Can Virtual reality simulator be used as a training aid to improve cadaver temporal bone dissection? Results of a randomized blinded control trial

@article{Zhao2011CanVR,
  title={Can Virtual reality simulator be used as a training aid to improve cadaver temporal bone dissection? Results of a randomized blinded control trial},
  author={Yi C. Zhao and Gregor E. Kennedy and Kumiko Yukawa and Brian Pyman and Stephen O'Leary},
  journal={The Laryngoscope},
  year={2011},
  volume={121}
}
This study aims to determine whether there are improved performances in cadaver temporal bone dissection after training using a VR simulator as a teaching aid compared with traditional training methods 
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The relationship between mastoidectomy final‐product performance assessment in virtual simulation and traditional dissection training is explored in temporal bone virtual surgical simulators.
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To establish the effect of self‐directed virtual reality (VR) simulation training on cadaveric dissection training performance in mastoidectomy and the transferability of skills acquired in VR
A review of simulation platforms in surgery of the temporal bone
  • M. Bhutta
  • Medicine
    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
  • 2016
TLDR
The traditional simulation platform is the cadaveric temporal bone, but in recent years other simulation platforms have been created, including plastic and virtual reality platforms, to enable rehearsal of surgery of the temporal bone.
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TLDR
This paper discusses the design and evaluation of such a training module, specifically aimed at training an advanced temporal bone procedure, namely cochlear implant surgery.
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Whether expert behavior changes within the virtual environment and how the fidelity of simulation affects users' behavior are investigated.
Novices perform better in virtual reality simulation than in traditional cadaveric dissection training of mastoidectomy
TLDR
Novice performance in a freeware VR temporal bone simulator was significantly better than in cadaveric dissection, suggesting simulator-integrated tutor function and reduced complexity of the procedure in VR simulation could be possible explanations for this finding.
Improving Temporal Bone Dissection Using Self-Directed Virtual Reality Simulation
TLDR
It is indicated that self-directed learning on VR simulators can be used to improve performance on cadaver dissection in novice trainees compared with traditional teaching methods alone.
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TLDR
The developed VR temporal bone anatomy tutor was an effective self-directed education tool in facilitating spatial learning and superior user satisfaction, and display technology did not influence the majority of learning outcomes.
The Effect of a Distributed Virtual Reality Simulation Training Program on Dissection Mastoidectomy Performance.
TLDR
Skills acquired in a VR simulation environment translate to cadaveric dissection skills and repeated and distributed VR simulation can be used to further increase performance compared with standard VR simulation training during a temporal bone course.
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References

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TLDR
This study hypothesized that both computerized analysis and expert ratings would discriminate the performance of novices from experienced trainees, and performance on the virtual reality temporal bone simulator (VR TB) would differentiate based on previous drilling experience.
Validation of a Networked Virtual Reality Simulation of Temporal Bone Surgery
TLDR
To assess the content validity and concurrent validity of a haptically rendered, virtual reality simulation of temporal bone surgery, a simulation of haptic feedback of bone surgery is tested.
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TLDR
The authors present a system for simulating surgeries involving bone manipulation, such as temporal bone surgery and mandibular surgery, and discuss the automatic computation of surgical performance metrics.
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The use of virtual reality (VR) simulation to train surgeons has been supported by a body of experimental data derived from randomized trials of VR simulation training versus no such training, which has generally demonstrated that skills acquired through courses of training in VR transfer to the clinical or animal laboratory setting.
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TLDR
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The aim of this study is to evaluate an endoscopic sinus surgical simulator as a training device and to introduce a methodology to assess its impact on actual operating room performance.
Virtual Reality Training Improves Operating Room Performance: Results of a Randomized, Double-Blinded Study
ObjectiveTo demonstrate that virtual reality (VR) training transfers technical skills to the operating room (OR) environment. Summary Background DataThe use of VR surgical simulation to train skills
Objective Assessment of Temporal Bone Drilling Skills
TLDR
Of these measures, the TBC correlates best with EO according to logistic regression and can be reliably used as an objective assessment of temporal bone drilling performance.
Reliability of the Welling Scale (WS1) for Rating Temporal Bone Dissection Performance
TLDR
To determine the inter‐ and intrarater reliability of using a new scale (Welling scale) for resident evaluation of temporal bone dissection performance, a large number of studies have used the Welling scale.
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