COVID-19 and ear endoscopy in otologic practices

Stephane Ayache, Walter Kutz, Brandon Isaacson, Mohamed Badr-El-Dine, Joao Flavio Nogueira, Daniele Marchioni, Livio Presutti

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalEuropean Archives of Oto-Rhino-Laryngology
DOIs
StateAccepted/In press - 2020

Keywords

  • COVID-19
  • Ear
  • Endoscopy
  • Microscopy
  • Otology

ASJC Scopus subject areas

  • Otorhinolaryngology

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  • Cite this

    Ayache, S., Kutz, W., Isaacson, B., Badr-El-Dine, M., Nogueira, J. F., Marchioni, D., & Presutti, L. (Accepted/In press). COVID-19 and ear endoscopy in otologic practices. European Archives of Oto-Rhino-Laryngology. https://doi.org/10.1007/s00405-020-06309-9