Torborg Stefan R, Kligerman Maxwell P, Cohen Marc, Schefflein Javin
Cancer Biology and Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Weill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program, New York, NY 10065, USA.
J Clin Med. 2024 Oct 22;13(21):6295. doi: 10.3390/jcm13216295.
: Extended reality (XR) has increasing usage in medicine, especially surgical fields, but the scope of applications is largely limited to intraoperative navigation. The aim of this scoping review is to evaluate all the available literature on how XR technologies have been applied to otolaryngology-head and neck surgery (OHNS) beyond the operating room for applications such as patient education and interdisciplinary communication. : Using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, we systematically searched PubMed and Scopus. Studies were reviewed without temporal restriction. Inclusion criteria comprised English-language, peer-review papers or conference abstracts studying XR technologies for non-operative uses such as patient education, physician training, or interdisciplinary preoperative planning in the field of OHNS. : Database searching initially identified 1607 records. After filtering for duplicates, screening for relevance, and applying the inclusion criteria, 10 studies were ultimately included. This study identifies gaps in the existing literature and describes future applications and key areas of research. XR is a novel strategy for increasing patients' comprehension of their procedures and can facilitate improved communication and planning amongst a multidisciplinary surgical team during preoperative discussions. However, the existing literature is small in scale and has low statistical power for demonstrating clinical benefits. : More robust studies are required to determine the true value of implementing XR. XR is a promising new technology with potential to advance education and patient care in OHNS. Ongoing research will continue to optimize the use of XR technology, ensuring safe and effective integration into clinical practice.
扩展现实(XR)在医学领域,尤其是外科领域的应用越来越广泛,但应用范围主要局限于术中导航。本综述的目的是评估所有关于XR技术如何在手术室之外应用于耳鼻咽喉头颈外科(OHNS)的现有文献,如患者教育和跨学科交流等应用。
使用系统评价和Meta分析扩展的范围综述(PRISMA-ScR)指南,我们系统地检索了PubMed和Scopus。对研究的审查不受时间限制。纳入标准包括研究OHNS领域中用于患者教育、医师培训或跨学科术前规划等非手术用途的XR技术的英文同行评审论文或会议摘要。
数据库检索最初识别出1607条记录。在筛选重复项、相关性筛选并应用纳入标准后,最终纳入了10项研究。本研究确定了现有文献中的差距,并描述了未来的应用和关键研究领域。XR是一种提高患者对手术过程理解的新策略,并且可以在术前讨论期间促进多学科手术团队之间更好的沟通和规划。然而,现有文献规模较小,且证明临床益处的统计效力较低。
需要更有力的研究来确定实施XR的真正价值。XR是一项有前途的新技术,有潜力推动OHNS领域的教育和患者护理。正在进行的研究将继续优化XR技术的使用,确保安全有效地融入临床实践。
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