An update on COVID-19 for the otorhinolaryngologist – a Brazilian Association of Otolaryngology and Cervicofacial Surgery (ABORL-CCF) Position Statement

Lavinsky, Joel; Kosugi, Eduardo Macoto; Baptistella, Eduardo; Roithmann, Renato; Dolci, Eduardo Landini Lutaif; Ribeiro, Thais Knoll; Rossini, Bruno Almeida Antunes; Romano, Fabrizio Ricci; Maunsell, Rebecca; Mitre, Edson Ibrahim; Imamura, Rui; Hachiya, Adriana; Chone, Carlos Takahiro; Watanabe, Luciana Miwa Nita; Fornazieri, Marco Aurélio; Lessa, Marcus Miranda; Sant’Anna, Geraldo Druck

doi:10.1016/j.bjorl.2020.04.002

Cited by 36 publications

(64 citation statements)

References 12 publications

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“…Half of these patients do not present fever at the onset, lowering the index of suspicion of the disease. 8,12 Furthermore, physical examination in these specialties require exposure to the nasal and oral cavities and oropharynx. These regions present high concentrations of SARS-CoV-2, even in the asymptomatic patients, who may also spread the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Some degree of reduction in the volume of outpatients was expected, as many institutions and medical societies have suggested postponing non-urgent appointments, in response to the elevated occupational hazard of these specialists. 5,8,9,12,14,15 Furthermore, on March 20th 2020, due to the progression of the pandemic, the Brazilian Federal Council of Medicine recommended cancelling appointments and elective procedures for all physicians in Brazil. 16 Finally, patients may be reluctant to seek medical care, due to the fear that the physician or the health care unit may be a source of COVID-19 contagion.…”

Section: Discussionmentioning

confidence: 99%

“…One alternative to keep the flow of outpatients would be an increased use of telemedicine, which has been recently regulated by the Ministry of Health (Ordinance N. 467 of 20/3/2020), to mitigate the problem of providing adequate healthcare during the COVID-19 pandemic. 12,17 However, probably due to the recent regulation and lack of familiarity by both physicians and patients, it is still not commonly used among us. Our study demonstrated that when telemedicine was adopted as an alternative to face to face appointments, it was usually employed in less than 10% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…19 Therefore, most experts recommend that AGPs should be performed with adequate PPE, including: long sleeve gown, gloves, face shield and N95 mask. 5,9,12,18,20 Nonetheless, the role of aerosols in the transmission of COVID-19, both in the community and to HCPs, is not known. In SARS patients, a meta-analysis showed a consistent association between tracheal intubation and transmission of SARS-CoV to HCPs.…”

Section: Discussionmentioning

confidence: 99%

“…13 Given the possibility of transmission of COVID-19 from asymptomatic patients, at least surgical masks should be used by HCPs in all outpatient visits. 12 There is, actually, little evidence to support the superiority of N95 masks over standard surgical masks in the scenario of routine clinical care. A recent meta-analysis failed to demonstrate the superiority of N95 masks over surgical masks in preventing influenzae infection in HCPs.…”

Section: Discussionmentioning

confidence: 99%

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Effect of the COVID-19 Pandemic on the Activity of Physicians Working in the Areas of Head and Neck Surgery and Otorhinolaryngology

Kowalski

Imamura

Castro

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Coronavirus disease 2019 (COVID-19) is an acute infection caused by the new coronavirus (SARS-CoV-2) and it is highly transmissible, especially through respiratory droplets. To prepare the health system for the care of these patients also led to a restriction in the activity of several medical specialties. Physicians who work with patients affected by diseases of the head and neck region constitute one of the populations most vulnerable to COVID-19 and also most affected by the interruption of their professional activities. Objective The aim of the present study was to assess the impact of the COVID-19 pandemic on the practice of head and neck surgeons and otorhinolaryngologists in Brazil. Methods An anonymous online survey of voluntary participation was applied, containing 30 questions regarding demographic aspects, availability of personal protective equipment (PPE), and impact on the routine of head and neck surgeons and otorhinolaryngologists, as well as clinical oncologists and radiation oncologists who work with head and neck diseases. Results Seven hundred and twenty-nine answers were received in a period of 4 days, ∼ 40 days after the 1st confirmed case in Brazil. With professionals working in public and private services, there was a high level of concerns with the disease and its consequences, limited availability of PPE and a significant decrease in the volume of specialized medical care. Conclusion The study demonstrated a direct impact of the COVID-19 pandemic on the clinical practice of specialties related to the treatment of patients with diseases of the head and neck region already in the beginning of the illness management in Brazil.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Effect of the COVID-19 Pandemic on the Activity of Physicians Working in the Areas of Head and Neck Surgery and Otorhinolaryngology

Kowalski

Imamura

Castro

et al. 2020

Int Arch Otorhinolaryngol

Self Cite

View full text Add to dashboard Cite

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Endoscopy in Otorhinolaryngology During Corona Outbreak: A Proposal for Safe Practice

Kaushal

Nair

Soni

et al. 2020

Indian J Otolaryngol Head Neck Surg

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Coronavirus disease 2019 (COVID-19) is a type of viral pneumonia that has paralysed the entire world both in terms of health and economy. It has been recently declared as a global pandemic. All the health care professionals must be aware of the disease entity and take precautionary measures to control its transmission from person to person, particularly in hospital settings. In this article, we propose essential steps that can be implemented at the departmental and institutional levels to do endoscopic diagnostic procedures effectively during COVID-19 outbreak and to break the transmission chain.

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Covid-19 and Ear Surgery: Treatment Strategies and Triage during the Post-lockdown Period

Bhardwaj

Sharma

Singhal

2021

Indian J Otolaryngol Head Neck Surg

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The accumulated disease burden during lockdown period, due to postponement of regular surgeries, is expected to put additional pressure on surgeons during the post-lockdown period. Due to the contagious nature of SARS-CoV-2 and its suspected presence in middle ear mucosa and mastoid, Ear surgeons are bound to face a challenging situation in present times as well as in times to come. Through this article we aim to streamline fresh management strategies particularly for the post-lockdown period keeping in mind that immunity after vaccination may take a few months to develop due to various factors discussed in the article. The ENT Cochrane, Pubmed and Web of Science databases were searched extensively using the terms ‘Covid-19 and SARS-CoV-2 in conjunction with Ear surgery and Otology. Data collected from these, put together with our experience helped us in putting forward fresh management strategies to deal with the current situation being experienced worldwide. To reduce the risk of infection to the healthcare staff, we have suggested a new triage strategy for ear surgeries to reduce the accumulated disease burden in the post-lockdown period until immunity by vaccination develops amongst a good number of Ear surgeons. Also we have put forward certain operating guidelines that might prove helpful for the Ear surgeon during these times. Fresh Triage guidelines mentioned in this article are particularly meant to help ear surgeons reduce the accumulated disease burden in the post lockdown-period with ease and efficacy. Since ear surgery poses a risk of infection to the healthcare workers, specific guidelines pertaining to ear surgery during the pandemic are mentioned in detail which in our opinion can be of immense help to all the healthcare professionals involved in ear procedures till the time the vaccine is administered on a large scale.

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An update on COVID-19 for the otorhinolaryngologist – a Brazilian Association of Otolaryngology and Cervicofacial Surgery (ABORL-CCF) Position Statement

Cited by 36 publications

References 12 publications

Effect of the COVID-19 Pandemic on the Activity of Physicians Working in the Areas of Head and Neck Surgery and Otorhinolaryngology

Effect of the COVID-19 Pandemic on the Activity of Physicians Working in the Areas of Head and Neck Surgery and Otorhinolaryngology

Endoscopy in Otorhinolaryngology During Corona Outbreak: A Proposal for Safe Practice

Covid-19 and Ear Surgery: Treatment Strategies and Triage during the Post-lockdown Period

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