Evidence map›Paper›PMID 38577238›Full record

ArticleOTO open

Ergonomic Assessment of Septorhinoplasty Maneuvers During Simulated Pregnancy.

Rohith M Bhethanabotla, Kaye Ledgister, Ian S Soriano, Patricia O'Sullivan, Elaine Bigelow, Philip Daniel Knott, Andrea M Park

Abstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Surgical Ergonomics for Women in Otolaryngology-Head and Neck Surgery.Otolaryngologic clinics of North America · 2025
    Review
  4. Article
  5. Female Surgical Ergonomics in Otolaryngology.Operative techniques in otolaryngology--head and neck surgery · 2025
    Article
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

7 authors.

Rohith M BhethanabotlaDepartment of Otolaryngology-Head and Neck Surgery University of California-San Francisco San Francisco California USA.ORCID 0000-0002-7096-7343
Kaye LedgisterDepartment of Environment, Health, and Safety University of California-San Francisco San Francisco California USA.
Ian S SorianoDepartment of Surgery University of California-San Francisco San Francisco California USA.
Patricia O'SullivanDepartment of Surgery University of California-San Francisco San Francisco California USA.
Elaine BigelowDepartment of Otolaryngology-Head and Neck Surgery University of California-San Francisco San Francisco California USA.
Philip Daniel KnottDepartment of Otolaryngology-Head and Neck Surgery University of California-San Francisco San Francisco California USA.
Andrea M ParkDepartment of Otolaryngology-Head and Neck Surgery University of California-San Francisco San Francisco California USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Women represent an increasing proportion of the otolaryngology workforce. Work-related musculoskeletal disorders (WRMSD) are a little-studied yet important impediment to career completion. Scant attention has been directed to study the impact of pregnancy on surgeon posture and ergonomics. We piloted the use of a pregnancy simulation suit (Empathy Belly) to assess the risk of ergonomic compromise when performing open septorhinoplasty. Study Design: Surgical simulation. Setting: Single session, training simulation lab at academic medical center. Methods: Medical students and surgical residents performed the initial steps of a rhinoplasty procedure without and with a pregnancy simulation suit and were filmed with an artificial intelligence-based video analysis app from Kinetica Labs that calculates joint angles and categorizes the ergonomic risk factors. Still images from videos were taken and analyzed using validated posture-based analysis rubrics. Participants were asked to complete a qualitative questionnaire after the session. Results: Twelve medical students and surgical residents participated in the study. Posture-based analysis indicated increased ergonomics risk factors among trainees when performing a rhinoplasty while wearing the pregnancy suit. Video analysis indicated trends of worsening back angle and shoulder postures. Trainees reported experiencing pain in the neck, suprapubic area, and lower back. They acknowledged the importance of ergonomics in otolaryngology and desired further education about workplace injury risk mitigation. Conclusion: Pregnancy impacts the ergonomics of performing septorhinoplasty and further investigation is required into interventions to reduce risk of WRMSDs.

Indexed as

ergonomicspregnancyrhinoplastysimulation

Identifiers

PMID38577238
PMCPMC10988238

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.