How to prolong an otologist’s career? A practical guide to ergonomics

Otologist-neurotologists use microscopes daily, often requiring the surgeon to be seated in a stationary position for a prolonged time frame, leading to muscular stasis and inactivity. Recent literature in surgery, as well as in the field of otolaryngology specifically, found that repetitive postures and routine microscope use were the first and the second most common causes of pain respectively. Other studies revealed that otologists had a high prevalence of work-related musculoskeletal symptoms due to their frequent use of a microscope and ergonomic flaws encountered during surgery. To improve compliance with ergonomic principles there is a need for a practical guide. In this manuscript, we pinpoint sources of poor ergonomics in otology and present solutions to common mistakes. We propose practical considerations for optimal room setting, furniture adjustment, and correct body posture during procedures. Furthermore, we propose minibreaks and a home exercise program to assure that the results are sustainable and long lasting.