngology. (C) 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free