Purpose: Otolaryngologists have had to postpone the majority of surgical procedures in the current COVID-19 pandemic. Airborne transmission, beyond the projection of droplets from upper airways, expose healthcare workers to a risk of viral infection. Aerosol generating procedures (AGP) increase the risk of viral transmission to staff within the operating room. Methods: Surgery of middle ear and mastoid is also considered an AGP, particularly mastoidectomy performed using a high-speed drill. The authors report their experience in endoscopic ear surgery as an alternative technique to reduce AGP in otologic procedures. Results: Transcanal endoscopic ear surgery is a reliable technique used to manage many otologic conditions. Conclusion: The endoscopic approach may reduce the risk of viral transmission to operating room staff by reducing the need for mastoidectomy.
COVID-19 and ear endoscopy in otologic practices / Ayache, S.; Kutz, W.; Isaacson, B.; Badr-El-Dine, M.; Nogueira, J. F.; Marchioni, D.; Presutti, L.. - In: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY. - ISSN 0937-4477. - 278:6(2021), pp. 2133-2135. [10.1007/s00405-020-06309-9]
COVID-19 and ear endoscopy in otologic practices
Marchioni D.;Presutti L.
2021
Abstract
Purpose: Otolaryngologists have had to postpone the majority of surgical procedures in the current COVID-19 pandemic. Airborne transmission, beyond the projection of droplets from upper airways, expose healthcare workers to a risk of viral infection. Aerosol generating procedures (AGP) increase the risk of viral transmission to staff within the operating room. Methods: Surgery of middle ear and mastoid is also considered an AGP, particularly mastoidectomy performed using a high-speed drill. The authors report their experience in endoscopic ear surgery as an alternative technique to reduce AGP in otologic procedures. Results: Transcanal endoscopic ear surgery is a reliable technique used to manage many otologic conditions. Conclusion: The endoscopic approach may reduce the risk of viral transmission to operating room staff by reducing the need for mastoidectomy.File | Dimensione | Formato | |
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