A Feasibility Study of Virtual Reality and 360° Video Training for Anterior Nasal Packing

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Laryngoscope Investigative Otolaryngology Pub Date : 2025-09-09 DOI:10.1002/lio2.70243

Holly Mould, Andrew Kinshuck, Jonathan R. Abbas, Nick Culley, Elena Karakashevska

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Abstract

Objectives

Virtual reality (VR) simulators have been well established in ear, nose, and throat (ENT) training for many years. However, most are aimed at specialist trainee level or above, with no current VR ENT training packages for foundation year doctors, who perform a significant amount of out-of-hours ENT care. Novel VR and 360° video packages for the training of anterior nasal packing were developed and evaluated.

Methods

In this feasibility study, 16 foundation year doctors were pseudorandomised to a three-arm study: using solely the VR simulation, solely the 360° video, or the video followed by the VR simulation. Pre- and post-intervention questionnaires were devised using expert consensus, and confidence, competence, objective knowledge, usability, face and content validity, and qualitative data were all evaluated.

Results

There was a significant increase between pre- and post-intervention confidence, competence, and knowledge for the whole cohort. The 360° video used alongside the VR simulation and alone was deemed user-friendly. All packages achieved content validity, whilst the VR simulation did not achieve face validity, with responses indicating that the haptic feedback requires improvement. Participants found the packages engaging and immersive, encouraging safe practice in an enjoyable manner.

Conclusion

These novel VR and 360° videos are engaging ways of effectively increasing confidence, competence, and knowledge in anterior nasal packing. Further adjustments should be made to the haptic feedback of the VR simulator to make it more realistic.

Level of Evidence

N/A.

Abstract Image

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虚拟现实和360°视频训练在前鼻填塞中的可行性研究

虚拟现实（VR）模拟器在耳鼻喉科（ENT）训练中已经建立了多年。然而，大多数培训针对的是专科培训生或以上水平，目前还没有针对预科医生的VR耳鼻喉科培训包，这些医生需要在工作时间之外进行大量的耳鼻喉科护理。开发并评估了用于前鼻填塞训练的新型VR和360°视频包。方法在这项可行性研究中，16名预科医生被伪随机分配到一项三组研究中：仅使用VR模拟，仅使用360°视频，或视频后再进行VR模拟。采用专家共识设计干预前和干预后问卷，对信心、能力、客观知识、可用性、面孔效度和内容效度以及定性数据进行评估。结果干预前后，整个队列的信心、能力和知识水平显著提高。与VR模拟一起使用的360°视频被认为是用户友好的。所有的包装都达到了内容效度，而VR模拟没有达到人脸效度，反应表明触觉反馈需要改进。参与者发现这些套餐引人入胜，身临其境，鼓励以愉快的方式进行安全练习。结论这些新颖的VR和360°视频是有效提高前鼻填塞信心、能力和知识的有效途径。进一步调整VR模拟器的触觉反馈，使其更加逼真。证据水平：无。

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