Ergonomic Aspects and Instrumentation in Frontal Sinus Surgery

Lobo, David; Viera‐Artiles, Jaime; Maza, Juan; Megía, Roberto

doi:10.1007/978-3-030-98128-0_8

Cited by 1 publication

(2 citation statements)

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“…Prolonged periods of static postures combined with repetitive movements over a single day, many years or a career are well‐established risk factors for MSK disease 2 . Ergonomic problems in surgical interventions caused problems for up to 89% of surgeons, 3,10–13 mainly in the form of neck, shoulder and arm pain 3–6,10,12–18 …”

Section: Introductionmentioning

confidence: 99%

“…2 Ergonomic problems in surgical interventions caused problems for up to 89% of surgeons, 3,[10][11][12][13] mainly in the form of neck, shoulder and arm pain. [3][4][5][6]10,[12][13][14][15][16][17][18] In addition, the adoption by surgeons of existing recommendations for good ergonomic practices such as Ramakrishnan recommendations for ESSBS (adjust table to keep hand in line with elbow AE10 cm, arms slightly abducted and internally rotated, limit wrist flexion, deviation, and rotation to <15 ) is not always successful. 19 Pain reduction can be a good motivator for the adoption of assistive devices.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility of an Exoskeleton Armrest to Improve Ergonomics during Endoscopic Sinus and Skull Base Surgery

Lobo,

Sancibrian,

Mesones

et al. 2023

The Laryngoscope

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ObjectiveThe main objective of this study was to develop and evaluate the feasibility and effectiveness of a novel exoskeleton system designed to provide ergonomic assistance to surgeons while preserving or improving the quality of endoscopic sinus and skull base surgical procedures.MethodsTo evaluate the functionality and ergonomic characteristics of the device, five experiments were conducted in different and increasingly realistic scenarios: silicone model of the nasal cavity, freshly frozen cadavers and finally in a real surgery. Each volunteer's task was recorded and timed. The National Aeronautics and Space Administration Task Load Index (NASA‐TLX) rating scale was used to estimate the surgeons' workload while performing the tasks.ResultsTwenty‐five volunteers took part in the experiments. Volunteers perceived more comfort and less fatigue and pain when using the armrest than when not using the device (3.3, SD 1.75 vs. 5.9 SD 1.49; p = 0.02). Participants found the device intuitive, comfortable, and improving accuracy and stability with endoscope use.ConclusionA new system that provides ergonomic assistance to surgeons was tested in simulation surgery with acceptable usability. Initial results in terms of pain and fatigue reduction and efficiency were excellent, justifying further research into this technology.Level of EvidenceN/A Laryngoscope, 2023

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Section: Introductionmentioning

confidence: 99%