Operative Techniques in Otolaryngology - Head and Neck Surgery最新文献

Ergonomic injuries and their complications: prevention and treatment 人体工学损伤及其并发症：预防与治疗

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.006

Roee Noy MD , Yotam Shkedy MD , Yona Vaisbuch MD

{"title":"Ergonomic injuries and their complications: prevention and treatment","authors":"Roee Noy MD , Yotam Shkedy MD , Yona Vaisbuch MD","doi":"10.1016/j.otot.2025.05.006","DOIUrl":"10.1016/j.otot.2025.05.006","url":null,"abstract":"<div><div>Ergonomic hazards are prevalent in otolaryngology and head and neck surgery, with nearly 80% of otolaryngologists reporting work-related musculoskeletal discomfort (WRMD). These issues arise due to the specialized equipment used in patient care, such as endoscopes, microscopes, and loupes, which require prolonged and varied postures that strain the body. WRMD, including pain, stiffness, and fatigue, can persist throughout an otolaryngologist's career, affecting performance, quality of life, and patient safety. A lack of ergonomic training contributes to the high prevalence of WRMD, which begins during early training and often persists without intervention. Several factors increase the risk of WRMD, including the surgical position (sitting vs standing), longer procedure times, and the use of endoscopic tools. Prevention measures like ergonomic education during medical training, adjustments to workstation setups, and targeted interventions using assessment tools such as RULA can help mitigate these risks. However, there is a need for comprehensive guidelines and research into effective remediation methods. Treatment strategies include improving ergonomic practices in the operating room, clinic, and wards, using adjustable equipment, and integrating micro-breaks. While some surgeons benefit from robotic-assisted surgeries, which reduce WRMD, these methods may introduce other ergonomic challenges. Additionally, alternative treatments such as acupuncture, massage, and physical therapy can help alleviate symptoms. Overall, addressing ergonomic hazards through early education, better equipment, and improved practices can reduce WRMD and improve both surgeon well-being and patient outcomes.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"36 2","pages":"Pages 118-123"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to prolong an otologist’s career? A practical guide to ergonomics 如何延长耳科医生的职业生涯？人体工程学实用指南

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.009

Ksenia A. Aaron MD , Alicia Beth MD , John Vaughan MD , Yona Vaisbuch MD

引用次数: 0

Ergonomics in laryngoesophagology 喉道学的人机工程学

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.011

Priya D. Krishna MD, MS, FACS , Libby J. Smith DO, FACS

引用次数: 0

Overview of surgical ergonomics 外科人体工程学概述

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.005

Ryan Huang MD, Maura Cosetti MD

引用次数: 0

Strategies for improving ergonomics in facial plastic and reconstructive surgery 改善面部整形和重建手术中人机工程学的策略

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.012

Raluca Gosman MD , Adeeb Derakhshan MD , Shekhar K. Gadkaree MD

引用次数: 0

Female surgical ergonomics in Otolaryngology - Head & Neck Surgery 耳鼻咽喉-头颈外科女性手术人体工程学

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.008

Rachel B. Kutler BA, Anaïs Rameau MD, MPhil, MS, FACS

{"title":"Female surgical ergonomics in Otolaryngology - Head & Neck Surgery","authors":"Rachel B. Kutler BA, Anaïs Rameau MD, MPhil, MS, FACS","doi":"10.1016/j.otot.2025.05.008","DOIUrl":"10.1016/j.otot.2025.05.008","url":null,"abstract":"<div><div>Otolaryngology–Head and Neck Surgery (OHNS) presents significant ergonomic challenges due to repetitive fine motor tasks, frequent use of headlights and loupe magnification, and the need to operate in confined spaces. However, the experience of female surgeons in this field remains underexplored. This narrative review examines the prevalence, severity, and risk factors of work-related musculoskeletal (MSK) symptoms among female otolaryngologists, as well as potential interventions. MSK pain is common among otolaryngologists, with female surgeons often disproportionately affected. Contributing intrinsic factors to ergonomic challenges include anthropomorphic differences such as grip strength and the additional challenges posed by pregnancy. Extrinsic factors further exacerbate these issues, with surgical tools and operating room environments that are not optimized for diverse user needs and a lack of gender-specific ergonomic training. Despite the high prevalence of MSK symptoms, female ergonomic awareness and education within OHNS remain limited. Addressing these issues requires early integration of ergonomic education in training, inclusive research on gender-specific needs, and collaboration with industry partners to develop tools and environments that accommodate diverse physical characteristics. These efforts are crucial for improving the well-being, performance, and representation of women in OHNS.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"36 2","pages":"Pages 132-138"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing surgical ergonomics in otolaryngology: an evidence-based toolkit 优化耳鼻喉外科的人体工程学：一个基于证据的工具包

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.004

Eric J. Formeister MD, MS , Andrea M. Park MD

引用次数: 0

Ergonomics in rhinologic surgery 鼻外科的人体工程学

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.010

Raewyn G Campbell MD , Emma Ho MD

{"title":"Ergonomics in rhinologic surgery","authors":"Raewyn G Campbell MD , Emma Ho MD","doi":"10.1016/j.otot.2025.05.010","DOIUrl":"10.1016/j.otot.2025.05.010","url":null,"abstract":"<div><div>Ergonomics in rhinology plays a crucial role in optimizing surgical performance, reducing musculoskeletal strain, and enhancing patient outcomes. Despite advancements in surgical techniques and instrumentation, ergonomic challenges persist, contributing to occupational hazards for rhinologists. This paper explores the ergonomic factors affecting rhinologists, identifies key areas of strain, and proposes strategies to mitigate long-term occupational risks. A review of ergonomic principles in rhinology was conducted, incorporating observational studies, surveys, and biomechanical analyses. Additionally, practical modifications and technological advancements aimed at improving ergonomic efficiency were explored. The study highlights common ergonomic stressors, including prolonged, static postures and repetitive movements. Recommendations include adjustments in surgeon positioning, instruments, and the adoption of adaptive surgical workstations to minimize strain and enhance procedural efficiency. Addressing ergonomic challenges in rhinology is critical to sustaining surgeon well-being and optimizing patient care. Incorporating ergonomic principles into education, training, equipment design, and surgical workflow can significantly reduce occupational risks. Further research is warranted to develop standardized ergonomic guidelines tailored to rhinologic practice.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"36 2","pages":"Pages 147-155"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating anthropometric accommodation testing and trainee feedback to evaluate sex-based differences in surgical ergonomics and musculoskeletal pain 整合人体测量适应性测试和受训者反馈，以评估手术人体工程学和肌肉骨骼疼痛的性别差异

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.otot.2025.05.007

Sarah Gao BA , Eric J. Formeister MD, MS , Oren Wei BS , Lekha Yesantharao MD , Henry H. Joo BS , John Pentikis PhD , John P. Carey MD , Deepa Galaiya MD

{"title":"Integrating anthropometric accommodation testing and trainee feedback to evaluate sex-based differences in surgical ergonomics and musculoskeletal pain","authors":"Sarah Gao BA , Eric J. Formeister MD, MS , Oren Wei BS , Lekha Yesantharao MD , Henry H. Joo BS , John Pentikis PhD , John P. Carey MD , Deepa Galaiya MD","doi":"10.1016/j.otot.2025.05.007","DOIUrl":"10.1016/j.otot.2025.05.007","url":null,"abstract":"<div><div>Surgical equipment, historically designed to accommodate male body proportions, may contribute to ergonomic strain among female otolaryngologists. To assess these disparities, we evaluated the ergonomic accommodation of surgical stools and tables at our institution by comparing them to anthropometric databases representative of the U.S. population. Additionally, a 40-question survey was distributed to otolaryngology trainees at the same institution to assess musculoskeletal pain patterns and perceived ergonomic risks. Our findings indicate that standard operative equipment is less accommodating to the average female stature, potentially disadvantaging female trainees in otolaryngology and exacerbating musculoskeletal (MSK) strain. Moreover, most trainees reported experiencing pain in the neck, lower back, and shoulders, with many indicating a limited understanding of ergonomic principles. Greater emphasis on surgical ergonomics, including equipment design modifications and formal ergonomics curricula, is needed to reduce the risk of injury and improve surgeon longevity.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"36 2","pages":"Pages 124-131"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of a 3-dimensional model of the infratemporal fossa 颞下窝三维模型的建立

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.otot.2024.08.004

Gabriela A. Calcano BS , Karl R. Khandalavala MD , Abby M. Simpkins BS , Gabriel A. Hernandez-Herrera BS , Emilyn P. Frohn MS , Caitlin J. Vander Wert MA , Carlos Pinheiro Neto MD, PhD , Kathryn M. Van Abel MD , Jonathan M. Morris MD , Daniel L. Price MD

{"title":"Development of a 3-dimensional model of the infratemporal fossa","authors":"Gabriela A. Calcano BS , Karl R. Khandalavala MD , Abby M. Simpkins BS , Gabriel A. Hernandez-Herrera BS , Emilyn P. Frohn MS , Caitlin J. Vander Wert MA , Carlos Pinheiro Neto MD, PhD , Kathryn M. Van Abel MD , Jonathan M. Morris MD , Daniel L. Price MD","doi":"10.1016/j.otot.2024.08.004","DOIUrl":"10.1016/j.otot.2024.08.004","url":null,"abstract":"<div><div>The infratemporal fossa is an irregular space inferior to the temporal fossa and deep to the ramus of the mandible. It is densely packed with muscles and neuro-vasculature, in close communication with the temporal fossa and pterygopalatine fossa. While tumors originating in this region are rare and often benign, they frequently invade neighboring structures. The infratemporal fossa's deep anatomical relationships and proximity to various cranial nerves make it a challenging space for surgical resection. In the present study, a model which accurately depicts the complex anatomy of this area as a tool to augment surgical education is described. CT angiography data from a healthy 29-year-old female was segmented and refined based on a compilation of data from published anatomical studies. The resulting anatomical details were subsequently incorporated into a 3D model by a professional medical illustrator using Maxon ZBrush. Meshes were further refined in digital 3D space based on data from peer-reviewed anatomical studies. The final 3D model demonstrates the complex anatomical structures within the infratemporal fossa, including their relationship with important cranial base and neurovascular structures relevant to surgical approaches in this area.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"36 1","pages":"Pages 14-24"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0