Otorhinolaryngologists and Coronavirus Disease 2019 (COVID-19)

Jotz, Geraldo Pereira; Voegels, Richard Louis; Bento, Ricardo Ferreira

doi:10.1055/s-0040-1709724

Cited by 16 publications

(20 citation statements)

References 13 publications

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“…Physicians who work in the field of the head and neck are among the HCPs most infected with SARS-CoV-2 in different regions of the world. 5,[8][9][10][11] Patients with COVID-19 usually present with symptoms seen by these specialists, such as cough, sore throat, headache, increased sputum production and anosmia. Half of these patients do not present fever at the onset, lowering the index of suspicion of the disease.…”

Section: Discussionmentioning

confidence: 99%

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%

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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“…The latter remain in suspension longer than the former, and can spread greater distances. 27 Current evidence suggests that SARS-CoV-2 in the community setting is transmitted primarily through respiratory droplets and fomites (touching a contaminated surface and then touching one's mouth or nose). 28 Airborne transmission is defined as 'the spread of an infectious agent caused by the dissemination of droplet nuclei that remain infectious when suspended in the air over long distances and time'.…”

Section: Discussionmentioning

confidence: 99%

Minimising aerosol spread during endoscopic sinus and skull base surgery. Experimental model evaluation of the efficacy of the microscope drape method

2020

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Background Endoscopic sinus and anterior skull base surgery is considered particularly high risk for severe acute respiratory syndrome coronavirus-2 transmission in the operating theatre setting. In this context, the use of a microscope drape method is proposed, to minimise aerosol spread in the wider operating theatre environment. Methods The efficacy of the method is assessed with a simulation model, using a CMI Concept Air Trace MK2 smoke generator for aerosol generation and a Fluke 985 air particle counter to measure air particles sized 0.3–10 μm in the operating theatre environment. Results Aerosol spread was contained almost to baseline levels with the application of the drape barrier and the negative pressure created using suction within the drape. Conclusion The method is an efficient adjunct that could reduce the risk of aerosol shedding and viral transmission to the operating theatre team. It potentially allows faster operating theatre turnover and more liberal use of powered instruments during endonasal surgery.

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“…25 The information summarized above indicates that clinical evidence and common sense should prevail in decision making. 26 In cancer cases, especially in patients with carcinomas of the upper airways and digestive tract, for which the treatment of choice is surgical, COVID-19 infection should be investigated at between 24 and 48 hours before surgery. 27 Lei et al conducted a study with 34 surgery patients, 20 (58.5%) of whom were women and whose median age was 55 years old (interquartile range [IQR], 43-63 years old).…”

Section: Discussionmentioning

confidence: 99%

The COVID-19 Pandemic and Planetary Health. A Critical Review of Epidemiology, Prevention, Clinical Characteristics and Treatments for Oral, Head and Neck Health Professionals. Do We Have a Roadmap?

Jotz

Stein

Sirena

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Coronavirus disease 19 (COVID-19) is potentially the greatest global public health crisis of this century. This disease emerged as an outbreak of pneumonia of unknown cause in Wuhan, the capital city of the Hubei province in China, in December 2019. Otolaryngologists, head and neck surgeons and dentists are at an increased risk of occupational disease. Objective The present review summarizes currently published evidence of Covid-19 epidemiology, clinical characteristics, treatment and prevention. No proven effective treatments for this disease currently exist. Data Synthesis COVID-19 started from a zoonotic transmission event associated with a large seafood market that also traded in live wild animals, and it soon became clear that efficient person-to-person transmission was also occurring. Symptoms are varied, and not all patients develop all of them. Conclusion Social distancing seems to have been successful in several places in the world. However, this recommendation alone is not enough to contain the disease, and it is not a long-term solution. Large-scale testing by health professionals of representative samples of the population may give an estimate of the progression of the disease. Different treatments are under test and bring hope of a cure to the population. However, no current treatments (April 27, 2020) have been proven to be the key to success in the treatment of patients with COVID-19. Planetary health is a useful concept to understand the current drivers of this pandemic and to draw a roadmap for science and healthcare that may guide actions to fight economic depression and ensure a healthy recovery.

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Otorhinolaryngologists and Coronavirus Disease 2019 (COVID-19)

Cited by 16 publications

References 13 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

Minimising aerosol spread during endoscopic sinus and skull base surgery. Experimental model evaluation of the efficacy of the microscope drape method

The COVID-19 Pandemic and Planetary Health. A Critical Review of Epidemiology, Prevention, Clinical Characteristics and Treatments for Oral, Head and Neck Health Professionals. Do We Have a Roadmap?

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