Work-related musculoskeletal disorders (WRMD) are now front and centre in the practice of otolaryngology head and neck surgery, with many surgeons suffering pain, disability and shortened career spans. Common WRMDs include degenerative lumbar spine disease, rotator cuff pathology, degenerative cervical spine disease and carpal tunnel syndrome. The incidence is higher amongst female otolaryngologists but underreported. Female surgeons must use surgical instruments designed for male surgeons. Working in narrow surgical spaces, precisely navigating through critical structures using microscopes, endoscopes, robotic devices and loupes presents ergonomic challenges. This narrative review discusses the causes leading to WRMD and provides a ‘primer’ for otolaryngologists to assess and modify their workplace and improve ergonomic efficiency. Establishing good ergonomic habits and practices early in residency is the key to enhancing career longevity.
WRMD in otolaryngology
Reviewed by Gauri Mankekar
Optimizing surgical ergonomics in otolaryngology: an evidence-based toolkit.
CONTRIBUTOR
Gauri Mankekar
Department of Otolaryngology-Head Neck Surgery, Louisiana State University Shreveport, Louisiana, USA.
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