Three‐Dimensional, Virtual Technologies and Haptic Simulation Temporal Bone Surgical Training

Abstract

Poster Presentations P159Methods: Retrospective review of non-randomized prospectively maintained patient databases at two tertiary centers from 1998-2008; Sahlgrenska University Hospital (SU) in Gothenburg, Sweden, and Aberdeen Royal Infirmary (ARI) in Aberdeen, Scotland. Patients with stage III and IV disease were included in the study. Primary outcome measures included 3-year overall and disease-specific survival depending on treatment.Results: A total of 176 patients were identified, of whom 83% were male and 17% were female with an average age of 65. Sixty-five patients (37%) presented with stage III tumors, of which 51 patients received organ-preserving treatment and 14 patients underwent total laryngectomy. Corresponding figures for the 111 patients (63%) presenting with stage IV disease were 42 and 69. Three-year overall and disease-specific survival for stage III were 58% and 73% respectively. Corresponding figures for stage IV disease were 42% and 53%. Choice of treatment did not significantly influence survival for stage III (P = 0.56) or IV (P = 0.93) disease.Conclusions: Choice of treatment, whether it be organ preservation or surgery, does not significantly influence overall or disease-specific survival. Therefore, other factors such as quality of life and voice and efficacy of salvage treatments are perhaps more likely to indicate preferred treatment options.

Findings Favor Haptics Feedback in Virtual Simulation Surgical Education: An Updated Systematic and Scoping Review

“…The remaining studies utilized quasi-experimental methodologies (7 studies, 13.73%). Notably, our review found 17 RCTs 38,41,49,50,54,55,58,65,67–69,77,78,81–84 that were not included in the previous review, 11 of which were published before 2019 38,41,49,50,54,55,58,65,67–69 and the rest being novel studies. 77,78,81–84…”

“…Notably, our review found 17 RCTs 38,41,49,50,54,55,58,65,[67][68][69]77,78,[81][82][83][84] that were not included in the previous review, 11 of which were published before 2019 38,41,49,50,54,55,58,65,[67][68][69] and the rest being novel studies. 77,78,[81][82][83][84] The most common population sampled were medical residents (14 studies), followed by novices (9 studies), physicians (8 studies), and medical students (7 studies).…”

“…The characteristics of haptics (eg, the sense that devices or simulators provided) were not elaborated on in twenty-four studies (n = 24). Among the studies that described these details, sense of collision or touch (n = 12), 39,40,51,52,[60][61][62]70,71,75,77,85 drilling (n = 7), 49,58,59,64,78,82,83 and force changes due to interactions with different tissue types (eg, skin, adipose tissue, vessels, n = 4) 50,68,69,74 were the replicated haptic interactions. In two studies (n = 2), 47,65 haptics were used to provide guidance to participants to operate the haptic robot within a predefined path.…”

“…35,36,40,41,47,51,56,[59][60][61]64,65,67,70,71,73,77,78,86 Sound effects during collisions and drilling were also reported to enhance realism (n = 8). 49,60,71,[75][76][77]82,83 Studies Favoring Haptics (n = 34)…”

“…Following abstract and full-text screening, 51 were included for data extraction and synthesis (Figure 1). 20,35–84…”