loading page

Quantitative Ergonomic Comparison of Traditional Versus Endoscopic-Assisted Tonsillectomies: A Prospective Case-Control Study
  • +2
  • Thomas Haupt,
  • Andrew Wadley,
  • Jamil Hayden,
  • Adedoyin Kalejaiye,
  • Earl Harley
Thomas Haupt
Howard University College of Medicine

Corresponding Author:[email protected]

Author Profile
Andrew Wadley
Howard University College of Medicine
Author Profile
Jamil Hayden
Georgetown University Medical Center
Author Profile
Adedoyin Kalejaiye
Howard University College of Medicine
Author Profile
Earl Harley
Georgetown University Medical Center
Author Profile

Abstract

Five succinct key points: -Otolaryngologists are at high risk for ergonomic injury, particularly in the neck and cervical spine region. - There is a need to use validated ergonomic assessment tools to quantify the amount of risk in specific otolaryngology procedures and identify alternative methods to decrease that risk. -The physical positioning of the senior author was studied using the RULA score during two different operative approaches to tonsillectomy: one using an endoscope and one using direct visualization without the aid of an endoscope. - The RULA score for the traditional, non-endoscopic approach was 5, with a Neck, Trunk, and Leg Score of 6 and a Wrist/Arm score of 1, demonstrating a high risk and suggesting a need for further investigation and change. The RULA score for the endoscopic-assisted approach was 3, with a Neck, Trunk, and Leg score of 4 and a Wrist/Arm score of 1. -An endoscopic-assisted approach to tonsillectomy allowed for a lower RULA score than traditional tonsillectomy. This study suggests that an endoscopic approach may decrease the potential for musculoskeletal strain and reduce occupational-related pain and injury seen in practicing otolaryngologists.