Howarth Ashley L, Hallbeck M Susan, Lemaine Valerie, Singh Davinder J, Noland Shelley S
Mayo Clinic Arizona, Department of Surgery, Division of Plastic and Reconstructive Surgery, Phoenix, AZ.
Mayo Clinic, Department of Health Sciences Research.
J Craniofac Surg. 2019 Oct;30(7):1982-1985. doi: 10.1097/SCS.0000000000005631.
Long, complex surgical procedures with non-ergonomic postures, headlights, loupe magnification, and microscope use may put craniofacial and maxillofacial surgeons at an increased risk of work-related musculoskeletal discomfort (WRMD). Identifying the prevalence and impact of WRMD may guide preventive strategies to prolong well-being, job satisfaction, and career duration.
A 31-question survey was designed to evaluate WRMD. The survey was sent to American Society of Craniofacial Surgeons and American Society of Maxillofacial Surgeons members. The survey was created and distributed electronically through a private survey research center (Qualtrics Survey Software).
There were 95 respondents (23.75% response rate): 75% male, 56% aged 31 to 50 years old, and 73% in academic practice. On a scale of 0 to 10 (0 no pain, 10 worst pain), WRMD for surgery without loupes/microscope had a median of 3, with loupes 4, and with microscope 5. Pain was most common in the neck. Pain within 4 hours of surgery was present in 55% and 38% feared pain would influence future surgical performance. Surgeon discomfort affects posture (72%), stamina (32%), sleep (28%), surgical speed (24%), relationships (18%), and concentration (17%). Medical treatment for discomfort was sought by 22%. Time off work for treatment occurred in 9%.
The WRMD can affect many aspects of a craniofacial or maxillofacial surgeon's life and has the potential to shorten or end a career. Occupational health and surgical ergonomics should be emphasized during surgical training and in surgical practice.
长时间、复杂的外科手术，伴随着非人体工程学的姿势、头灯、放大镜放大以及显微镜的使用，可能会使颅面和颌面外科医生面临与工作相关的肌肉骨骼不适（WRMD）风险增加。识别WRMD的患病率和影响可能会指导预防策略，以延长健康状况、工作满意度和职业生涯时长。
设计了一份包含31个问题的调查问卷来评估WRMD。该调查问卷发送给了美国颅面外科医生协会和美国颌面外科医生协会的成员。调查问卷通过一个私人调查研究中心（Qualtrics调查软件）以电子方式创建和分发。
共有95名受访者（回复率为23.75%）：75%为男性，56%年龄在31至50岁之间，73%从事学术工作。在0至10分的评分量表（0分表示无疼痛，10分表示最严重疼痛）上，不使用放大镜/显微镜进行手术时WRMD的中位数为3分，使用放大镜时为4分，使用显微镜时为5分。疼痛最常见于颈部。55%的人在手术后4小时内出现疼痛，38%的人担心疼痛会影响未来的手术表现。外科医生的不适会影响姿势（72%）、耐力（32%）、睡眠（28%）、手术速度（24%）、人际关系（18%）和注意力（17%）。22%的人寻求针对不适的医疗治疗。9%的人因治疗而休假。
WRMD会影响颅面或颌面外科医生生活的许多方面，并且有可能缩短或结束职业生涯。在外科培训和手术实践中应强调职业健康和手术人体工程学。
