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VR Studies in Extra Capsular Dissection (ECD)

Welcome to the future or remote learning. This invaluable experience has all been captured with 360 video in real time and can now be shared through VR teaching rooms. The virtual experience transports you into the operation room and helps you absorb the experience intuitively. Benefit from this opportunity and take advantage of this library of cases with surgery uniquely guided by a revolution in 3D parotid imaging.

Overview of Content

A Revolution in Imaging

Ready to take the next step in Personalised Parotid Surgery?

Peruse the content on this webpage – select the experience that is most rewarding.

Modules (below) are arranged for “Self Directed Learning” or experienced through “Small Group Discussion” with Prof Mark McGurk.

Participants require a Meta Quest Oculus 3 to view images in Virtual Reality. Headsets are included in the package. See information below.

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Self Directed Learning

Module 1: ECD Training Techniques

The ECD technique is presented in 16 easy-to-follow steps, Each is illustrated by live video and two examples are provided.

This module is a self contained unit. Access is available for 3 months with self directed learning – see subscription module.

View examples: 

Example 1
Example 2
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Small Group Discussion

Groups of up to 8 individuals meet in Virtual Reality. An example is displayed in this module.

Three ~90 minutes sessions with Professor Mark McGurk, over 6 months. The gap between sessions is to allow application of ideas and feedback

Participants must have an oculus to see content.

Access to All Content. Maximum 8 people per VR session.

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Subscription Details

Information on VR headsets, pricing, and module options is available in our Subscription Guide (PDF)

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Identify the combination of modules that suits your interest. 

Participants must have a Meta Quest 3 or 3s to see content.

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Powered by apoQlar HoloMedicine® — bringing ECD learning to life in 3D

These modules use the apoQlar HoloMedicine® platform, combining immersive VR experiences in HoloMedicine Spaces with interactive 3D models on the HoloLens 2 to support learning and application of ECD techniques.

Application of ECD Techniques

The patient library consists of 48 operative cases edited down to ~30min sessions. The cases are divided into 4 modules (Modules 2 to 5). Each module includes 12 cases.

Collectively they illustrate how the ECD technique can be applied in real live cases. 

Previews are available to help selection of modules.

Example 1
Example 2
Example 3
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Module 2

Includes core cases, classical vs extended ECD, some malignant suspicion.

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Module 3

Deep/special positions, nerve involvement, neurogenic tumours, early malignancy.

See Preview

Module 4

Advanced ECD, nerve dissection, mastoid involvement, recurrent tumours.

See Preview

Module 5

Advanced ECD, nerve dissection, mastoid involvement, recurrent tumours.

See Preview

Participants must have an oculus to see content.

About Mark McGurk

Professor Mark McGurk is internationally recognised for his expertise in head and neck surgery and his commitment to advancing surgical practice through innovation and education. Alongside his pioneering work in salivary gland preservation and minimally invasive techniques, he is leading the integration of virtual reality (VR) into surgical training.

Through his research and teaching at University College London Hospital, Professor McGurk has developed detailed VR modules that accurately replicate complex head and neck procedures. These provide surgeons with an opportunity to explore anatomy, rehearse intricate extracapsular dissections and refine their surgical skills within a safe and controlled environment.

His work with VR reflects a lifelong dedication to improving patient outcomes and equipping the next generation of surgeons with the tools and techniques needed for modern surgical practice.

ECD in Simple Steps

A step-by-step overview of Extra-Capsular Dissection (ECD) covering planning, anatomy, dissection, and closure. Perfect for learners seeking a clear summary of the ECD technique.

Self-Directed Learning - Example 2

A brief learning session to review ECD concepts and surgical approaches at your own pace.

Application of ECD Techniques - Case 1

A clear example of how ECD is applied in parotid surgery, focusing on key surgical steps.

Application of ECD Techniques - Case 2

Demonstrates practical use of ECD techniques with emphasis on planning and exposure.

Application of ECD Techniques - Case 3

Shows the application of ECD in parotid tumour management and operative technique.

Professor Mark McGurk, a highly respected specialist in oral, head and neck cancer, reconstruction, and salivary gland disease in London has announced he will conclude his independent medical practice as of April 30th, 2024. 

Professor McGurk has been an integral part of advancing head and neck surgery techniques and education among medical professionals in London and beyond over his many years of skilled service.

ECD Study Programme

Experience the ECD Study Programme in virtual reality. Surgeons can explore the full ECD technique and real operative cases through 360° and 2D video, with options for self-directed modules or small group sessions with Professor Mark McGurk.

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Lectures​ & Appearances​

For lecture enquiries, please contact to learn about availability.

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Head & Neck Clinic​s

For Head and Neck Clinic enquiries, please visit the website.

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Continue to Professor Mark McGurk

Continue to markmcgurk.com

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Sentinel Node Biopsy​

For Sentinel Node Biopsy please click below for further information.

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Extra Capsular Dissection (ECD)

For ECD specialist across the UK, please click below.

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Ordontogenic Tumors

For Ordontogenic Tumour specialists, please visit.

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