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Ergonomic hazards in otolaryngology.
Laryngoscope. 2019 02; 129(2):370-376.L

Abstract

OBJECTIVES/HYPOTHESIS

To evaluate the presence of postural-related strain and musculoskeletal discomfort, along with the level of ergonomics training and the availability of ergonomic equipment among otolaryngology surgeons.

STUDY DESIGN

Intraoperative observations and survey study.

METHODS

Using the Rapid Entire Body Assessment score system to identify ergonomic hazards, we conducted intraoperative observations assessing operating room personnel during different otolaryngological subspecialty procedures. Based on these findings, otolaryngology surgeons at a single academic institution in the United States were sent a survey that evaluated ergonomic practice, environmental infrastructure, and prior ergonomic training or education.

RESULTS

A response rate of 69% was obtained from 70 surgeons, with 72.9% of responding surgeons suffering from some level of back pain, with cervical spine pain being the most common. Interestingly, residents were equally affected when compared to more senior surgeons both in subjective survey reports and from observational risk analysis. Furthermore, 43.8% of surgeons reported suffering from the highest level of pain when standing, whereas only 12.5% experienced pain when sitting. Importantly, 10% stated that pain impacted their work. Only 24% of surgeons had any prior ergonomic training or education.

CONCLUSIONS

Our data suggest that pain and disability induced by poor ergonomics are widespread among the otolaryngology community and confirm that surgeons rarely receive ergonomic training in the surgical context. Additionally, intraoperative observational findings identified that the majority of observed surgeons display poor posture, particularly a poor cervical angle and use of ergonomic setups, both of which increase ergonomic risk hazard. These data provide guidance for future interventional studies.

LEVEL OF EVIDENCE

NA Laryngoscope, 129:370-376, 2019.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Stanford Health Care and Stanford University School of Medicine, Stanford, California, U.S.A.Department of Otolaryngology-Head and Neck Surgery, Stanford Health Care and Stanford University School of Medicine, Stanford, California, U.S.A.Department of Neurosurgery, Stanford Health Care and Stanford University School of Medicine, Stanford, California, U.S.A.Environmental Health and Safety Department, Stanford Health Care and Stanford University School of Medicine, Stanford, California, U.S.A.Department of Otolaryngology-Head and Neck Surgery, Stanford Health Care and Stanford University School of Medicine, Stanford, California, U.S.A.Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.Department of Otolaryngology-Head and Neck Surgery, Stanford Health Care and Stanford University School of Medicine, Stanford, California, U.S.A.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30474217

Citation

Vaisbuch, Yona, et al. "Ergonomic Hazards in Otolaryngology." The Laryngoscope, vol. 129, no. 2, 2019, pp. 370-376.
Vaisbuch Y, Aaron KA, Moore JM, et al. Ergonomic hazards in otolaryngology. Laryngoscope. 2019;129(2):370-376.
Vaisbuch, Y., Aaron, K. A., Moore, J. M., Vaughan, J., Ma, Y., Gupta, R., & Jackler, R. K. (2019). Ergonomic hazards in otolaryngology. The Laryngoscope, 129(2), 370-376. https://doi.org/10.1002/lary.27496
Vaisbuch Y, et al. Ergonomic Hazards in Otolaryngology. Laryngoscope. 2019;129(2):370-376. PubMed PMID: 30474217.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ergonomic hazards in otolaryngology. AU - Vaisbuch,Yona, AU - Aaron,Ksenia A, AU - Moore,Justin M, AU - Vaughan,John, AU - Ma,Yifei, AU - Gupta,Raghav, AU - Jackler,Robert K, Y1 - 2018/11/25/ PY - 2018/07/09/accepted PY - 2018/11/27/pubmed PY - 2019/5/24/medline PY - 2018/11/27/entrez KW - Ergonomics KW - Rapid Entire Body Assessment KW - occupational hazards KW - operating room KW - otolaryngology SP - 370 EP - 376 JF - The Laryngoscope JO - Laryngoscope VL - 129 IS - 2 N2 - OBJECTIVES/HYPOTHESIS: To evaluate the presence of postural-related strain and musculoskeletal discomfort, along with the level of ergonomics training and the availability of ergonomic equipment among otolaryngology surgeons. STUDY DESIGN: Intraoperative observations and survey study. METHODS: Using the Rapid Entire Body Assessment score system to identify ergonomic hazards, we conducted intraoperative observations assessing operating room personnel during different otolaryngological subspecialty procedures. Based on these findings, otolaryngology surgeons at a single academic institution in the United States were sent a survey that evaluated ergonomic practice, environmental infrastructure, and prior ergonomic training or education. RESULTS: A response rate of 69% was obtained from 70 surgeons, with 72.9% of responding surgeons suffering from some level of back pain, with cervical spine pain being the most common. Interestingly, residents were equally affected when compared to more senior surgeons both in subjective survey reports and from observational risk analysis. Furthermore, 43.8% of surgeons reported suffering from the highest level of pain when standing, whereas only 12.5% experienced pain when sitting. Importantly, 10% stated that pain impacted their work. Only 24% of surgeons had any prior ergonomic training or education. CONCLUSIONS: Our data suggest that pain and disability induced by poor ergonomics are widespread among the otolaryngology community and confirm that surgeons rarely receive ergonomic training in the surgical context. Additionally, intraoperative observational findings identified that the majority of observed surgeons display poor posture, particularly a poor cervical angle and use of ergonomic setups, both of which increase ergonomic risk hazard. These data provide guidance for future interventional studies. LEVEL OF EVIDENCE: NA Laryngoscope, 129:370-376, 2019. SN - 1531-4995 UR - https://www.unboundmedicine.com/medline/citation/30474217/Ergonomic_hazards_in_otolaryngology_ L2 - https://doi.org/10.1002/lary.27496 DB - PRIME DP - Unbound Medicine ER -