Evaluating the Effect of Virtual Reality Temporal Bone Simulation on Mastoidectomy Performance: A Meta-analysis. (June 2017)

• Record Type: Journal Article
• Authors: Lui, Justin T.; Hoy, Monica Y.
• Is Part Of: Otolaryngology--head and neck surgery. Volume 156:Number 6(2017)
• Page Start: 1018
• Page End: 1024
• Publication Date: 2017-06
• Subjects: virtual reality simulation -- temporal bone -- temporal bone simulation -- mastoidectomy performance -- meta-analysis -- postgraduate education -- resident education -- simulation education; Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599817698440
• Languages: English
• ISSNs: 0194-5998

Abstract

Background: The increasing prevalence of virtual reality simulation in temporal bone surgery warrants an investigation to assess training effectiveness. Objectives: To determine if temporal bone simulator use improves mastoidectomy performance. Data Sources: Ovid Medline, Embase, and PubMed databases were systematically searched per the PRISMA guidelines. Review Methods: Inclusion criteria were peer-reviewed publications that utilized quantitative data of mastoidectomy performance following the use of a temporal bone simulator. The search was restricted to human studies published in English. Studies were excluded if they were in non-peer-reviewed format, were descriptive in nature, or failed to provide surgical performance outcomes. Meta-analysis calculations were then performed. Results: A meta-analysis based on the random-effects model revealed an improvement in overall mastoidectomy performance following training on the temporal bone simulator. A standardized mean difference of 0.87 (95% CI, 0.38-1.35) was generated in the setting of a heterogeneous study population ( I 2 = 64.3%, P < .006). Conclusion: In the context of a diverse population of virtual reality simulation temporal bone surgery studies, meta-analysis calculations demonstrate an improvement in trainee mastoidectomy performance with virtual simulation training.