Nasopharyngeal swabs during SARS-CoV-2 pandemic: a role for the otolaryngologist

Tagliabue, Marta; Pietrobon, Giacomo; Ugolini, Sara; Chu, Francesco; Ansarin, Mohssen

doi:10.1007/s00405-020-06027-2

Cited by 13 publications

(14 citation statements)

References 4 publications

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“…The distribution of age according to ENT symptoms was evaluated. The extraction of RNA from samples was performed using the NucleoSpin ® RNA Virus kit (Macherey-Nagel) according to the manufacturer's instructions, and amplification via RT-PCR was performed with protocols developed by the Turkish National Public Health Institute [8].…”

Section: Methodsmentioning

confidence: 99%

Otolaryngological symptoms in COVID-19

Elibol

2020

Eur Arch Otorhinolaryngol

113

112

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The aim of this study was to evaluate the frequency of various otolaryngological symptoms in patients with COVID-19 with regard to age, gender and pneumonia-related thorax CT characteristics. Methods This is a retrospective study conducted between March 25, 2020 and April 25, 2020. The anamnesis and medical files of 155 patients who applied to our outpatient COVID-19 clinic were evaluated. Patients with positive PCR tests for COVID-19 who were aged between 18-72 years were divided into groups according to the presence of otolaryngological symptoms. The differences between the two groups were examined. Results Of the 155 patients, 89 (57.4%) had otolaryngological symptoms. The mean age of the patients was 36.3 ± 8.1 years. Ninety-one (58.7%) patients were female, and 64 (42.2%) were male. Fifty-eight (37.4%) patients had received a clinical diagnosis of viral pneumonia with ground glass findings in tomography. The frequency of otolaryngological symptoms was higher in females than males (p: 0.029). The otolaryngological symptoms were also observed to be more frequent in the 18-30 age group (p: 0.013) compared to other age groups. Conclusions Tinnitus, gingivitis, sudden hearing loss, Bell's palsy, and hoarseness can be seen in COVID-19, albeit rarely. Revealing the otolaryngological symptoms of COVID-19, and obtaining more information about the extent of disease will be useful in managing patients and their complaints associated with otolaryngology

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Section: Methodsmentioning

confidence: 99%

Otolaryngological symptoms in COVID-19

Elibol

2020

Eur Arch Otorhinolaryngol

113

112

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“…Unfortunately, the accuracy of some of these instructions has been found to be wanting [3] . Tagliabue et al [4] proposed a hands-on endoscopic demonstration of the nasal and nasopharyngeal anatomy in the training of healthcare professionals. Recognizing manpower, timing and financial constraints, Francesca et al [5] in response proposed using a mannequin that could be opened on the midline to observe a sagittal section of nasal cavity.…”

Section: Discussionmentioning

confidence: 99%

Using 3D-printed nose models in nasopharyngeal swab training

et al. 2021

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Background The COVID-19 pandemic has swept across the globe with massive effects on health care systems as well as global economies. Enhanced testing has been put forward as a means to reduce transmission while awaiting the development of targeted therapy or effective vaccination. However, achieving accurate testing necessitates proper nasopharyngeal swab techniques. Methods and results We aimed to design and investigate the utility of an anatomically accurate three-dimensional (3D) printed model of the nose in the training for nasopharyngeal swabs. These models were implemented during training sessions for healthcare workers. All participants surveyed felt that the 3D printed models were useful and beneficial in the training of nasopharyngeal swab techniques. Conclusions 3D printed nose models are a useful tool in nasopharyngeal swab training. Their usage may help to facilitate the training of potential swabbing manpower in the upscaling of testing capabilities and volumes in this COVID-19 era.

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“…11 Although Asadi et al suggested that transmission of the Covid-19 pathogen (severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2 virus)) may also occur via aerosols, 12 this remains controversial. 11 It is highly feasible that the middle ear of a Covid-19 positive patient contains SARS-CoV-2, 13 given its connection with the viral-laden nasopharynx 14 via the Eustachian tube. However, despite other coronaviruses having been found in the middle ear, 15 there have been no reported investigations of SARS-CoV-2 in this anatomical location to date.…”

Section: Introductionmentioning

confidence: 99%

“…It is highly feasible that the middle ear of a Covid-19 positive patient contains SARS-CoV-2, 13 given its connection with the viral-laden nasopharynx 14 via the Eustachian tube. However, despite other coronaviruses having been found in the middle ear, 15 there have been no reported investigations of SARS-CoV-2 in this anatomical location to date.…”

Section: Introductionmentioning

confidence: 99%

Use of a novel drape ‘tent’ as an infection prevention control measure for mastoid surgery

et al. 2020

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Background. Mastoid surgery is an aerosol-generating procedure that involves the use of a high-speed drill, which produces a mixture of water, bone, blood and tissue that may contain the viable coronavirus disease 2019 pathogen. This potentially puts the surgeon and other operating theatre personnel at risk of acquiring the severe acute respiratory syndrome coronavirus-2 from contact with droplets or aerosols. The use of an additional drape designed to limit the spread of droplets and aerosols has been described; such drapes include the 'Southampton Tent' and 'OtoTent'. Objectives. To evaluate the use of a novel drape 'tent' that has advantages over established 'tent' designs in terms of having: (1) a CE marking; (2) no requirement for modification during assembly; and (3) no obstruction to the surgical visual field. Results and conclusion. During mastoid surgery, the dispersion of macroscopic droplets and other particulate matter was confined within the novel drape 'tent'. Use of this drape 'tent' had no adverse effects upon the surgeon's manual dexterity or efficiency, the view of the surgical field, or the sterility. Hence, our findings support its use during mastoid surgery in the coronavirus disease 2019 era.

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Nasopharyngeal swabs during SARS-CoV-2 pandemic: a role for the otolaryngologist

Cited by 13 publications

References 4 publications

Otolaryngological symptoms in COVID-19

Otolaryngological symptoms in COVID-19

Using 3D-printed nose models in nasopharyngeal swab training

Use of a novel drape ‘tent’ as an infection prevention control measure for mastoid surgery

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