Surgery for adenotonsillar hypertrophy and otitis media in children is less demanded in quarantine times

Angelopoulou, Maria K.; Goulioumis, Anastasios; Fouzas, Sotirios; Kourelis, Theodoros

doi:10.1016/j.ijporl.2022.111169

Cited by 7 publications

(6 citation statements)

References 17 publications

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“…In accordance with previous literature 3 , 5 , 6 , 19 , possible speculations for the reduction of paediatric symptoms as well as paediatric emergencies and traumas can be due to lockdown restrictions (30.5%), which forced children to have distance learning with less interaction with their peers and minimal exposure to pathogens, but also to the fear of parents (44.1%) to go to hospital and possibly contract nosocomial infections or simply maintain the appointments especially if coming from suburbs or rural areas. This last data is fundamental if we consider that children are dependent on adults and cannot receive adequate medical care without family support.…”

Section: Discussionsupporting

confidence: 92%

Impact of the COVID-19 pandemic on paediatric otolaryngology: a nationwide study

Trecca,

Gaffuri,

Molinari

et al. 2023

Acta Otorhinolaryngol Ital

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SUMMARY Objective The COVID-19 pandemic profoundly modified the work routine in healthcare; however, its impact on the field of paediatric otorhinolaryngology (ORL) has been rarely investigated. The aim of this study was to assess the impact of COVID-19 on paediatric ORL. Methods A questionnaire was developed by the Young Otolaryngologists of the Italian Society of ORL-Head and Neck Surgery. The questionnaire consisted of 26 questions related to workplace and personal paediatric ORL activities. The link was advertised on the official social media platforms and sent by e-mail to 469 Italian otolaryngologists. Results The questionnaire was completed by 118 responders. During the pandemic, the main reduction was observed for surgical activity (78.8%), followed by outpatient service (16.9%). The conditions that were mostly impacted by a delayed diagnosis were respiratory infections in 45.8% of cases and sensorineural hearing loss in 37.3% of cases. Conclusions Paediatric ORL was highly impacted by the COVID-19 pandemic, with a significant reduction of surgical and outpatient activities and a delay in time-sensitive diagnosis. Therefore, the implementation of new strategies, such as telemedicine, is recommended.

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Section: Discussionsupporting

confidence: 92%

Impact of the COVID-19 pandemic on paediatric otolaryngology: a nationwide study

Trecca,

Gaffuri,

Molinari

et al. 2023

Acta Otorhinolaryngol Ital

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“…Nineteen studies included pre and during-lockdown OM diagnoses [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] and 5 included OM tympanostomy tube surgery numbers (either tympanostomy or myringotomy). [28][29][30][31][32] Two of the 19 studies that contained OM incidence data also included OM antibiotic prescription numbers. 26,41 Figure 1 includes an inclusion/exclusion flowchart, with the full search strategy found in Supplementary Appendix 1.…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

“…All studies were retrospective chart reviews with exception of one ecological study. Nineteen studies included pre and during‐lockdown OM diagnoses 10–27 and 5 included OM tympanostomy tube surgery numbers (either tympanostomy or myringotomy) 28–32 . Two of the 19 studies that contained OM incidence data also included OM antibiotic prescription numbers 26,41 .…”

Section: Resultsmentioning

confidence: 99%

“…17 One study was graded as having a high risk of bias 42 with three categories marked as high risk. The category that was most often ranked as unclear (in nine studies 11,14,[16][17][18]28,30,31,42 ) was the category "Was the sample size adequate?" (See Fig.…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

“…Although presentation of COVID‐19 in hospital and outpatient settings continued to increase, presentation of other viral infections decreased 9 . Studies from various countries showed that the prevalence of OM decreased compared with pre‐pandemic prevalence 10–32 . Lockdowns, school closures, and social distancing caused decreases in the incidence of various viral infections including viral OM.…”

Section: Introductionmentioning

confidence: 99%

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Global Otitis Media Incidence Changes During the COVID Pandemic: Systematic Review and Meta‐Analysis

Warner,

Durrant,

Nguyen

et al. 2023

The Laryngoscope

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ObjectiveThe aim was to analyze the global impact of the COVID‐19 pandemic and national lockdowns on the incidence of otitis media (OM), a common otolaryngologic disease.Data SourcesPubMed, Scopus, and CINAHL.Review MethodsA systematic review and meta‐analysis were performed using PRISMA reporting guidelines. OM incidence (measured as newly diagnosed OM cases over total patients seen over a time period), OM antibiotic prescriptions (OM cases for which antibiotics were prescribed over total OM cases), and tympanostomy tube surgeries (all tympanostomy tube surgeries over total surgical cases) were extracted. Meta‐analysis of proportions and comparison of proportions were performed.ResultsOf 1004 studies screened, 26 studies in 11 countries met inclusion criteria. The percentages of OM cases pre‐ and during‐lockdown were 6.67%, 95% CI [4.68%, 8.99%], and 2.63% [2.02%, 3.31%], respectively, with an OR of 0.31 favoring during‐lockdown [0.25, 0.39] (p < 0.00001). Antibiotic prescriptions per all OM episodes pre‐ and during‐lockdown were 1.61% [0.17%, 8.46%] and 0.62% [0.07%, 3.32%], with an OR of 0.37 favoring during‐lockdown ([0.35, 0.40], p < 0.00001). Tympanostomy tube surgery proportions pre‐ and during‐lockdown were 31.64% [6.85%, 64.26%] and 29.99% [4.14%, 66.55%], with an OR of 0.94 favoring neither during‐ nor pre‐lockdown [0.45, 2.00] (p = 0.88).ConclusionThe incidence of OM decreased significantly following international lockdowns due to the COVID‐19 pandemic, with antibiotic prescriptions for OM episodes showing a corresponding decrease. Despite these reductions, numbers of tympanostomy tube procedures did not change significantly. These reductions are likely due to social distancing, decreased exposure through high transmission facilities such as day cares, decreased health care utilization, and even possibly decreased air pollution. Laryngoscope, 2023

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Incidence and characteristics of otitis media with effusion in adults before, during, and after the COVID-19 pandemic

Qi,

Zhang,

Wang

et al. 2023

Eur Arch Otorhinolaryngol

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Surgery for adenotonsillar hypertrophy and otitis media in children is less demanded in quarantine times

Cited by 7 publications

References 17 publications

Impact of the COVID-19 pandemic on paediatric otolaryngology: a nationwide study

Impact of the COVID-19 pandemic on paediatric otolaryngology: a nationwide study

Global Otitis Media Incidence Changes During the COVID Pandemic: Systematic Review and Meta‐Analysis

Incidence and characteristics of otitis media with effusion in adults before, during, and after the COVID-19 pandemic

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