FESS, fingers and other things - you are not alone!

Amin, Mohamed Ezzat Khamis; Rimmer, Joanne; Swift, A. C.; White, P.J.; Lund, Vibe Pedersen

doi:10.4193/rhin14.179

Cited by 11 publications

(24 citation statements)

References 29 publications

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“…We found a significant correlation between musculoskeletal symptoms and operating standing up, as did the UK study (3) .…”

Section: Discussionsupporting

confidence: 78%

“…When these responses are compared to the results of the UK survey, there was a lower percentage response rate for the European survey (11.3% compared to 22.4% in the UK survey) (3) . The actual number of responses was larger (250 responses compared to 82 in the UK) due to the significantly larger membership of the ERS.…”

Section: Discussionmentioning

confidence: 91%

“…The survey contained 20 questions (Appendix 1). Members from the UK were excluded as they had already been asked to complete the survey earlier in 2014 (3) , but their responses are compared to those received in the European survey.…”

Section: Methodology Study Designmentioning

confidence: 99%

“…A recent survey of British rhinologists found that 59% experienced pain and/or stiffness as a result of performing endoscopic sinus surgery (3) . This is in keeping with the results of an American survey in which 77% reported musculoskeletal symptoms as a result of performing ESS (4) .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Endoscopic sinus surgery and musculoskeletal symptoms

Rimmer¹,

Amin²,

Fokkens³

et al. 2016

Rhin

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“…We found a significant correlation between musculoskeletal symptoms and operating standing up, as did the UK study (3) .…”

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 91%

Section: Methodology Study Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic sinus surgery and musculoskeletal symptoms

Rimmer¹,

Amin²,

Fokkens³

et al. 2016

Rhin

Self Cite

View full text Add to dashboard Cite

show abstract

“…On the other hand, there is growing concern about musculoskeletal disorders derived from surgical practice in the different surgical specialties, and otolaryngology is no exception, as evidenced by the increased number of publications on this issue in recent years. Several surveys have been conducted to identify the prevalence of musculoskeletal symptoms, and any associated risk factors relating to endoscopic sinus surgical technique, in rhinologists in Britain, America, Europe, and worldwide . These cross‐sectional studies, with a response rate between 11.2% and 22.2%, have identified musculoskeletal symptoms in 63.5‐77% of practicing rhinologists, notably in the back (59.8‐71%), neck (46‐60.5%), shoulder (45‐63%), and wrist (11.7‐54%), with 23‐35% of rhinologists receiving therapy and 5‐7.9% reporting they have had to limit practice due to work‐related musculoskeletal disorders.…”

Section: Discussionmentioning

confidence: 99%

Estimation of surgeons’ ergonomic dynamics with a structured light system during endoscopic surgery

Lobo

Anuarbe

López‐Higuera

et al. 2019

Int Forum Allergy Rhinol

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Background:The purpose of this study was to use motion capture to collect body posture information during simulated endoscopic sinus surgery interventions performed by both specialists and residents in standing and si ing positions and to analyze that information with the validated Rapid Upper Limb Assessment (RULA) tool, which allows calculation of a risk index of musculoskeletal overload. Methods:Bilateral endoscopic sinus surgery was performed in 5 cadaver heads by 2 residents, and 4 practicing rhinologists. Musculoskeletal symptoms were evaluated before and a er the dissection. Full-body postural data were collected with the help of Kinect and a .NET WPF (Windows Presentation Foundation) so ware application to record images of the surgical procedures, and then analyzed with the RULA tool to calculate a risk score indicative of the exposure of the individual surgeon to ergonomic risk factors associated with upper extremity musculoskeletal disorders.Results: All subjects reported physical discomfort after nasal endoscopic procedures. An overall similar RULA score was obtained by the residents and the practicing rhinologists. The RULA score was slightly lower for the sitting position than for the standing position, mostly due to a lower score in group B (neck, trunk, and leg); however, the RULA score for group A (arm and wrist analysis) was higher, denoting a higher risk for the upper back and arms.Conclusion: Significant musculoskeletal symptoms were reported a er an endoscopic operation by both the resident and the practicing otolaryngologists. All surgeons obtained a high RULA score, meaning that urgent changes are required in the task. C 2019 ARS-AAOA, LLC. How to Cite this Article:Lobo D, Anuarbe P, López-Higuera JM, Viera J, Castillo N, Megía R. Estimation of surgeons' ergonomic dynamics with a structured light system during endoscopic surgery. Int Forum Allergy Rhinol. 2019;9:857-864.

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Ergonomics in Otolaryngology: A Systematic Review and Meta‐analysis

et al. 2022

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Objectives To determine the proportion of otolaryngologists with work‐related musculoskeletal discomfort (WRMD) and to review objective ergonomic data that contribute to WRMD. Study Design Systematic review and meta‐analysis. Methods A comprehensive search of the literature identified 1121 articles for initial review of which 19 (3563 participants) met criteria for qualitative discussion and eight (2192 participants) met criteria for meta‐analysis. Random effects meta‐analyses were used to estimate the proportion of otolaryngologists reporting WRMD. Results The overall proportion (95% confidence intervals [CI]) of general otolaryngologists reporting WRMD was 0.79 (0.66, 0.88) for any symptoms; 0.54 (0.40, 0.67) for neck symptoms; 0.33 (0.20, 0.49) for shoulder symptoms; and 0.49 (0.40, 0.59) for back symptoms. Surgeons performing primarily subspecialty cases had a lower estimated overall prevalence of WRMD versus those performing general ENT cases, however the odds ratio (OR) was not statistically significant (OR [95% confidence interval] 0.53 [0.22, 1.25]). 23%–84% of otolaryngologists underwent medical treatment for WRMD. 5%–23% took time off work and 1%–6% stopped operating completely as a result of WRMD. 23%–62.5% of otolaryngologists believed WRMD negatively impacted their quality of life. Objective measures of ergonomic posture indicate moderate to severe risk of injury during the routine clinic and surgical procedures with none found to be low risk. Conclusions Ergonomic stressors among otolaryngologists contribute to a high rate of WRMD across all subspecialties with notable impact on productivity, longevity, and quality of life. Laryngoscope, 133:467–475, 2023

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FESS, fingers and other things - you are not alone!

Cited by 11 publications

References 29 publications

Endoscopic sinus surgery and musculoskeletal symptoms

Endoscopic sinus surgery and musculoskeletal symptoms

Estimation of surgeons’ ergonomic dynamics with a structured light system during endoscopic surgery

Ergonomics in Otolaryngology: A Systematic Review and Meta‐analysis

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