Evidence map›Paper›PMID 33573705›Full record

SynthesisJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2021

Noise in Otolaryngology - Head and Neck Surgery operating rooms: a systematic review.

Gianluca Sampieri, Amirpouyan Namavarian, Marc Levin, Justine Philteos, Jong Wook Lee, Anni Koskinen, Vincent Lin, John Lee

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05714267 (The Effect of Noise Control and Music Therapy on Anxiety, Vital Signs and Post-Operative Pain in Total Knee Prosthesis Surgery), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05714267 nacompletednot on this map

The Effect of Noise Control and Music Therapy on Anxiety, Vital Signs and Post-Operative Pain in Total Knee Prosthesis Surgery

TypeinterventionalSponsorBezmialem Vakif UniversityRan2021 to 2023Enrolled100ConditionsKnee OsteoarthritisArmsActive noise cancelling, Passive noice cancelling, Active noise cancelling with music therapy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. The hidden cost of precision: ergonomic strain, wellness, and career longevity in otolaryngology.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Gianluca Sampieri *Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Amirpouyan Namavarian *Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Marc LevinDepartment of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Justine PhilteosDepartment of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-3526-1345
Jong Wook LeeDepartment of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Anni KoskinenDepartment of Otorhinolaryngology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Vincent Lin *Department of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
John Lee *Department of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada. John.Lee@unityhealth.to.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNoise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of noise have been studied in orthopedics, neurosurgery, and urology. High noise levels have also been demonstrated in Otolaryngology-Head and Neck Surgery (OHNS) procedures. Despite this, no previous study has amalgamated the data on noise across all OHNS ORs to determine how much noise is present during OHNS surgeries. This study aims to review all the literature on noise associated with OHNS ORs and procedures.

methodsOvid Medline, EMBASE Classic, Pubmed, SCOPUS and Cochrane databases were searched following PRISMA guidelines. Data was collected on noise measurement location and surgery type. Descriptive results and statistical analysis were completed using Stata.

resultsThis search identified 2914 articles. Final inclusion consisted of 22 studies. The majority of articles analyzed noise level exposures during mastoid surgery (18/22, 82%). The maximum noise level across all OHNS ORs and OHNS cadaver studies were 95.5 a-weighted decibels (dBA) and 106.6 c-weighted decibels (dBC), respectively (P = 0.2068). The mean noise level across all studies was significantly higher in OHNS cadaver labs (96.9 dBA) compared to OHNS ORs (70.1 dBA) (P = 0.0038). When analyzed together, the mean noise levels were 84.9 dBA.

conclusionsThis systematic review demonstrates that noise exposure in OHNS surgery exceeds safety thresholds. Further research is needed to understand how noise may affect team communication, surgical performance and patient outcomes in OHNS ORs.

Indexed as

Otorhinolaryngologic Surgical ProceduresHumansMastoidNoise, OccupationalOccupational ExposureOperating RoomsOtolaryngologySafety ManagementNoise in the operating roomOperating room communicationSurgical safety

Identifiers

PMID33573705
PMCPMC7879658

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.