Objectives/Hypothesis: Otolaryngology instructional videos available online are often of poor quality. The objective of this article was to establish international consensus recommendations for the production of educational surgical videos in otolaryngology. Study Design: DELPHI survey. Methods: Twenty-seven international respondents participated in this study from 12 countries. Consensus was reached after three rounds of questionnaires following the Delphi methodology. The proposals having reached the 80% agreement threshold in the third round were retained. Results: The main recommendations are as follows: 1) Ethics: patients must be anonymized and unrecognizable (apart from plastic surgery if necessary). A signed authorization must be obtained if the person is recognizable. 2) Technical aspects: videos should be edited and in high-definition (HD) quality if possible. Narration or subtitles and didactic illustrations are recommended. 3) Case presentation: name of pathology and procedure must be specified; the case should be presented with relevant workup. 4) Surgery: surgical procedures should be divided into several distinct stages and include tips and pitfalls. Pathology should be shown if relevant. Key points should be detailed at the end of the procedure. 5) Organ-specific: type of approach and bilateral audiometry should be specified in otology. Coronal plane computed tomography scans should be shown in endonasal surgery. It is recommended to show pre-and postoperative videos in voice surgery and preoperative drawings and photos of scars in plastic surgery, as well as the ventilation method in airway surgery.

One of the principal precepts of bioethics that all students in healthcare are taught in school which is a fundamental principle throughout of medicine, is referred as the Latin phrase “primum non nocere”. This means that, in regard to therapeutic strategies, it is first of all necessary not to harm the patient and for this reason, among the possible treatments, the one that has fewer contraindications should always be privileged. The current COVID-19 pandemic today counts more than 46 million cases and more than 1 million deaths worldwide. While the vast majority of the scientific community is working tirelessly on the development of vaccines and control of the application of the results produced by the use of drugs in hospitalized patients, few studies have dealt with issues related to the concepts of prophylaxis and treatment of the early phase of the disease. Prophylaxis includes strategies capable, on the one hand, of containing the spread of SARS-CoV-2, on the other hand, mitigating the development of the immune system imbalance caused in severe forms of Coronavirus disease. That is why we present the MATH + clinical guidelines, which were created thanks to an international alliance of doctors from around the world and a description of the clinical case when the MATH + clinical guidelines were used. Medicine is a direction of human activity, which in its charity knows no boundaries, age restrictions, emotions and prohibitions. The doctor everywhere rushes to the rescue neglecting personal. That is why we strive to help all health workers, who are at the Front Line in the fight for the lives of COVID-19 critical patients.

The following information is based on both our own experience and, most importantly, the data of the European Associations of Otorhinolaryngologists and leading experts from different countries, who report on their personal experience of treating patients in a pandemic COVID-19. At the present situation of the COVID-19 pandemic none of the otorhinolaryngologists in Ukraine or around the world has sufficient experience in treating patients with COVID-19. Due to the fact that the situation itself, as well as information about the Corona Virus infection, is changing very dynamically it is important to share verified professional information.