Evidence map›Paper›PMID 35608490›Full record

Trial reportThe journal of international advanced otology2022

Cochlear Implant Surgery: Virtual Reality Simulation Training and Transfer of Skills to Cadaver Dissection-A Randomized, Controlled Trial.

Martin Frendø, Andreas Frithioff, Lars Konge, Per Cayé-Thomasen, Mads Sølvsten Sørensen, Steven Arild Wuyts Andersen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of international advanced otology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Martin FrendøDepartment of Otorhinolaryngology-Head - Neck Surgery and Audiology, Copenhagen Hearing and Balance Centre, Copenhagen, Denmark; Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Denmark.
Andreas FrithioffDepartment of Otorhinolaryngology-Head - Neck Surgery and Audiology, Copenhagen Hearing and Balance Centre, Copenhagen, Denmark; Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Denmark.
Lars KongeCopenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Denmark.
Per Cayé-ThomasenDepartment of Otorhinolaryngology-Head - Neck Surgery and Audiology, Copenhagen Hearing and Balance Centre, Copenhagen, Denmark; University of Copenhagen Faculty of Medical and Health Sciences, Denmark.
Mads Sølvsten SørensenDepartment of Otorhinolaryngology-Head - Neck Surgery and Audiology, Copenhagen Hearing and Balance Centre, Copenhagen, Denmark.
Steven Arild Wuyts AndersenDepartment of Otorhinolaryngology-Head - Neck Surgery and Audiology, Copenhagen Hearing and Balance Centre, Copenhagen, Denmark; Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCochlear implantation requires excellent surgical skills; virtual reality simulation training is an effective method for acquiring basic competency in temporal bone surgery before progression to cadaver dissection. However, cochlear implantation virtual reality simulation training remains largely unexplored and only one simulator currently supports the training of the cochlear implantation electrode insertion. Here, we aim to evaluate the effect of cochlear implantation virtual reality simulation training on subsequent cadaver dissection performance and self-directedness.

methodsThis was a randomized, controlled trial. Eighteen otolaryngology residents were randomized to either mastoidectomy including cochlear implantation virtual reality simulation training (intervention) or mastoidectomy virtual reality simulation training alone (controls) before cadaver cochlear implantation surgery. Surgical performance was evaluated by two blinded expert raters using a validated, structured assess- ment tool. The need for supervision (reflecting self-directedness) was assessed via post-dissection questionnaires.

resultsThe intervention group achieved a mean score of 22.9 points of a maximum of 44 points, which was 5.4% higher than the control group's 21.8 points (P = .51). On average, the intervention group required assistance 1.3 times during cadaver drilling; this was 41% more frequent in the control group who received assistance 1.9 times (P = .21).

conclusionCochlear implantation virtual reality simulation training is feasible in the context of a cadaver dissection course. The addition of cochlear implantation virtual reality training to basic mastoidectomy virtual reality simulation training did not lead to a significant improvement of performance or self-directedness in this study. Our findings suggest that learning an advanced temporal bone procedure such as cochlear implantation surgery requires much more training than learning mastoidectomy.

Indexed as

Cochlear ImplantationCochlear ImplantsSimulation TrainingVirtual RealityCadaverClinical CompetenceHumansProspective Studies

Identifiers

PMID35608490
PMCPMC10682796

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.