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Article ; Online: Aerosol Generation During Myringotomy With Tympanostomy Tube Insertion: Implications for Otolaryngology in the COVID-19 Era.

Campiti, Vincent J / Ye, Michael J / Sharma, Dhruv / Matt, Bruce H / Mitchell, Ryan M / Ting, Jonathan Y / Illing, Elisa A / Park, Jae Hong / Burgin, Sarah J

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

2021  Volume 165, Issue 4, Page(s) 532–535

Abstract: ... to health care workers during myringotomy and tympanostomy tube (MT) insertion is unknown. To determine the need ... sizer to measure aerosol generation intraoperatively during a case series of MT insertion. We also ... increase in aerosol particle number during the procedure at a distance of 30 cm ...

Abstract The risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission to health care workers during myringotomy and tympanostomy tube (MT) insertion is unknown. To determine the need for enhanced precautions to prevent potential spread via aerosolized particles, we used an optical particle sizer to measure aerosol generation intraoperatively during a case series of MT insertion. We also discuss our institutional experience with safe pandemic-era perioperative practices. There was no measured increase in aerosol particle number during the procedure at a distance of 30 cm from the external auditory canal. These initial data are reassuring regarding the risk of SARS-CoV-2 transmission to the operating room team due to aerosol generation, but further study is necessary before making definitive recommendations.
MeSH term(s) Aerosols ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Child ; Humans ; Infection Control/organization & administration ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Middle Ear Ventilation/adverse effects ; Operative Time
Chemical Substances Aerosols
Language English
Publishing date 2021-02-09
Publishing country England
Document type Journal Article
ZDB-ID 392085-9
ISSN 1097-6817 ; 0161-6439 ; 0194-5998
ISSN (online) 1097-6817
ISSN 0161-6439 ; 0194-5998
DOI 10.1177/0194599821989626
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ab Jg. 2022: Lesesaal (EG)
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