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Work-Related Musculoskeletal Discomfort and Injury in Craniofacial and Maxillofacial Surgeons
Ashley L Howarth1, M Susan Hallbeck2,3, Valerie Lemaine4
1Mayo Clinic Arizona, Department of Surgery, Division of Plastic and Reconstructive Surgery, Phoenix, AZ.
The Journal of Craniofacial Surgery
|August 2, 2019
Summary
Work-related musculoskeletal discomfort (WRMD) is prevalent among craniofacial and maxillofacial surgeons, impacting their well-being and potentially careers. Addressing surgical ergonomics is crucial for surgeon health and career longevity.
Area of Science:
- Medical ergonomics
- Surgical safety
- Occupational health
Background:
- Craniofacial and maxillofacial surgeons face increased risk of work-related musculoskeletal discomfort (WRMD) due to prolonged procedures and non-ergonomic setups.
- Identifying WRMD prevalence and impact is vital for developing preventive strategies to ensure surgeon well-being and career duration.
Purpose of the Study:
- To evaluate the prevalence and impact of WRMD among craniofacial and maxillofacial surgeons.
- To identify factors contributing to WRMD in surgical practice.
Main Methods:
- A 31-question electronic survey was distributed to members of the American Society of Craniofacial Surgeons and American Society of Maxillofacial Surgeons.
- The survey assessed the incidence, severity, and impact of WRMD during surgical procedures.
Main Results:
- 95 surgeons responded, reporting median pain scores of 3 (no loupes/microscope), 4 (with loupes), and 5 (with microscope), with neck pain being most common.
- 55% experienced pain within 4 hours of surgery, and 38% feared it would affect performance. WRMD impacted posture, stamina, sleep, and concentration.
- 22% sought medical treatment, and 9% took time off work due to discomfort.
Conclusions:
- WRMD significantly affects craniofacial and maxillofacial surgeons' lives, potentially shortening careers.
- Emphasis on occupational health and surgical ergonomics during training and practice is recommended to mitigate WRMD.
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