Prioritizing otological surgery during the COVID-19 Pandemic

Topsakal, Vedat; Rompaey, Vincent Van; Kuhweide, R; Garin, Pierre; Barbara, Maurizio; Li, Yongxin; Saki, Nader; Arístegui, Miguel; Somers, Thomas

doi:10.5152/b-ent.2020.20126

Cited by 25 publications

(44 citation statements)

References 5 publications

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“…Middle ear cleft mucosa such as the mucosal lining of the mastoid air cells and middle ear is considered as part of the upper respiratory airway in terms of the lining epithelium [31,32]. The middle ear cleft connects the nasopharynx by eustachian tube to the mastoid air cells and antrum by aditus [33,34].…”

Section: Pediatric Otologic Diseasesmentioning

confidence: 99%

Managing pediatric otorhinolaryngology patients in coronavirus disease-19 pandemic – A real challenge to the clinicians

Swain¹,

Behera²

2020

Indian J Child Health

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evere acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is the causative agent for the outbreak of the coronavirus disease (COVID-19), started in Wuhan, China, since late December 2019 [1]. SARS-CoV-2 was earlier known as the 2019 novel coronavirus (2019-nCoV), an enveloped singlestranded RNA virus [1]. The otolaryngologists have an important role as health-care providers for examining the patients with otorhinolaryngological manifestations. There are concerns for a greater number of the asymptomatic pediatric patients infected with COVID-19 [2]. The pediatric patients often present with diseases related to the upper airway such as sinonasal infections, tonsillitis, pharyngitis, nasal foreign body, airway foreign body, otitis media, and adenoid infections. There are disproportionately a high number of clinicians, infected with COVID-19 during their patient care specifically the pediatric age group [3]. This infection spreads mainly through the respiratory airway by droplets, secretions, and direct contact [4]. Examination and procedure in otolaryngology patients involve upper aerodigestive areas which are high risk for viral transmission, making the pediatric otolaryngologist the most vulnerable healthcare professionals. At present, the risk of the viral transmission from the asymptomatic pediatric patients with COVID-19 to the health care workers is often difficult to assess on the basis of the clinical evaluation. The asymptomatic pediatric patients present high chance of the viral shedding during the clinical examination or any surgical procedure on the nose, paranasal sinuses, oral cavity, and laryngopharyngeal region and transmit these infections to the clinicians and assisting team members [5]. The COVID-19 pandemic requires careful assessment of the pediatric patients specifically before any otorhinolaryngological intervention such as laryngotracheobronchial airway, sinonasal tract, oral cavity, and otological procedures. METHODS OF THE LITERATURE SEARCH Research articles regarding managing pediatric otorhinolaryngology patients in COVID-19 pandemic were searched through multiple approaches. First, we conducted an online search of the PubMed, Scopus, Google Scholar, and Medline databases with the word pediatric otorhinolaryngology patients, COVID-19 pandemic, flexible nasopharyngolaryngoscopy in pediatric patients, pediatric tracheostomy, pediatric endoscopic sinus surgery, pediatric mastoid surgery, and hearing screening of the pediatric patients in current COVID-19 pandemic. A search strategy using Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines was developed. Randomized

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Section: Pediatric Otologic Diseasesmentioning

confidence: 99%

Managing pediatric otorhinolaryngology patients in coronavirus disease-19 pandemic – A real challenge to the clinicians

Swain¹,

Behera²

2020

Indian J Child Health

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“…The tympanoplasty, ossiculoplasty, stapedotomy, cortical mastoidectomy and modified radical mastoidectomy are considered as elective surgery whereas chronic otitis media with impeding intracranial complications, vertigo or sudden facial paralysis are thought as procedure which requires interventions on the urgent basis (table 1). 17 However, the concern is risk of the viral transmission in the present COVID-19 pandemic. It is now a big challenge for surgeon to decide for performing the otologic or mastoid surgery.…”

Section: Viral Transmission In Otologic Surgerymentioning

confidence: 99%

“…In case of the mastoiditis with sub-periosteal abscess, surgery can be performed within 48 to 72 hours. 17 If there are symptomatology for sepsis, the surgery can be done faster, especially sepsis make the surgery as emergency one. Certain otologic disorders can be deferred on the basis of the clinical manifestation of the patients but in few cases, it depends on the comfort area of the responsible otologists.…”

Section: Otologic Diseasesmentioning

confidence: 99%

Mastoid surgery: a high-risk aerosol generating surgical procedure in COVID-19 pandemic

Swain

Agrawala

2020

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Corona virus disease 2019 (COVID-19) is highly contagious disease occurred by the severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) which spreads human to human through respiratory secretions. It was declared as public health emergency all over the world. There is lack of data in relation to the otologic or mastoid surgery during COVID-19 pandemic. Aerosolization of the novel corona virus SARS-CoV-2 is associated with middle ear and mastoid surgery. So, the safety precautions are important parts in this present pandemic time for preventing transmission of the infections to the surgeon and team members of the surgery. Preoperative screening for COVID-19 is must for safety of the surgeon and team members. The mastoid surgery on the positive, suspected or unknown status for COVID-19 patients need protection with adequate Personal protection equipment (PPE) such as disposable cap, N95 respirator and sealed eye protection or Powered air-purifying respirator (PAPR), disposable gown and gloves. In the mastoid surgery, there is scarcity of the medical literature related to the transmission of the novel corona virus SARS-CoV-2and its prevention during present COVID-19 pandemic. So, the aim of this review article is to increase awareness among the otolaryngologists for preventing the viral exposure during the mastoid surgery.</p>

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“…Las semiurgentes se pueden realizar después de 48 horas, pero antes de 30 días, y las urgentes que requieren intervención, lo antes posible. Lo anterior, se refleja en la Tabla 1 (5,6).…”

Section: Prioridad En La Cirugía Otológicaunclassified

“…Usualmente, en este escenario hay adecuada y esperada respuesta médica. Si, por el contrario, no existe una adecuada respuesta terapéutica al antibiótico o se cursa con sepsis, colección subperióstica o intracraneal, es necesaria la cirugía urgente (5).…”

Section: Prioridad En La Cirugía Otológicaunclassified

Recomendaciones ante el COVID-19 para la práctica de otología y audiología

Hernández-González¹,

Barreneche²,

Rodríguez-Ruiz³

et al. 2020

Acta otorrinolaringol cir cabeza cuello

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Hasta el momento, no se conoce con certeza si el virus SARS-CoV-2 se encuentra en la mucosa que recubre la trompa de Eustaquio, el oído medio o la mastoides; pero es bastante probable que si lo esté dada la relación de vecindad anatómica y fisiológica que existe con la mucosa de la naso y oro faringe, ubicaciones en las que claramente se ha documentado alta carga viral. Actualmente se encuentra en construcción científica la definición de los aspectos relacionados con la seguridad en la práctica integral otológica en el contexto de la pandemia de la enfermedad por coronavirus 2019 (COVID-19). Este documento pretende recopilar el conocimiento y las experiencias nacionales e internacionales relacionados con la pandemia para ser aplicados en el día a día en la práctica médica como especialistas. Es pertinente aclarar que el contenido de estos lineamientos deberá ser actualizado a medida que se conozca nueva información o evidencia puesto que ésta se encuentra en constante y rápida evolución.

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Prioritizing otological surgery during the COVID-19 Pandemic

Abstract: Safety and efficacy of the Bonebridge bone conduction implant: a comparative study 2 Postoperative tympanic membrane retraction and recurrence rate in primary acquired cholesteatoma 19 Ocular surface microbiota changes after external dacryocystorhinostomy: a "chicken or egg" problem

Cited by 25 publications

References 5 publications

Managing pediatric otorhinolaryngology patients in coronavirus disease-19 pandemic – A real challenge to the clinicians

Managing pediatric otorhinolaryngology patients in coronavirus disease-19 pandemic – A real challenge to the clinicians

Mastoid surgery: a high-risk aerosol generating surgical procedure in COVID-19 pandemic

Recomendaciones ante el COVID-19 para la práctica de otología y audiología

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