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Optimizing Positioning for In-Office Otology Procedures.

Nandini Govil1, William M DeMayo2, Barry E Hirsch1,2

  • 11 Department of Otolaryngology, University of Pittsburgh Medical Center, Eye and Ear Institute, Pittsburgh, Pennsylvania, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|September 22, 2016
PubMed
Summary
This summary is machine-generated.

Performing otologic procedures with patients in the supine position significantly reduces surgeon upper limb stress. This ergonomic adjustment lowers the risk of musculoskeletal disorders for otolaryngologists during procedures.

Keywords:
cerumen removalergonomicsmusculoskeletal painotologic surgery

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Area of Science:

  • Otolaryngology
  • Ergonomics
  • Musculoskeletal Health

Background:

  • Surgeons frequently experience musculoskeletal discomfort during practice.
  • Optimal ergonomic positioning for otologic procedures is often poorly understood.

Purpose of the Study:

  • To determine the ergonomically optimal patient position (sitting vs. supine) for performing otologic procedures.
  • To assess the impact of patient positioning on surgeon ergonomic stress.

Main Methods:

  • Observational study involving 3 neurotologists performing simulated cerumen debridement.
  • Utilized the Rapid Upper Limb Assessment (RULA) tool to evaluate ergonomic positioning.
  • Compared RULA scores between sitting and supine patient positions.

Main Results:

  • The supine patient position consistently yielded lower RULA scores across nearly all trials.
  • Median RULA scores were 5 for the sitting position and 3 for the supine position (P < .0001).
  • Each neurotologist demonstrated a statistically significant decrease in RULA scores with the patient supine.

Conclusions:

  • Patient position significantly influences ergonomic stress on the otolaryngologist's upper limb during in-office procedures.
  • Adopting the supine position for otologic procedures can decrease the risk of upper-limb musculoskeletal disorders for surgeons.