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COVID-19 and ENT Surgery.
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 May; 137(3):161-166.EA

Abstract

In Otorhinolaryngology - Head and Neck Surgery, clinical examination and invasive procedures on the respiratory tract and on airway-connected cavities, such as paranasal sinuses and the middle ear, expose people to direct transmission of SARS-CoV-2 by inhalation or ocular projection of contaminated droplets, and to indirect transmission by contact with contaminated hands, objects or surfaces. Estimating an R0 of COVID-19 at around 3 justified postponing non-urgent face-to-face consultations and expanding the use of teleconsultation in order to limit the risks of SARS-CoV-2 infection of patients or health workers and comply with the lockdown. The health authority recommends cancellation of all medical or surgical activities, which are not urgent as long as this does not involve a loss of chance for the patient. The purpose of this cancellation is to significantly increase critical care capacity, prioritise the reception of patients with COVID-19, prioritise the allocation of staff and provision of the equipment necessary for their medical or surgical management, and contribute to the smooth running of downstream critical care within their establishment. Another goal is to reduce the risks of patient contamination within healthcare facilities. This document provides guidance on how to proceed with and adapt ENT surgery in the current pandemic context, as well as on the management of postponed operations. This best practice advice must of course be adapted in each region according to the development of the epidemic and pre-existing arrangements. Their local application can only be decided within the framework of collaboration between the ENT teams, the operational hygiene units and all the other specialties concerned.

Authors+Show Affiliations

Paediatric ENT Department, Necker-Enfants Malades University Hospital, AP-HP, Paris, France.Department of Otorhinolaryngology, Head and Neck Surgery, Grenoble University Hospital, Grenoble, France.Paediatric ENT Department, Marseille University Hospital, AP-HM, Marseille, France.Department of Otorhinolaryngology, Head and Neck Surgery, Henri-Mondor University Hospitals, AP-HP, Tassigny, France; Department of Otorhinolaryngology, Head and Neck Surgery, Créteil Intercommunal University Hospital, AP-HP, Créteil, France.Department of Otorhinolaryngology, Head and Neck Surgery, Bichat University Hospital, AP-HP, Paris, France.Department of Otorhinolaryngology, Head and Neck Surgery, Reims University Hospital, Reims, France.ENT clinic, Bordeaux, France.Department of Otorhinolaryngology, Head and Neck Surgery, Henri-Mondor University Hospitals, AP-HP, Tassigny, France; Department of Otorhinolaryngology, Head and Neck Surgery, Créteil Intercommunal University Hospital, AP-HP, Créteil, France.ENT clinic, Échirolles, France.Department of Otorhinolaryngology, Head and Neck Surgery, Tours University Hospital, Tours, France. Electronic address: lescanne@univ-tours.fr.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Practice Guideline

Language

eng

PubMed ID

32362564

Citation

Couloigner, V, et al. "COVID-19 and ENT Surgery." European Annals of Otorhinolaryngology, Head and Neck Diseases, vol. 137, no. 3, 2020, pp. 161-166.
Couloigner V, Schmerber S, Nicollas R, et al. COVID-19 and ENT Surgery. Eur Ann Otorhinolaryngol Head Neck Dis. 2020;137(3):161-166.
Couloigner, V., Schmerber, S., Nicollas, R., Coste, A., Barry, B., Makeieff, M., Boudard, P., Bequignon, E., Morel, N., & Lescanne, E. (2020). COVID-19 and ENT Surgery. European Annals of Otorhinolaryngology, Head and Neck Diseases, 137(3), 161-166. https://doi.org/10.1016/j.anorl.2020.04.012
Couloigner V, et al. COVID-19 and ENT Surgery. Eur Ann Otorhinolaryngol Head Neck Dis. 2020;137(3):161-166. PubMed PMID: 32362564.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - COVID-19 and ENT Surgery. AU - Couloigner,V, AU - Schmerber,S, AU - Nicollas,R, AU - Coste,A, AU - Barry,B, AU - Makeieff,M, AU - Boudard,P, AU - Bequignon,E, AU - Morel,N, AU - Lescanne,E, AU - ,, AU - ,, AU - ,, Y1 - 2020/04/23/ PY - 2020/5/5/pubmed PY - 2020/5/23/medline PY - 2020/5/5/entrez KW - COVID-19 KW - Droplet-based transmission KW - Infectious disease KW - Personal protective equipment (PPE) KW - SARS-CoV-2 SP - 161 EP - 166 JF - European annals of otorhinolaryngology, head and neck diseases JO - Eur Ann Otorhinolaryngol Head Neck Dis VL - 137 IS - 3 N2 - In Otorhinolaryngology - Head and Neck Surgery, clinical examination and invasive procedures on the respiratory tract and on airway-connected cavities, such as paranasal sinuses and the middle ear, expose people to direct transmission of SARS-CoV-2 by inhalation or ocular projection of contaminated droplets, and to indirect transmission by contact with contaminated hands, objects or surfaces. Estimating an R0 of COVID-19 at around 3 justified postponing non-urgent face-to-face consultations and expanding the use of teleconsultation in order to limit the risks of SARS-CoV-2 infection of patients or health workers and comply with the lockdown. The health authority recommends cancellation of all medical or surgical activities, which are not urgent as long as this does not involve a loss of chance for the patient. The purpose of this cancellation is to significantly increase critical care capacity, prioritise the reception of patients with COVID-19, prioritise the allocation of staff and provision of the equipment necessary for their medical or surgical management, and contribute to the smooth running of downstream critical care within their establishment. Another goal is to reduce the risks of patient contamination within healthcare facilities. This document provides guidance on how to proceed with and adapt ENT surgery in the current pandemic context, as well as on the management of postponed operations. This best practice advice must of course be adapted in each region according to the development of the epidemic and pre-existing arrangements. Their local application can only be decided within the framework of collaboration between the ENT teams, the operational hygiene units and all the other specialties concerned. SN - 1879-730X UR - https://www.unboundmedicine.com/medline/citation/32362564/COVID_19_and_ENT_Surgery_ DB - PRIME DP - Unbound Medicine ER -