Cochlear implantation: Exploring the effects of 3D stereovision in a digital microscope for virtual reality simulation training–A randomized controlled trial
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Cochlear implantation : Exploring the effects of 3D stereovision in a digital microscope for virtual reality simulation training–A randomized controlled trial. / Frithioff, Andreas; Frendø, Martin; Mikkelsen, Peter Trier; Sørensen, Mads Sølvsten; Andersen, Steven Arild Wuyts.
In: Cochlear Implants International, Vol. 23, No. 2, 2022, p. 80-86.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Cochlear implantation
T2 - Exploring the effects of 3D stereovision in a digital microscope for virtual reality simulation training–A randomized controlled trial
AU - Frithioff, Andreas
AU - Frendø, Martin
AU - Mikkelsen, Peter Trier
AU - Sørensen, Mads Sølvsten
AU - Andersen, Steven Arild Wuyts
N1 - Publisher Copyright: © 2021 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - Objective: In cochlear implantation (CI), excellent surgical technique is critical for hearing outcomes. Recent advances in temporal bone Virtual Reality (VR) training allow for specific training of CI and through introduction of new digital microscopes with ultra-high-fidelity (UHF) graphics. This study aims to investigate whether UHF increases performance in VR simulation training of CI electrode insertion compared with conventional, screen-based VR (cVR). Methods: Twenty-four medical students completed a randomized, controlled trial of an educational intervention. They performed a total of eight CI electrode insertions each in blocks of four using either UHF-VR or cVR, in randomized order. CI electrode insertion performances were rated by two blinded expert raters using a structured assessment tool supported by validity evidence. Results: Performance scores in cVR were higher than in the UHF-VR simulation although this was not significant (19.8 points, 95% CI [19.3–20.3] vs. 18.8 points, 95% CI [18.2–19.4]; P = 0.09). The decisive factor for performance was participants’ ability to achieve stereovision (mean difference = 1.1 points, 95% CI [0.15–2.08], P = 0.02). Discussion: No additional benefit was found from UHF-VR over cVR training of CI electrode insertion for novices. Consequently, standard cVR simulation should be used for novices’ basic skills acquisition in CI surgery. Future studies should instead explore the effects of other improvements in CI surgery training and if the lacking benefit of UHF-VR also applies for more experienced learners. Conclusion: The increased graphical perception and the superior lifelikeness of UHF-VR does not improve early skills acquisition of CI insertion for novices.
AB - Objective: In cochlear implantation (CI), excellent surgical technique is critical for hearing outcomes. Recent advances in temporal bone Virtual Reality (VR) training allow for specific training of CI and through introduction of new digital microscopes with ultra-high-fidelity (UHF) graphics. This study aims to investigate whether UHF increases performance in VR simulation training of CI electrode insertion compared with conventional, screen-based VR (cVR). Methods: Twenty-four medical students completed a randomized, controlled trial of an educational intervention. They performed a total of eight CI electrode insertions each in blocks of four using either UHF-VR or cVR, in randomized order. CI electrode insertion performances were rated by two blinded expert raters using a structured assessment tool supported by validity evidence. Results: Performance scores in cVR were higher than in the UHF-VR simulation although this was not significant (19.8 points, 95% CI [19.3–20.3] vs. 18.8 points, 95% CI [18.2–19.4]; P = 0.09). The decisive factor for performance was participants’ ability to achieve stereovision (mean difference = 1.1 points, 95% CI [0.15–2.08], P = 0.02). Discussion: No additional benefit was found from UHF-VR over cVR training of CI electrode insertion for novices. Consequently, standard cVR simulation should be used for novices’ basic skills acquisition in CI surgery. Future studies should instead explore the effects of other improvements in CI surgery training and if the lacking benefit of UHF-VR also applies for more experienced learners. Conclusion: The increased graphical perception and the superior lifelikeness of UHF-VR does not improve early skills acquisition of CI insertion for novices.
KW - Cochlear implantation
KW - Simulation-based surgical training
KW - Virtual reality simulation
U2 - 10.1080/14670100.2021.1997026
DO - 10.1080/14670100.2021.1997026
M3 - Journal article
C2 - 34852727
AN - SCOPUS:85120935345
VL - 23
SP - 80
EP - 86
JO - Cochlear Implants International
JF - Cochlear Implants International
SN - 1467-0100
IS - 2
ER -
ID: 314072371