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Quantitative Assessment of Surgical Ergonomics in Otolaryngology.
Otolaryngol Head Neck Surg. 2020 Dec; 163(6):1186-1193.OH

Abstract

OBJECTIVES

Objective evaluation of the ergonomic risk of common otolaryngology procedures and assessment of work-related musculoskeletal pain and injury.

STUDY DESIGN

Cross-sectional intraoperative assessment and survey.

SETTING

Department of Otolaryngology at a tertiary children's hospital.

SUBJECTS AND METHODS

Sixteen otolaryngology attendings, fellows, and residents participated in a blinded study. Intraoperative ergonomics was assessed for tonsillectomies, adenoidectomies, and tympanostomy tube insertions using the Rapid Upper Limb Assessment (RULA). Follow-up surveys were sent to all participating surgeons to determine the prevalence of musculoskeletal pain and formal ergonomic training.

RESULTS

Zero percent (N = 0/275) of intraoperative observations were found to have a negligible level of ergonomic risk, with 47% low risk, 37% high risk, and 16% very high risk. Tympanostomy tube insertions conferred less risk than tonsillectomy and adenoidectomy, while the use of headlamp or loupes conferred increased risk. Eighty percent of respondents reported having musculoskeletal pain and 40% reported experiencing pain while operating within the past year. The most common area of pain was the cervical spine. No surgeons reported formal ergonomic training.

CONCLUSIONS

Our study demonstrates an unacceptable level of ergonomic risk for common procedures in otolaryngology. Furthermore, most participants reported experiencing musculoskeletal pain despite the duration of examined procedures being relatively short. The high prevalence of work-related musculoskeletal pain and the lack of ergonomic training in our cohort highlight the need for increased awareness of ergonomics as well as the development of formal ergonomic curricula.

Authors+Show Affiliations

The Ohio State University College of Medicine, Columbus, Ohio, USA.Department of Otolaryngology, Nationwide Children's Hospital, Columbus, Ohio, USA.The Ohio State University College of Medicine, Columbus, Ohio, USA. Department of Otolaryngology, Nationwide Children's Hospital, Columbus, Ohio, USA.Department of Otolaryngology, Nationwide Children's Hospital, Columbus, Ohio, USA.Center for Surgical Outcomes Research, Nationwide Children's Hospital, Columbus, Ohio, USA.Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.The Ohio State University College of Medicine, Columbus, Ohio, USA. Department of Otolaryngology, Nationwide Children's Hospital, Columbus, Ohio, USA. Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32600215

Citation

Rodman, Cole, et al. "Quantitative Assessment of Surgical Ergonomics in Otolaryngology." Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 163, no. 6, 2020, pp. 1186-1193.
Rodman C, Kelly N, Niermeyer W, et al. Quantitative Assessment of Surgical Ergonomics in Otolaryngology. Otolaryngol Head Neck Surg. 2020;163(6):1186-1193.
Rodman, C., Kelly, N., Niermeyer, W., Banks, L., Onwuka, A., Mason, E., & Chiang, T. (2020). Quantitative Assessment of Surgical Ergonomics in Otolaryngology. Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 163(6), 1186-1193. https://doi.org/10.1177/0194599820932851
Rodman C, et al. Quantitative Assessment of Surgical Ergonomics in Otolaryngology. Otolaryngol Head Neck Surg. 2020;163(6):1186-1193. PubMed PMID: 32600215.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quantitative Assessment of Surgical Ergonomics in Otolaryngology. AU - Rodman,Cole, AU - Kelly,Natalie, AU - Niermeyer,Weston, AU - Banks,Laura, AU - Onwuka,Amanda, AU - Mason,Eric, AU - Chiang,Tendy, Y1 - 2020/06/30/ PY - 2020/7/1/pubmed PY - 2021/3/3/medline PY - 2020/7/1/entrez KW - Rapid Upper Limb Assessment KW - ergonomics KW - occupational hazard KW - otolaryngology SP - 1186 EP - 1193 JF - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JO - Otolaryngol Head Neck Surg VL - 163 IS - 6 N2 - OBJECTIVES: Objective evaluation of the ergonomic risk of common otolaryngology procedures and assessment of work-related musculoskeletal pain and injury. STUDY DESIGN: Cross-sectional intraoperative assessment and survey. SETTING: Department of Otolaryngology at a tertiary children's hospital. SUBJECTS AND METHODS: Sixteen otolaryngology attendings, fellows, and residents participated in a blinded study. Intraoperative ergonomics was assessed for tonsillectomies, adenoidectomies, and tympanostomy tube insertions using the Rapid Upper Limb Assessment (RULA). Follow-up surveys were sent to all participating surgeons to determine the prevalence of musculoskeletal pain and formal ergonomic training. RESULTS: Zero percent (N = 0/275) of intraoperative observations were found to have a negligible level of ergonomic risk, with 47% low risk, 37% high risk, and 16% very high risk. Tympanostomy tube insertions conferred less risk than tonsillectomy and adenoidectomy, while the use of headlamp or loupes conferred increased risk. Eighty percent of respondents reported having musculoskeletal pain and 40% reported experiencing pain while operating within the past year. The most common area of pain was the cervical spine. No surgeons reported formal ergonomic training. CONCLUSIONS: Our study demonstrates an unacceptable level of ergonomic risk for common procedures in otolaryngology. Furthermore, most participants reported experiencing musculoskeletal pain despite the duration of examined procedures being relatively short. The high prevalence of work-related musculoskeletal pain and the lack of ergonomic training in our cohort highlight the need for increased awareness of ergonomics as well as the development of formal ergonomic curricula. SN - 1097-6817 UR - https://www.unboundmedicine.com/medline/citation/32600215/Quantitative_Assessment_of_Surgical_Ergonomics_in_Otolaryngology_ L2 - https://journals.sagepub.com/doi/10.1177/0194599820932851?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -