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English Wikipedia
Otology practice during COVID-19 era: a review of current practice
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Dawoud MM
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BACKGROUND: The novel coronavirus started as an outbreak in Wuhan, China, in
December 2019.The outbreak was declared a pandemic by the WHO on 12 March 2020.
The virus is called SARS-CoV-2, and the virus-induced disease is called COVID-19.
The infection spreads via droplets or direct contact with contaminated surfaces.
Airborne transmission occurs during aerosol-generating procedures on patients.
Many otologic procedures are considered AGPs and therefore require precautions to
protect staff and patients and minimize transmission of the disease. MAIN BODY:
Outpatient otology activity has seen changes, including virtual clinics and
limitation of face-to-face consultations, to ensure safety. Powered
instrumentation should be avoided during surgical procedures unless necessary or
replaced with other tools, and if performed, enhanced personal protective
equipment (PPE) must be used. Ear, nose, and throat (ENT) examination is
recommended for any patient with full PPE in place except for consultations done
without examination. Systemic steroid administration for treating conditions such
as Bell?s palsy and sudden sensorineural hearing loss should be discussed with
both the patient and infectious diseases specialist to weigh risks against
benefits. Triaging of patients and prioritization is unavoidable during the
pandemic and even after due to the limitations of clinic and theater time. All
emergency/urgent cases are considered potentially COVID-19 positive. For the
semi-urgent and all elective cases, COVID-19 testing 48?h prior to surgery,
strict quarantine awaiting test results, and repeat testing on day of surgery if
rapid tests are available are the precautions suggested. Different measures
should be in place to minimize staff potential exposure intraoperatively.
CONCLUSIONS: Otology practice has been affected by the COVID-19 pandemic. Various
measures are in place to ensure the delivery of safe and effective service for
patients and health care workers.