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2020 ; 137
(3
): 177-181
Nephropedia Template TP
gab.com Text
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English Wikipedia
COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic
Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and
French Society of Otorhinolaryngology (SFORL)
#MMPMID32312676
Leboulanger N
; Sagardoy T
; Akkari M
; Ayari-Khalfallah S
; Celerier C
; Fayoux P
; Luscan R
; Mansbach AL
; Moreddu E
; Pondaven S
; Simon F
; Teissier N
; Thierry B
; Fanous A
; Lescanne E
; Nicollas R
; Couloigner V
Eur Ann Otorhinolaryngol Head Neck Dis
2020[May]; 137
(3
): 177-181
PMID32312676
show ga
OBJECTIVE: Joint guidelines of the French Pediatric Otolaryngology Society (AFOP)
and of the French Society of otorhinolaryngology-head and neck surgery (SFORL) on
the management of paediatric otolaryngology patients in the context of the
COVID-19 pandemic. METHODS: A nation-wide workgroup drew guidelines based on
clinical experience, national and local recommendations and scientific
literature. Proposals may have to be updated on a day-to-day basis. RESULTS: In
children, incidence of symptomatic COVID-19 (1-5%) is low and of good prognosis.
The indications for nasal flexible endoscopy should be drastically limited. If
undertaken, full Personal Protective Equipment (PPE) including FFP2 masks are
required, as well as use of a sheath. Saline nose wash done by caregivers other
than parents at home should require PPE. Unless foreign body tracheobronchial
aspiration is clinically obvious, CT-scan should be performed to confirm
indication of endoscopy. Surgical indications should be limited to emergencies
and to cases that cannot be delayed beyond 2 months (especially endonasal,
endopharyngeal laryngo-tracheobronchial procedures). Postponement should ideally
be a group decision and recorded as such in the medical file. Surgical techniques
should be adapted to limit the risk of viral dissemination in the air, avoiding
the use of drills, microdebriders, monopolar cautery or lasers. Continuous
suction should be placed near the operating field. In case of confirmed Covid-19
cases, or suspected cases (or in some centres systematically), PPE with FFP2 mask
should be worn by all staff members present in the operating room.