Left-handed Otolaryngologists: Adaptations and Implications for Resident Training

Abstract

Objective: 1) Describe ergonomic and procedural modifications for the left-handed otolaryngologist. 2) Present resident and practicing otolaryngologist perspectives on handedness.

Method: Survey of otolaryngology training programs, electronic questionnaires offered to residents and established otolaryngologists, and review of the literature.

Results: Approximately 11% of the population is left-handed, with a similar prevalence among surgeons. The otolaryngologist’s reliance on specialized equipment requires adaptations to facilitate use by left-handed physicians. We propose modifications for the left-handed otolaryngologist in the outpatient setting and in endoscopic sinus, otologic, head and neck, facial plastic, and upper aerodigestive procedures. Furthermore, survey results regarding handedness are presented. A minority of left-handed otolaryngologists had specific mentoring or instruction during their training. Most surgeons, regardless of handedness, believe that proficiency with their nondominant hand is crucial and that left-handedness does not impede successful surgical performance or residency training.

Conclusion: Adaptations made by the left-handed otolaryngologist who practices in a right-handed-dominated field are often intuitive. However many surgeons, particularly trainees, may benefit from recommendations specifically tailored for left-handed otolaryngologists. We offer suggestions for these individuals and present results of a survey regarding handedness among otolaryngology residents and attendings.