Hudise Jibril Y, Mojiri Mohammed E, Shawish Ali M, Majrashi Khalid A, Ayoub Ahmed Y, Alshammakhi Atheer M, Akoor Futon A, Madkhali Khalid A, Fathi Maha A, Areeshi Rehaf A, Hakami Ali J, Almudawi Ali M, Al-Mosaeed Ahmed S, Akkam Mohammed M, Sharahili Raghad M
Otolaryngology, King Faisal Medical City for Southern Region, Abha, SAU.
College of Medicine, Jazan University, Jazan, SAU.
Cureus. 2024 Oct 10;16(10):e71222. doi: 10.7759/cureus.71222. eCollection 2024 Oct.
Technological advancements have rapidly transformed medical education and surgical training, with virtual reality (VR) emerging as a valuable tool. VR offers immersive and interactive environments, enhancing the development of surgical skills without the risks that come with conventional training methods. In this review, we conducted a comprehensive search across PubMed, Web of Science, Scopus, and the Cochrane Central Register of Controlled Trials (CENTRAL), considering all relevant publications up to June 30, 2024. This review focused on randomized controlled trials involving medical students, where VR was used alone or in combination with other educational approaches, compared to traditional training methods. Two independent reviewers extracted data and assessed the quality of studies using the modified Downs and Black scale. Of 1,074 identified articles, six studies met the inclusion criteria. These studies, conducted in Denmark and Australia, utilized a range of VR platforms, including the Visible Ear Simulator, MediseusVR Surgical Drilling Simulator, and Geomagic Haptic device. Quality assessments showed that the studies generally had strong methodology, with reporting scores between 7 and 8 out of 11, and external validity scores between 2 and 3 out of 3. Results indicated that VR training has the potential to improve hand-eye coordination, spatial awareness, and surgical performance in ENT procedures. However, findings on VR's superiority over traditional methods were mixed, as some studies found no substantial differences in performance metrics. Overall, VR offers a controlled and risk-free training environment that may enhance the acquisition and retention of surgical skills in ENT surgery. Although VR demonstrates significant promise, additional research is needed to fully establish its effectiveness and explore its broader application in surgical education. This systematic review provides a detailed evaluation of VR's impact on ENT surgical training, highlighting its potential to transform the future of surgical education.
技术进步迅速改变了医学教育和外科培训，虚拟现实（VR）成为一种有价值的工具。VR提供沉浸式和交互式环境，在不带来传统培训方法所具有风险的情况下，增强手术技能的培养。在本综述中，我们在PubMed、科学网、Scopus和Cochrane对照试验中央注册库（CENTRAL）中进行了全面检索，纳入了截至2024年6月30日的所有相关出版物。本综述聚焦于涉及医学生的随机对照试验，其中VR单独使用或与其他教育方法联合使用，并与传统培训方法进行比较。两名独立评审员提取数据，并使用改良的唐斯和布莱克量表评估研究质量。在1074篇已识别的文章中，有6项研究符合纳入标准。这些研究在丹麦和澳大利亚进行，使用了一系列VR平台，包括可视耳模拟器、MediseusVR手术钻孔模拟器和Geomagic触觉设备。质量评估表明，这些研究总体上方法严谨，报告得分在11分制中的7至8分之间，外部效度得分在3分制中的2至3分之间。结果表明，VR培训有潜力改善耳鼻喉科手术中的手眼协调、空间感知和手术表现。然而，关于VR优于传统方法的研究结果不一，因为一些研究发现性能指标上没有实质性差异。总体而言，VR提供了一个可控且无风险的培训环境，可能会增强耳鼻喉科手术中手术技能的获取和保持。尽管VR显示出巨大的前景，但仍需要更多研究来充分确定其有效性，并探索其在外科教育中的更广泛应用。本系统综述对VR对外科培训的影响进行了详细评估，突出了其改变外科教育未来的潜力。
