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Virtual reality meets ENT: a low-cost high-fidelity teaching course for peritonsillar abscess drainage

Published online by Cambridge University Press:  30 July 2025

Maisie McCormick Open the ORCID record for Maisie McCormick [Opens in a new window] ,
Lavandan Jegatheeswaran Open the ORCID record for Lavandan Jegatheeswaran [Opens in a new window] ,
Shervanthi Homer-Vanniasinkam Open the ORCID record for Shervanthi Homer-Vanniasinkam [Opens in a new window]  and
Dheeraj Karamchandani Open the ORCID record for Dheeraj Karamchandani [Opens in a new window]
Maisie McCormick
Affiliation:
Warwick Medical School, The University of Warwick, Coventry, UK
Lavandan Jegatheeswaran*
Affiliation:
University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK South Warwickshire University NHS Foundation Trust, Warwick, UK
Shervanthi Homer-Vanniasinkam
Affiliation:
Warwick Medical School, The University of Warwick, Coventry, UK University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
Dheeraj Karamchandani
Affiliation:
University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
*
Corresponding author: Lavandan Jegatheeswaran; Email: lavandan.jegatheeswaran@nhs.net
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Abstract

Background

This pilot randomised controlled trial evaluated virtual reality as a supplementary teaching tool for peritonsillar abscess drainage among third year medical students.

Methods

Twenty students were randomised to virtual reality-based or traditional teaching, each receiving a 90-minute session followed by an objective structured clinical examination and pre-/post-session knowledge tests. The virtual reality group used HTC Vive Focus 3 headsets with Virti, 3D Organon and EXR platforms.

Results

The virtual reality group scored higher in objective structured clinical examinations (26.9 vs. 21.5; p = 0.005) and reported greater procedural confidence (p = 0.008) and engagement (p = 0.003). Both groups improved knowledge (p < 0.001) without significant difference post-session (p = 0.701). Virtual reality was rated highly for effectiveness (9.6/10) and immersion (8.5/10) and had minimal cybersickness (1.8/10).

Conclusion

Virtual reality significantly enhances procedural confidence and performance. Its immersive format supports integration into surgical education, warranting further validation in larger studies.

Keywords

medical educationotolaryngologyperitonsillar abscesssimulation trainingvirtual reality

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 10 , October 2025 , pp. 990 - 995
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Lavandan Jegatheeswaran takes responsibility for the integrity of the content of the paper

References

Peritonsillar abscess. In: http://www.ncbi.nlm.nih.gov/books/NBK519520/ [18 December 2024]Google Scholar
Klug, TE, Rusan, M, Fuursted, K, Ovesen, T. Peritonsillar abscess: complication of acute tonsillitis or Weber’s Glands Infection? Otolaryngol Head Neck Surg 2016;155:199–207CrossRefGoogle ScholarPubMed
Klug, TE, Greve, T, Hentze, M. Complications of peritonsillar abscess. Ann Clin Microbiol Antimicrob 2020;19:32CrossRefGoogle ScholarPubMed
Jegatheeswaran, L, Naing, TKP, Choi, B, Collins, R, Luke, L, Gokani, S, et al. Simulation-based teaching: an effective modality for providing UK foundation doctors with core ENT skills training. J Laryngol Otol 2023;137:622–8CrossRefGoogle ScholarPubMed
Fitzsimons, M, Williams, K, Knowles, S, Caroll, C. Peritonsillar abscess at a dedicated otolaryngology emergency department. Ir Med J 2021;114:489Google Scholar
Dimitrov, L, Unadkat, S, Khanna, A, Rennie, C, Saleh, H. ENT training amongst general practitioners: results from a questionnaire. J Laryngol Otol 2020;14:1–7Google Scholar
Khan, MM, Saeed, SR. Provision of undergraduate otorhinolaryngology teaching within General Medical Council approved UK medical schools: what is current practice? J Laryngol Otol 2012;126:340–4CrossRefGoogle ScholarPubMed
Doshi, J, Carrie, S. A survey of undergraduate otolaryngology experience at Newcastle University Medical School. J Laryngol Otol 2006;120:770–3CrossRefGoogle ScholarPubMed
Ferguson, GR, Bacila, IA, Swamy, M. Does current provision of undergraduate education prepare UK medical students in ENT? A systematic literature review. BMJ Open 2016;6:e010054CrossRefGoogle ScholarPubMed
Ijaz, A, Sundar, S, Zuberi, S, Richards, S. Online learning: an effective option for teaching ENT to medical students? J Laryngol Otol 2023;137:560–4CrossRefGoogle ScholarPubMed
Chin, RY-K, Tjahjono, R, Rutledge, MJR, Lambert, T, Deboever, N. The evaluation of e-learning resources as an adjunct to otolaryngology teaching: a pilot study. BMC Med Educ 2019;19:181CrossRefGoogle Scholar
Radianti, J, Majchrzak, TA, Fromm, J, Wohlgenannt, I. A systematic review of immersive virtual reality applications for higher education: design elements, lessons learned, and research agenda. Comput Educ 2020;147:103778CrossRefGoogle Scholar
Haowen, J, Vimalesvaran, S, Myint Kyaw, B, Tudor Car, L. Virtual reality in medical students’ education: a scoping review protocol. BMJ Open 2021;11:e046986CrossRefGoogle ScholarPubMed
Jensen, LX, Konradsen, F. A review of the use of virtual reality head-mounted displays in education and training. Educ Inf Technol 2018;23:1515–29CrossRefGoogle Scholar
Venail, F, Deveze, A, Lallemant, B, Guevara, N, Mondain, M. Enhancement of temporal bone anatomy learning with computer 3D rendered imaging software. Med Teach 2010;32:e282–8CrossRefGoogle ScholarPubMed
Dharmawardana, N, Ruthenbeck, G, Woods, C, Elmiyeh, B, Diment, L, Ooi, EH, et al. Validation of virtual-reality-based simulations for endoscopic sinus surgery. Clin Otolaryngol 2015;40:569–79CrossRefGoogle ScholarPubMed
Zhao, YC, Kennedy, G, Yukawa, K, Pyman, B, O’Leary, S. Improving temporal bone dissection using self-directed virtual reality simulation: results of a randomized blinded control trial. Otolaryngol Head Neck Surg 2011;144:357–64CrossRefGoogle ScholarPubMed
Copson, B, Wijewickrema, S, Zhou, Y, Piromchai, P, Briggs, R, Bailey, J, et al. Supporting skill acquisition in cochlear implant surgery through virtual reality simulation. Cochlear Implants Int 2017;18:89–96CrossRefGoogle ScholarPubMed
Hardcastle, T, Wood, A. The utility of virtual reality surgical simulation in the undergraduate otorhinolaryngology curriculum. J Laryngol Otol 2018;132:1072–6CrossRefGoogle ScholarPubMed
Course structure. In: https://warwick.ac.uk/fac/sci/med/study/ugr/why/courseinfo/structure/#y3 [20 December 2024]Google Scholar
Oh, H, Son, W. Cybersickness and Its severity arising from virtual reality content: a comprehensive study. Sensors (Basel) 2022;22:1314CrossRefGoogle Scholar
McKinley, DW, Norcini, JJ. How to set standards on performance-based examinations: AMEE Guide No. 85. Med Teach 2014;36:97–110CrossRefGoogle Scholar
Steensma, H, Groeneveld, K. Evaluating a training using the ‘four levels model.’ J Workplace Learning 2010;22:319–31CrossRefGoogle Scholar
Marshall, DC, Salciccioli, JD, Walton, S-J, Pitkin, J, Shalhoub, J, Malietzis, G. Medical student experience in surgery influences their career choices: a systematic review of the literature. J Surg Educ 2015;72:438–45CrossRefGoogle Scholar
Arora, A, Lau, LYM, Awad, Z, Darzi, A, Singh, A, Tolley, N. Virtual reality simulation training in otolaryngology. Int J Surg 2014;12:87–94CrossRefGoogle ScholarPubMed
Farra, SL, Gneuhs, M, Hodgson, E, Kawosa, B, Miller, ET, Simon, A, et al. Comparative cost of virtual reality training and live exercises for training hospital workers for evacuation. Comput Inform Nurs 2019;37:446–54Google ScholarPubMed
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