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Eligible studies were synthesized into a narrative review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In OHNS, XR technologies are increasingly being used across a wide range of clinical and educational contexts. The majority of studies focused on simulation for surgical education, particularly in otology, demonstrating improvements in learner engagement, anatomical understanding, and procedural skills. Other applications included preoperative planning, intraoperative guidance, distraction analgesia, vestibular and voice rehabilitation, and provider wellness. Despite these promising developments, the literature remains heavily concentrated in certain subspecialties, focused on education and surgical simulation, and largely limited to feasibility or proof\u2010of\u2010concept studies, with minimal integration into routine clinical practice. Unexplored XR applications in OHNS include at home self\u2010monitoring, mental health conditions relevant to the specialty and telemedicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>As XR technologies continue to evolve, they offer significant potential to enhance clinical care, improve patient education, and bridge gaps in surgical training. While early applications have focused largely on simulation, there is a growing interest in leveraging XR for perioperative and rehabilitative uses. Addressing current limitations, such as cost, access, standardization, and real\u2010world validation, will be critical for broader adoption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70323","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T15:27:21Z","timestamp":1782746841000},"page":"802-824","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extended Reality in Otolaryngology\u2013Head &amp; Neck Surgery: A State\u2010of\u2010the\u2010Art Review"],"prefix":"10.1002","volume":"175","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5202-6888","authenticated-orcid":false,"given":"Rachel B.","family":"Kutler","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Sean Parker Institute for the Voice, Weill Cornell Medical College New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1309-9188","authenticated-orcid":false,"given":"Eric","family":"Gantwerker","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Zucker School of Medicine at Hofstra\/Northwell Hempstead New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-1312","authenticated-orcid":false,"given":"Rohan","family":"Jotwani","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology NewYork\u2010Presbyterian\/Weill Cornell Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7607-559X","authenticated-orcid":false,"given":"Alexandros","family":"Sigaras","sequence":"additional","affiliation":[{"name":"Department of Systems and Computational Biomedicine, Englander Institute for Precision Medicine Weill Cornell Medicine New York New York USA"},{"name":"Department of Systems and Computational Biomedicine, Institute for Computational Biomedicine Weill Cornell Medicine New York New York USA"},{"name":"Department of Systems and Computational Biomedicine, AI\u2010XR Lab Weill Cornell Medicine New York New York USA"},{"name":"Department of Systems and Computational Biomedicine Weill Cornell Clinical and Translational Science Center New York New York USA"},{"name":"Department of Systems and Computational Biomedicine Weill Cornell Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1013-8065","authenticated-orcid":false,"given":"JoAnn","family":"Difede","sequence":"additional","affiliation":[{"name":"Department of Psychiatry NewYork\u2010Presbyterian\/Weill Cornell Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1543-2634","authenticated-orcid":false,"given":"Ana\u00efs","family":"Rameau","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Sean Parker Institute for the Voice, Weill Cornell Medical College New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","unstructured":"PalmasF KlinkerG. 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