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Validation of virtual-reality-based simulations for endoscopic sinus surgery
N Dharmawardana1, G Ruthenbeck2, C Woods1,2
1Flinders Medical Centre, Adelaide, Australia.
Summary
Virtual reality (VR) sinus surgery simulators are validated for teaching anatomy and basic procedures to medical students and junior doctors. Advanced surgical training requires further simulator development for Otorhinolaryngology - Head & Neck Surgery (OHNS) programs.
Area of Science:
- Medical Education
- Surgical Simulation
- Virtual Reality Technology
Background:
- Virtual reality (VR) simulators offer a patient alternative for surgical skills practice.
- Validation is crucial to ensure the accuracy of VR simulators for medical training.
- This study focuses on validating a VR sinus surgery simulator with haptic feedback for Otorhinolaryngology - Head & Neck Surgery (OHNS) training.
Purpose of the Study:
- To validate a virtual reality sinus surgery simulator for training in Otorhinolaryngology - Head & Neck Surgery (OHNS).
- To assess the face, content, and construct validity of the VR simulator across different experience levels.
Main Methods:
- Participants included medical students, interns, resident medical officers (RMOs), OHNS registrars, and consultants.
- Four simulation tasks were performed, followed by an online questionnaire.
- Statistical analysis used ANOVA with post hoc correlation to compare validity across groups.
Main Results:
- Face validity showed significant differences between consultants and other groups.
- Content validity indicated a need for further development for registrar-level training.
- Students, interns, and RMOs found the simulator useful for learning anatomy and basic ENT procedures.
Conclusions:
- VR sinus surgery simulators are validated for teaching anatomy and nasendoscopy to medical students, interns, and RMOs.
- Further development is needed for VR simulators to be considered valid for advanced surgical training in OHNS.

