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Ergonomics in endoscopic sinus surgery: systematic review of the literature.
J Otolaryngol. 2005 Oct; 34(5):333-40.JO

Abstract

OBJECTIVE

To conduct a systematic review of reports on the ergonomic posture of the surgeon during endoscopic sinus surgery.

STUDY DESIGN

Literature review.

METHODS

Systematic review of the French- and English-language literature using PubMed from January 1970 to March 2004. Articles were divided into four categories: visualization through an endoscope or a videoendoscope, monitor position, sitting or standing position, and arm support.

RESULTS

Endoscopic sinus surgery with direct vision through the endoscope is associated with faulty neck positioning and does not appear to bring any advantages in terms of surgical performance compared with vision via a video monitor. Low back pain and lower extremity complaints are commonly associated with the standing position. Spinal flexion seems more harmful than a straight posture. The preferred viewing angle for video monitors is a few degrees below the horizontal gaze line. An arm support can be beneficial because it is associated with minimization of neck, shoulder, and lumbar stress.

CONCLUSION

We recommend (1) visualization via a television monitor instead of direct vision through an endoscope, (2) positioning the screen in direct axis with the surgeon's body and a few degrees below the horizontal line of gaze, (3) surgery in the seated position instead of the standing position, and (4) the use of an elbow support for the arm holding the endoscope.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, QC.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

16181596

Citation

Ayad, Tareck, et al. "Ergonomics in Endoscopic Sinus Surgery: Systematic Review of the Literature." The Journal of Otolaryngology, vol. 34, no. 5, 2005, pp. 333-40.
Ayad T, Péloquin L, Prince F. Ergonomics in endoscopic sinus surgery: systematic review of the literature. J Otolaryngol. 2005;34(5):333-40.
Ayad, T., Péloquin, L., & Prince, F. (2005). Ergonomics in endoscopic sinus surgery: systematic review of the literature. The Journal of Otolaryngology, 34(5), 333-40.
Ayad T, Péloquin L, Prince F. Ergonomics in Endoscopic Sinus Surgery: Systematic Review of the Literature. J Otolaryngol. 2005;34(5):333-40. PubMed PMID: 16181596.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ergonomics in endoscopic sinus surgery: systematic review of the literature. AU - Ayad,Tareck, AU - Péloquin,Louis, AU - Prince,François, PY - 2005/9/27/pubmed PY - 2006/4/28/medline PY - 2005/9/27/entrez SP - 333 EP - 40 JF - The Journal of otolaryngology JO - J Otolaryngol VL - 34 IS - 5 N2 - OBJECTIVE: To conduct a systematic review of reports on the ergonomic posture of the surgeon during endoscopic sinus surgery. STUDY DESIGN: Literature review. METHODS: Systematic review of the French- and English-language literature using PubMed from January 1970 to March 2004. Articles were divided into four categories: visualization through an endoscope or a videoendoscope, monitor position, sitting or standing position, and arm support. RESULTS: Endoscopic sinus surgery with direct vision through the endoscope is associated with faulty neck positioning and does not appear to bring any advantages in terms of surgical performance compared with vision via a video monitor. Low back pain and lower extremity complaints are commonly associated with the standing position. Spinal flexion seems more harmful than a straight posture. The preferred viewing angle for video monitors is a few degrees below the horizontal gaze line. An arm support can be beneficial because it is associated with minimization of neck, shoulder, and lumbar stress. CONCLUSION: We recommend (1) visualization via a television monitor instead of direct vision through an endoscope, (2) positioning the screen in direct axis with the surgeon's body and a few degrees below the horizontal line of gaze, (3) surgery in the seated position instead of the standing position, and (4) the use of an elbow support for the arm holding the endoscope. SN - 0381-6605 UR - https://www.unboundmedicine.com/medline/citation/16181596/Ergonomics_in_endoscopic_sinus_surgery:_systematic_review_of_the_literature_ L2 - https://medlineplus.gov/guidetogoodposture.html DB - PRIME DP - Unbound Medicine ER -