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Muscular tension in ear surgeons during cochlear implantations: does a new microscope improve musculoskeletal complaints?

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Title: Muscular tension in ear surgeons during cochlear implantations: does a new microscope improve musculoskeletal complaints?
Authors: Antonia Lakomek, Theda Eichler, Moritz Meyer, Benedikt Höing, Marcel Dudda, Stephan Lang, Diana Arweiler-Harbeck
Source: Eur Arch Otorhinolaryngol
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: 03 medical and health sciences, 0302 clinical medicine, Medizin, Otology, Muscle tension, Female [MeSH], Cochlear implantations, Adult [MeSH], Humans [MeSH], Muscle Tonus/physiology [MeSH], Neck Muscles [MeSH], Prospective Studies [MeSH], Robotics [MeSH], Work-related disorders, Occupational Diseases/diagnosis [MeSH], Occupational Diseases/prevention, Middle Aged [MeSH], Microscopy/instrumentation [MeSH], Electromyography/methods [MeSH], Type of microscopes, Cochlear Implantation/methods [MeSH], Male [MeSH], Shoulder/surgery [MeSH], Surgeons [MeSH]
Description: Purpose Musculoskeletal complaints and fatigue are commonly described symptoms in daily work of ear nose and throat surgeons using a microscope. Long ear surgical procedures are associated with prolonged microscope use, which can lead to unconsciously tense and uncomfortable body posture. The digital microscope RoboticScope® allows visualization of surgical site through a Head-Mounted Display, independent from camera head and is therefore much easier on the back, as the sitting position can be adjusted flexibly. Aim of the prospective study was to investigate to what extent the use of a RoboticScope® changes the tension of neck and shoulder muscles of the surgeons in comparison to a conventional tripod microscope. Methods For this purpose, the electric activity of neck and shoulder muscles of surgeons was recorded using surface electromyography during cochlear implantations. Electrical potentials were derived via electrodes on neck and shoulder muscles. The basic tension of those muscles was measured in relaxed position before and after surgery. During microscope use the tension was continued to be measured. A questionnaire recorded parameters such as level of difficulty of operation as well as patient data. Results Results from 58 operations, 33 of which were performed using a conventional microscope and 25 using a Head-Mounted Display, show a significant reduction in muscular tension during surgery by 40% (p ®, regardless of the surgeon. Conclusion Our results are in line with the relevance of preventive measures to avoid acute and chronic work-related illnesses/symptoms described in literature.
Document Type: Article
Other literature type
Language: English
ISSN: 1434-4726
0937-4477
DOI: 10.1007/s00405-024-08899-0
Access URL: https://pubmed.ncbi.nlm.nih.gov/39174680
https://repository.publisso.de/resource/frl:6519727
https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&origin=inward&scp=85201829814
https://www.ncbi.nlm.nih.gov/pubmed/39174680
https://doi.org/10.1007/s00405-024-08899-0
Rights: CC BY
Accession Number: edsair.doi.dedup.....ad78d6a2b36a95402e9795f793ca1c8c
Database: OpenAIRE
Description
Abstract:Purpose Musculoskeletal complaints and fatigue are commonly described symptoms in daily work of ear nose and throat surgeons using a microscope. Long ear surgical procedures are associated with prolonged microscope use, which can lead to unconsciously tense and uncomfortable body posture. The digital microscope RoboticScope® allows visualization of surgical site through a Head-Mounted Display, independent from camera head and is therefore much easier on the back, as the sitting position can be adjusted flexibly. Aim of the prospective study was to investigate to what extent the use of a RoboticScope® changes the tension of neck and shoulder muscles of the surgeons in comparison to a conventional tripod microscope. Methods For this purpose, the electric activity of neck and shoulder muscles of surgeons was recorded using surface electromyography during cochlear implantations. Electrical potentials were derived via electrodes on neck and shoulder muscles. The basic tension of those muscles was measured in relaxed position before and after surgery. During microscope use the tension was continued to be measured. A questionnaire recorded parameters such as level of difficulty of operation as well as patient data. Results Results from 58 operations, 33 of which were performed using a conventional microscope and 25 using a Head-Mounted Display, show a significant reduction in muscular tension during surgery by 40% (p ®, regardless of the surgeon. Conclusion Our results are in line with the relevance of preventive measures to avoid acute and chronic work-related illnesses/symptoms described in literature.
ISSN:14344726
09374477
DOI:10.1007/s00405-024-08899-0