COVID-19 and rhinology, from the consultation room to the operating theatre

Radulesco, Thomas; Vérillaud, Benjamin; Béquignon, E.; Papon, Jean‐François; Jankowski, R.; Gabory, L. Le Taillandier De; Dessi, P.; Coste, A.; Serrano, É.; Vergez, S.; Simon, François; Couloigner, V.; Rumeau, C.; Michel, J.; Surgery, Neck

doi:10.1016/j.anorl.2020.04.013

Cited by 29 publications

(48 citation statements)

References 15 publications

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“…The initial search strategy found 153 results of which 15 met inclusion criteria. References originated from the United Kingdom [13], France [14], Italy [15][16][17] United States [7,[18][19][20][21], China [22][23][24], Australia [25] and one was an international consensus statement [26] (Table 1). Five references were guidelines from national ENT or neurosurgical societies [13,[17][18][19]25].…”

Section: Resultsmentioning

confidence: 99%

“…The postponing of elective sinus and skull base surgeries was recommended in almost all guidelines [7,[13][14][15][17][18][19][20][21][22][24][25][26]. Only urgent (and case-by-case consideration for patients with cancer) procedures were suggested to be performed during the pandemic.…”

Section: Surgical Indicationsmentioning

confidence: 99%

“…Radulesco et al [14] recommended to contacting patients by phone 48 h before surgery to ensure that the patient had no symptoms suggestive of COVID-19. However, several patients may present with mild symptoms, and up to 80% of cases have no symptoms at all [27].…”

Section: Preoperative Assessment Of Patients' Covid-19 Status (Rt-pcrmentioning

confidence: 99%

“…Patients must be aware of hand hygiene and social distancing before surgery [25]. Most of authors recommended preoperative testing of patients using one or two nasopharyngeal swab tests [7,[14][15][16][17][18]20,21,25,26]. However, with false negative rates of RT-PCR approaching 30%, it has been suggested that patients requiring high-risk surgery (e.g.…”

Section: Preoperative Assessment Of Patients' Covid-19 Status (Rt-pcrmentioning

confidence: 99%

“…High frequency (25/h) of air exchanges and the use of HEPA (high-efficiency particulate air) filters can also help with cleaning the air [26]. The OR team must also be reduced to decrease potential healthcare worker exposure, and proper training in the use of PPE is of great importance [7,13,14,17,22,26]. Patel et al and SIB recommend that no trainees or observers be allowed in OR to save PPE in resource-constrained situations [7,17].…”

Section: General Precautions In the Operating Room (Or)mentioning

confidence: 99%

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Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position

Radulesco

Lechien

Sowerby

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose The COVID-19 pandemic has caused significant confusion about healthcare providers' and patients' pandemicspecific risks related to surgery. The aim of this systematic review is to summarize recommendations for sinus and anterior skull base surgery during the COVID-19 pandemic. Methods PubMed/MEDLINE, Google Scholar, Scopus and Embase were searched by two independent otolaryngologists from the Young Otolaryngologists of IFOS (YO-IFOS) for studies dealing with sinus and skull base surgery during COVID-19 pandemic. The review also included unpublished guidelines edited by Otolaryngology-Head and Neck Surgery or Neurosurgery societies. Perioperative factors were investigated including surgical indications, preoperative testing of patients, practical management in operating rooms, technical aspects of surgery and postoperative management. The literature review was performed according to PRISMA guidelines. The criteria for considering studies or guidelines for the review were based on the population, intervention, comparison, outcome, timing and setting (PICOTS) framework. Results 15 International publications met inclusion criteria. Five references were guidelines from national societies. All guidelines recommended postponing elective surgeries. An algorithm is proposed that classifies endonasal surgical procedures into three groups based on the risk of postponing surgery. Patients' COVID-19 status should be preoperatively assessed. Highest level of personal protective equipment (PPE) is recommended, and the use of high-speed powered devices should be avoided. Face-to-face postoperative visits must be limited. Conclusions Sinus and skull base surgeries are high-risk procedures due to potential aerosolization of SARS-CoV-2 virus. Protection of health care workers by decreasing exposure and optimizing the use of PPE is essential with sinus and anterior skull base surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Surgical Indicationsmentioning

confidence: 99%

Section: Preoperative Assessment Of Patients' Covid-19 Status (Rt-pcrmentioning

confidence: 99%

Section: Preoperative Assessment Of Patients' Covid-19 Status (Rt-pcrmentioning

confidence: 99%

Section: General Precautions In the Operating Room (Or)mentioning

confidence: 99%

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Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position

Radulesco

Lechien

Sowerby

et al. 2020

Eur Arch Otorhinolaryngol

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International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

Wise

Damask

Roland

et al. 2023

Int Forum Allergy Rhinol

151

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Background In the 5 years that have passed since the publication of the 2018 International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (ICAR‐Allergic Rhinitis 2018), the literature has expanded substantially. The ICAR‐Allergic Rhinitis 2023 update presents 144 individual topics on allergic rhinitis (AR), expanded by over 40 topics from the 2018 document. Originally presented topics from 2018 have also been reviewed and updated. The executive summary highlights key evidence‐based findings and recommendation from the full document. Methods ICAR‐Allergic Rhinitis 2023 employed established evidence‐based review with recommendation (EBRR) methodology to individually evaluate each topic. Stepwise iterative peer review and consensus was performed for each topic. The final document was then collated and includes the results of this work. Results ICAR‐Allergic Rhinitis 2023 includes 10 major content areas and 144 individual topics related to AR. For a substantial proportion of topics included, an aggregate grade of evidence is presented, which is determined by collating the levels of evidence for each available study identified in the literature. For topics in which a diagnostic or therapeutic intervention is considered, a recommendation summary is presented, which considers the aggregate grade of evidence, benefit, harm, and cost. Conclusion The ICAR‐Allergic Rhinitis 2023 update provides a comprehensive evaluation of AR and the currently available evidence. It is this evidence that contributes to our current knowledge base and recommendations for patient evaluation and treatment.

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Title of the Article: Paranasal Mucormycosis in COVID-19 Patient

Saldanha

Reddy

Vincent

2021

Indian J Otolaryngol Head Neck Surg

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There have been a variety of complications reported during and post- COVID infection. Recently, there has been an increase in sporadic cases of paranasal sinus mucormycosis in COVID- 19 patients. We report a case of COVID- 19 patient diagnosed to have orbital apex syndrome secondary to mucormycosis of nose and paranasal sinus requiring emergency endoscopic sinus surgery. Appropriate use of personal protective equipment and safety precautions taken by health care workers prevented the spread of the virus during surgery.

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COVID-19 and rhinology, from the consultation room to the operating theatre

Cited by 29 publications

References 15 publications

Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position

Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position

International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

Title of the Article: Paranasal Mucormycosis in COVID-19 Patient

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