Comparative Analysis of Virtual Reality Simulation and Conventional Training in Temporal Bone Dissection
DOI:
https://doi.org/10.56294/mw2023106Keywords:
Virtual Reality (VR), Temporal Bone Dissection, Small Group Tutorials, Blinded Assessors, Anatomical StructuresAbstract
A novel method for teaching a variety of medical operations is virtual reality (VR) simulation, which can potentially improve learning without the hazards of conventional hands-on training. A crucial ability in otolaryngology that calls for accuracy and skill is the dissection of cadaveric temporal bones. A total of 155 individuals with little to no prior knowledge of temporal bone dissection were randomized to either the VR group (85 participants), which trained under supervision using a VR simulator, or the traditional group (70 participants), which used models, videos, and small group instructions. Participants dissected a cadaveric temporal bone after training, and blinded assessors evaluated the results using six criteria: anatomical accuracy, technique, efficiency, overall performance, injury size, and end product. The results revealed that the VR group outperformed the traditional group, achieving significantly higher scores in the end product, causing fewer injuries to anatomical structures, and demonstrating better overall performance, with all differences being statistically significant. The research employed IBM SPSS statistics (version 26) for statistical analysis, and an independent t-test was used to compare the groups' mean scores. The results indicated fair to moderate reliability when inter-rater reliability was evaluated using the Intra-class Correlation Coefficient (ICC) and the kappa statistic. These findings suggest that VR simulation is a more effective means of honing cadaveric temporal bone dissection abilities than traditional training techniques.
References
1. Frithioff A, Frendø M, Weiss K, Foghsgaard S, Pedersen DB, Sørensen MS, Wuyts Andersen SA. Effect of 3D-printed models on cadaveric dissection in temporal bone training. OTO open. 2021 Dec;5(4):2473974X211065012. https://doi.org/10.1177/2473974X211065012
2. Frithioff A, Sørensen MS, Andersen SA. European status on temporal bone training: a questionnaire study. European Archives of Oto-Rhino-Laryngology. 2018 Feb;275:357-63. https://doi.org/10.1007/s00405-017-4824-0
3. Mowry SE, Woodson E, Gubbels S, Carfrae M, Hansen MR. A simple assessment tool for evaluation of cadaveric temporal bone dissection. The Laryngoscope. 2018 Feb;128(2):451-5. https://doi.org/10.1002/lary.26578
4. Guyader E, Savéan J, Clodic C, Letellier P, Meriot P, Marianowski R. Three-dimensional reconstruction of the temporal bone: comparison of in situ, CT, and CBCT measurements. European Annals of Otorhinolaryngology, Head and Neck Diseases. 2018 Dec 1;135(6):393-8. https://doi.org/10.1016/j.anorl.2018.08.013
5. Andersen SA, Foghsgaard S, Cayé-Thomasen P, Sørensen MS. The effect of a distributed virtual reality simulation training program on dissection mastoidectomy performance. Otology & Neurotology. 2018 Dec 1;39(10):1277-84. 10.1097/MAO.0000000000002031
6. Williams C, Wijewickrema S, Piromchai P, O'Leary S. The effect of practice distribution on skill retention in virtual reality temporal bone surgery training. In2019 IEEE 32nd International Symposium on Computer-Based Medical Systems (CBMS) 2019 Jun 5 (pp. 495-500). IEEE. https://doi.org/10.1109/CBMS.2019.00101
7. Schwam ZG, Kaul VZ, Cosetti MK, Wanna GB. The utility of intraoperative navigation of the temporal bone for otolaryngology resident training. The Laryngoscope. 2020 May;130(5): E368-71. https://doi.org/10.1002/lary.28219
8. Timonen T, Iso-Mustajärvi M, Linder P, Lehtimäki A, Löppönen H, Elomaa AP, Dietz A. Virtual reality improves the accuracy of simulated preoperative planning in temporal bones: a feasibility and validation study. European Archives of Oto-Rhino-Laryngology. 2021 Aug;278:2795-806. https://doi.org/10.1007/s00405-020-06360-6
9. Morone PJ, Shah KJ, Hendricks BK, Cohen-Gadol AA. Virtual, 3-dimensional temporal bone model and its educational value for neurosurgical trainees. World neurosurgery. 2019 Feb 1;122:e1412-5. https://doi.org/10.1016/j.wneu.2018.11.074
10. Andersen SA, Bergman M, Keith JP, Powell KA, Hittle B, Malhotra P, Wiet GJ. Segmentation of temporal bone anatomy for patient-specific virtual reality simulation. Annals of Otology, Rhinology & Laryngology. 2021 Jul;130(7):724-30. https://doi.org/10.1177/0003489420970217
11. Frendø M, Konge L, Cayé-Thomasen P, Sørensen MS, Andersen SA. Decentralized virtual reality training of mastoidectomy improves cadaver dissection performance: a prospective, controlled cohort study. Otology & Neurotology. 2020 Apr 1;41(4):476-81. DOI: 10.1097/MAO.0000000000002541
12. Yamazaki A, Ito T, Sugimoto M, Yoshida S, Honda K, Kawashima Y, Fujikawa T, Fujii Y, Tsutsumi T. Patient-specific virtual and mixed reality for immersive, experiential anatomy education and surgical planning in temporal bone surgery. Auris Nasus Larynx. 2021 Dec 1;48(6):1081-91. https://doi.org/10.1016/j.anl.2021.03.009
13. Frendø M, Frithioff A, Konge L, Sørensen MS, Andersen SA. Cochlear implant surgery: Learning curve in virtual reality simulation training and transfer of skills to a 3D-printed temporal bone–A prospective trial. Cochlear Implants International. 2021 Nov 2;22(6):330-7. https://doi.org/10.1080/14670100.2021.1940629
14. Mickiewicz P, Gawęcki W, Gawłowska MB, Talar M, Węgrzyniak M, Wierzbicka M. The assessment of virtual reality training in antromastoidectomy simulation. Virtual Reality. 2021 Dec;25(4):1113-21. https://doi.org/10.1007/s10055-021-00516-3
15. Compton EC, Agrawal SK, Ladak HM, Chan S, Hoy M, Nakoneshny SC, Siegel L, Dort JC, Lui JT. Assessment of a virtual reality temporal bone surgical simulator: a national face and content validity study. Journal of Otolaryngology-Head & Neck Surgery. 2020 Jan;49(1):17. https://doi.org/10.1186/s40463-020-00411-y
16. McMillan A, Kocharyan A, Dekker SE, Kikano EG, Garg A, Huang VW, Moon N, Cooke M, Mowry SE. Comparison of materials used for 3D-printing temporal bone models to simulate surgical dissection. Annals of Otology, Rhinology & Laryngology. 2020 Dec;129(12):1168-73. https://doi.org/10.1177/0003489420918273
Published
Issue
Section
License
Copyright (c) 2023 Dipak Sethi, Aniruddh Dash, Pooja Varma (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.