手术烟雾抽吸器会增加手术人员在常规腺样体扁桃体切除术中听力损失的风险吗？
Do Surgical Smoke Evacuators Increase the Risk of Hearing Loss for Operative Personnel During Routine Adenotonsillectomy Surgery?
作者信息
Lackey Taylor G, Rowley Jacqueline, Pham Tiffany T, Portnuff Cory D, Ramos Laylaa, Friedman Norman R, Herrmann Brian W
机构信息
Otolaryngology - Head and Neck Surgery, University of Colorado Anschutz Medical Campus, Aurora, USA.
Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, USA.
出版信息
Cureus. 2024 May 13;16(5):e60214. doi: 10.7759/cureus.60214. eCollection 2024 May.
INTRODUCTION
Aerosol mitigation equipment implemented due to COVID-19 has increased noise levels in the operating room (OR) during otolaryngological procedures. Intraoperative sound levels may potentially place personnel at risk for occupational hearing loss. This study hypothesized that cumulative intraoperative noise exposures with aerosol mitigation equipment exceed recommended occupational noise exposure levels.
METHODS
Sound levels generated by the surgical smoke evacuator (SSE) during adenotonsillectomy were measured using a sound level meter and compared to surgery without SSE.
RESULTS
Thirteen adenotonsillectomy surgeries were recorded. Mean sound levels with the SSE were greater than the control (72 ± 3 A-weighted decibels (dBA) vs. 68 ± 2 dBA; p=0.015). Maximum noise levels during surgery with SSE reached 82 ± 3 dBA.
CONCLUSION
Surgeons performing adenotonsillectomy with aerosol mitigation equipment are exposed to significant noise levels. Intraoperative sound levels exceeded international standards for work requiring concentration. Innovation is needed to reduce cumulative OR noise exposures.
引言
因新冠疫情而实施的气溶胶缓解设备增加了耳鼻喉科手术期间手术室（OR）的噪音水平。术中声级可能会使工作人员面临职业性听力损失的风险。本研究假设，使用气溶胶缓解设备时术中累积噪音暴露超过了推荐的职业噪音暴露水平。
方法
使用声级计测量腺样体扁桃体切除术中手术烟雾抽吸器（SSE）产生的声级，并与不使用SSE的手术进行比较。
结果
记录了13例腺样体扁桃体切除术。使用SSE时的平均声级高于对照组（72±3 A加权分贝（dBA）对68±2 dBA；p=0.015）。使用SSE的手术过程中的最大噪音水平达到82±3 dBA。
结论
使用气溶胶缓解设备进行腺样体扁桃体切除术的外科医生会暴露在显著的噪音水平下。术中声级超过了需要集中注意力工作的国际标准。需要创新来减少手术室累积噪音暴露。
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