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2020 ; 137
(3
): 161-166
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COVID-19 and ENT Surgery
#MMPMID32362564
Couloigner V
; Schmerber S
; Nicollas R
; Coste A
; Barry B
; Makeieff M
; Boudard P
; Bequignon E
; Morel N
; Lescanne E
Eur Ann Otorhinolaryngol Head Neck Dis
2020[May]; 137
(3
): 161-166
PMID32362564
show ga
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 R(0) 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.