A Scoping Review of Work-Related Musculoskeletal Disorders Among Otology Units-Practices Worldwide

Work-related musculoskeletal disorders (WRMSD) are common among surgeons. We aim to investigate the prevalence and characteristics of WRMSD among otologists in both surgical and outpatient settings and to evaluate the impact of ergonomic interventions designed to reduce musculoskeletal strain.

The literature search was conducted in the following electronic databases: PubMed, Medline, Embase, and the NHS Knowledge and Library Hub.

We followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR).

We identified six studies that met the inclusion criteria. The overall prevalence of WRMSD among otology units was found to be 37.2%, with the neck being the most commonly affected region. Despite the high prevalence of musculoskeletal issues, a significant percentage of otolaryngologists are unaware of ergonomic principles. Our findings also suggest that optimizing both surgeon and patient positioning and utilizing supportive equipment can help reduce work-related musculoskeletal symptoms.

The prevalence of WRMSD among otologists is remarkable. The high ergonomic risk for otologists can be linked to several factors, including the use of microscopes and endoscopes and the requirement for prolonged static positions. Implementing ergonomic interventions and providing education on ergonomic principles can significantly reduce musculoskeletal strain.