Ergonomic hazards in otolaryngology

Area of Science:

• Surgical Ergonomics
• Occupational Health
• Musculoskeletal Disorders

Background:

• Postural strain and musculoskeletal discomfort are prevalent among surgeons.
• Limited ergonomic training and equipment availability may contribute to these issues.

Purpose of the Study:

• To evaluate postural strain, musculoskeletal discomfort, and ergonomic training among otolaryngology surgeons.
• To assess the availability of ergonomic equipment in operating rooms.

Main Methods:

• Intraoperative observations using the Rapid Entire Body Assessment (REBA) score system.
• Surveys administered to otolaryngology surgeons regarding ergonomic practices, training, and environmental infrastructure.

Main Results:

• 72.9% of surgeons reported back pain, most commonly in the cervical spine.
• 43.8% experienced peak pain while standing; only 24% had prior ergonomic training.
• Observational data revealed poor posture and inadequate ergonomic setups among most surgeons.

Conclusions:

• Poor ergonomics lead to widespread pain and disability in otolaryngology surgeons.
• Ergonomic training is rarely provided in surgical settings.
• Interventional studies are needed to address identified ergonomic risks.