Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, New York, New York.
Otol Neurotol. 2020 Oct;41(9):1182-1189. doi: 10.1097/MAO.0000000000002769.
To review occupational ergonomic risks for the Otologist and Neurotologist.
MEDLINE, OVID, PubMed, and Google Scholar.
A search was conducted to identify all studies in the English language that involve ergonomic-related risks for surgeons.
Occupational hazards, particularly musculoskeletal disorders (MSDs), are common in the surgical community in general and among Otolaryngologists in particular. Very few studies have been conducted assessing MSDs specific to Otologists and Neurotologists. However, extrapolating from other surgical professions with similar ergonomic postures in the operation room and office, one can infer that cervical and lumbar pain are related to prolonged static sitting and neck flexion when working with a microscope and begins early in training. Early institution of correct ergonomic training is feasible and may be effective. Improved ergonomic habits include upright sitting, avoidance of neck flexion, initiating short breaks, and the use of chairs with arm and back support. Future technologies incorporated into otologic surgery should have improved ergonomic design.
Otologists and Neurotologists are exposed to MSDs directly related to their work demands. Incorporating healthy ergonomics into surgical training as well adopting correct posture and the use equipment designed for back support may help mitigate the long-terms risks of MSD.
审查耳科医生和神经耳科医生的职业工效学风险。
MEDLINE、OVID、PubMed 和 Google Scholar。
进行了一次检索，以确定所有涉及外科医生工效学相关风险的英文研究。
职业危害，特别是肌肉骨骼疾病（MSD），在外科界很常见，耳鼻喉科医生尤其如此。很少有研究评估特定于耳科医生和神经耳科医生的 MSD。然而，从手术室和办公室中具有类似工效学姿势的其他外科专业推断，长时间静态坐姿和使用显微镜时颈部弯曲与颈痛和腰痛有关，并且这种情况在培训早期就已经出现。早期实施正确的工效学训练是可行的，并且可能是有效的。改进的工效学习惯包括挺直坐姿、避免颈部弯曲、定期短暂休息以及使用带有扶手和背部支撑的椅子。未来应用于耳科手术的技术应该具有改进的工效学设计。
耳科医生和神经耳科医生直接受到与工作要求相关的肌肉骨骼疾病的影响。将健康的工效学纳入手术培训中，以及采用正确的姿势和使用设计用于背部支撑的设备，可能有助于减轻 MSD 的长期风险。
