Endoscopic sinus surgery and musculoskeletal symptoms

Area of Science:

• Otolaryngology
• Occupational Health
• Surgical Ergonomics

Background:

• Endoscopic sinus surgery is a common procedure with low patient morbidity.
• Surgeons performing endoscopic and laparoscopic procedures face significant risks of musculoskeletal symptoms.
• These symptoms can negatively impact surgeons' careers and patient care.

Purpose of the Study:

• To determine the prevalence of musculoskeletal symptoms in European rhinologists.
• To identify risk factors associated with surgical technique and posture.
• To inform ergonomic recommendations for surgeons.

Main Methods:

• An online survey was distributed to members of the European Rhinologic Society.
• Data from 250 respondents were statistically analyzed.
• A literature review was conducted to support ergonomic recommendations.

Main Results:

• Approximately 80% of surgeons reported experiencing musculoskeletal symptoms.
• The neck and back were the most commonly affected areas (around 60%).
• Increased annual procedures, standing position, and operating without a monitor correlated with symptoms.

Conclusions:

• Musculoskeletal symptoms are highly prevalent among endoscopic sinus surgeons.
• Surgical posture is a key contributing factor to these symptoms.
• Increased surgeon awareness and improved ergonomic practices are crucial.