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Quantifying Ergonomic Risk Among Otolaryngology Surgeons.

Jacqueline Oh1, Kirtana Kumar1, Michael Li1

  • 1University of Oklahoma College of Medicine, Oklahoma City.

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Summary

Otolaryngology surgeons experience significant ergonomic risks and pain during operations, with larger glove sizes correlating to increased discomfort. These findings highlight the need for improved ergonomic awareness and equipment redesign to protect surgeon well-being.

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Area of Science:

  • Musculoskeletal health
  • Surgical ergonomics
  • Occupational safety

Background:

  • Otolaryngology operations demand sustained static postures and precision, increasing surgeon risk for musculoskeletal strain.
  • Ergonomic challenges are linked to surgeon discomfort and potential long-term disability, yet intraoperative assessments are limited.

Purpose of the Study:

  • To quantify intraoperative ergonomic risk and acute musculoskeletal pain in otolaryngologists.
  • To examine demographic and procedural factors associated with surgeon discomfort during head and neck operations.

Main Methods:

  • Prospective cross-sectional study involving 17 otolaryngology surgeons.
  • Assessed intraoperative ergonomic risk using the Rapid Upper Limb Assessment (RULA).
  • Collected preoperative and postoperative pain scores and relevant demographic/procedural data.

Main Results:

  • High rates of medium to high ergonomic risk (RULA 5-7) were observed in both attending physicians (37%) and residents (43%).
  • Increased pain scores correlated with greater case difficulty and larger glove sizes.
  • Ergonomic risk (RULA scores) increased with operative duration, particularly in surgeons aged 40 and older.

Conclusions:

  • Otolaryngology surgeons face significant intraoperative pain and ergonomic risks.
  • Hand size is a notable factor contributing to intraoperative discomfort.
  • Urgent need for enhanced ergonomic awareness, training, and equipment redesign to mitigate risks and ensure surgeon longevity.