Hearing Evaluation of ARthroplasty Surgeons: results from the HEARS study

Palmer, Jonathan; Wilson, Christopher J.; Fraig, H; Wilson, Daniel G. G.; Garrett, Simon J.

doi:10.1308/rcsann.2021.0050

Cited by 7 publications

(1 citation statement)

References 9 publications

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“…Arthroplasty surgeons have a significantly greater prevalence of hearing loss than their non-surgical counterparts, according to the Hearing Evaluation of ARthroplasty Surgeons (HEARS) study [ 13 ]. The orthopaedic staff is highly on the verge of getting exposed to intense noise levels for longer periods, which is liable to cause NIHL.…”

Section: Reviewmentioning

confidence: 99%

Impact of Excessive Noise Generation in Orthopaedic Operating Theatres: A Comprehensive Review

Jeyaraman,

Yadav

et al. 2024

Cureus

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Excessive noise in the orthopaedic operating theatre (OT) is an underrecognized and often neglected health hazard noticed amongst surgeons, patients and theatre and scrub practitioners. A comprehensive search strategy was conducted using databases, such as PubMed, Scopus and Web of Science, with the search words 'noise', 'NIHL' and 'orthopaedics' to retrieve the significant data and generate this narrative review. We evaluated the typical causes, potential hazards and negative effects of noise-induced impacts on OT personnel and patients. Strategies to mitigate the effects of unnecessary, disproportionate noises in the OT environment were explored. Excessive noise generated in orthopaedic OTs can produce several negative effects on patients, surgeons and staff. Noise-induced hearing loss (NIHL) is a rare and under-noticed disorder. The orthopaedic OT environment, with the ever-increasing use of power tools and surgical instruments, contributes to detrimental noise generation. NIHL is an occupational hazard. Raising awareness, appropriate training and clinical governance in collaboration with the hospital risk management team amongst all the medical and paramedical fraternities working in orthopaedic theatres can mitigate challenges faced due to the deleterious effects of excessive noise. We propose recommendations and standard operating protocols that can be incorporated into hospital policies to prevent NIHL among the orthopaedic fraternity and patients alike.

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Section: Reviewmentioning

confidence: 99%

Impact of Excessive Noise Generation in Orthopaedic Operating Theatres: A Comprehensive Review

Jeyaraman,

Yadav

et al. 2024

Cureus

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Noise exposure during robot-assisted total knee arthroplasty

Hönecke

Michael

Wangenheim

et al. 2022

Arch Orthop Trauma Surg

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The aim of the study was to examine the noise exposure for operating theater staff during total knee arthroplasty (TKA) with three different robot systems. There is already evidence that noise exposure during TKA performed manually exceeds recommended guidelines for occupational noise. Therefore, if surgical staff is exposed to it for several years, the development of noise-inducing hearing loss (NIHL) is significantly increased. To investigate the noise exposure during robot-assisted TKA, the study measured the average noise and the peak sound pressure during TKA with MAKO robot (Stryker, Kalamazoo, Michigan, United States), NAVIO robot (Smith and Nephew, London, Great Britain), and CORI robot (Smith and Nephew, London, Great Britain) using a class 1 sound level meter. Each robot system exceeds the recommended guidelines from the national institute for occupational safety and health. While the MAKO robot had the highest average sound level (93.18 dB(A)) of the three robot systems (NAVIO: 88.88 dB(A), CORI: 89.38 dB(A)), the peak sound level was the highest with the NAVIO Robot (134.48 dB(C)) compared to the MAKO Robot (128.98 dB(C)) and CORI robot (126.48 dB(C)). Robot-assisted TKA is a risk factor for NIHL, like manually performed TKA. Further research for decreasing the noise exposure during TKA is needed to minimize the hearing loss in operating theater staff.

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