A Commentary on Safety Precautions for Otologic Surgery during the COVID‐19 Pandemic

Saadi, Robert; Bann, Darrin V.; Patel, Vijay A.; Goldenberg, David; May, Jason G.; Işıldak, Hüseyin

doi:10.1177/0194599820919741

Cited by 58 publications

(84 citation statements)

References 11 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Selection Diagram Six papers that were included in our main results have not been specifically cited in our findings but were considered in our main results. [13][14][15][16][17][18] International Archives of Otorhinolaryngology Vol. 24 No.…”

Section: Cancer Managementmentioning

confidence: 99%

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Hojaij

Chinelatto

Boog

et al. 2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Head and neck specialists and otorhinolaryngologists are greatly exposed to coronavirus disease 2019 (COVID-19) transmission in their everyday praxis. Many articles are being published regarding medical staff protection and patient management during the pandemic. Objective To provide an easy access to and a trustful review of the main aspects that have changed in the head and neck surgery and otorhinolaryngology practice due to the COVID-19 pandemic. Data Synthesis The search terms used were: (head and neck or otorhinolaryngology or ORL or thyroid) AND (severe acute respiratory syndrome coronavirus 2 [SARS-COV-2] or COVID-19 or CORONAVIRUS). The results were limited to the year of 2020. Articles were read in English, Portuguese, French, German, and Spanish or translated from Chinese. All included articles were read by at least two authors. Thirty-five articles were included. Most articles suggest postponing elective surgeries, with exception to cancer surgeries, which should be evaluated separately. Twenty-five articles recommended some kind of screening prior to surgery, using polymerase chain reaction (PCR) tests and epidemiological data. Extra precautions, such as use of personal protective equipment (PPE), are suggested for both tracheostomies and endoscopies. Fifteen articles give recommendation on how to use telemedicine. Conclusion The use of PPE (N95 or powered air-purifying respirator [PAPR]) during procedures should be mandatory. Patients should be evaluated about their COVID-19 status before hospital admission. Cancer should be treated. Tracheostomy tube cuff should be inflated inside the tracheal incision. All COVID-19 precautions should be kept until there is a validated antiviral treatment or an available vaccine.

show abstract

Section: Cancer Managementmentioning

confidence: 99%

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Hojaij

Chinelatto

Boog

et al. 2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Illustration of SARS-CoV-2, the virus that causes remains unavailable, enhanced personal protective equipment (PPE) ( Table 1) precautions should be considered. 6 In institutions without routine testing availability and without high rates of disease presence, those patients who screen negative may likely proceed to the operating room with standard precautionary measures.…”

Section: Screening/testing Guidelinesmentioning

confidence: 99%

Letter: Surgical Management of Brain Tumor Patients in the COVID-19 Era

Zacharia¹,

Eichberg²,

Ivan³

et al. 2020

Neurosurg.

Self Cite

View full text Add to dashboard Cite

“…Appropriate personal protection equipment (PPE) for this aerosol generating procedure is a N95 mask and face shield for all staff with surgery done in a theater with negative pressure atmosphere [7]. Enhanced PPE is ideal with a strong preference for use of powered air-purifying respirator (PAPR) [7][8][9]. The procedure must be done preferably by an experienced surgeon and the number of personnel inside the theater must be restricted.…”

Section: Basic Concepts In Operating Room Safety During the Covid-19 mentioning

confidence: 99%

“…Based on the recommendation by Saadi et al [8], any otological procedure may be classified as elective (planned surgery within 6-12 months), semi-elective (surgery within 3-6 months), semi-urgent (surgery within 48 h) and urgent (within 6-12 h). Under normal circumstances, most surgeries for uncomplicated cholesteatoma may be done as a semielective procedure, i.e., with 3-6 months, or as an elective procedure (within 6-12 months), depending on a case-bycase basis.…”

Section: Grouping Of Patients With Cholesteatoma and Recommendations mentioning

confidence: 99%

Proposal of a timing strategy for cholesteatoma surgery during the COVID-19 pandemic

George

Alexander

Mathew

et al. 2020

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Purpose The COVID-19 infection is an aggressive viral illness with high risk of transmission during otolaryngology examination and surgery. Cholesteatoma is known for its potential to cause complications and scheduling of surgery during the pandemic must be done carefully. The majority of otological surgeries may be classified as elective and postponed at this time (e.g., stapedotomy, tympanoplasty); whereas, others are emergencies (e.g., complicated acute otitis media, complicated cholesteatoma with cerebral or Bezold's abscess, meningitis, sinus thrombosis) and require immediate intervention. What is the ideal time for the surgical management of Cholesteatoma during the COVID-19 pandemic? Methods Senior otologic surgeons from six teaching hospitals from various countries affected by the COVID-19 from around the world met remotely to make recommendations on reorganizing schedules for the treatment of cholesteatoma which has a risk of severe morbidity and mortality. The recommendations are based on their experiences and on available literature. Results Due to the high risk of infecting the surgical staff it is prudent to stop all elective ear surgeries and plan cholesteatoma surgery after careful selection of patients, based on the extent of the disease and available resources. Specific precautions including use of appropriate personal protection equipment should be followed when operating on all patients during the pandemic. To facilitate the decision-making in the management of cholesteatoma, timing for surgery can be divided into two categories with 3 and 2 sub-groups based on disease severity. Conclusions Evidence on the timing of surgery of patients with cholesteatoma during the COVID-19 pandemic is lacking. This manuscript contains practical tips on how cholesteatoma surgery can be reorganized during this pandemic.

show abstract

A Commentary on Safety Precautions for Otologic Surgery during the COVID‐19 Pandemic

Cited by 58 publications

References 11 publications

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Letter: Surgical Management of Brain Tumor Patients in the COVID-19 Era

Proposal of a timing strategy for cholesteatoma surgery during the COVID-19 pandemic

Contact Info

Product

Resources

About