Reply to Letter to the Editor by Rattanapitoon S, et al, Regarding “Effects of Virtual Reality Distraction on Pain, Stress, and Heart Rate During Pediatric Ingrown Toenail Surgery: A Randomized Controlled Trial”

jpedsurg.org

We appreciate the interest shown by Rattanapitoon, et al [1], Wahyudin, et al [2], and Siregar, et al [3] in our recent article [4], and we welcome the opportunity to clarify and further discuss the issues the authors raised in their letters.

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Article · Nov 2025 · 1 min read

In brief

Author response addressing methodological questions and clarifications regarding a randomized controlled trial that evaluated virtual reality as a distraction technique for pain and stress reduction during pediatric ingrown toenail procedures.

Authors respond to three letters regarding their VR distraction study in pediatric ingrown toenail surgery
Clarifications provided on methodology and findings from the original randomized controlled trial
Discussion addresses concerns raised about pain, stress, and heart rate measurement during procedures

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