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  1. Article ; Online: COVID-19 and ENT Surgery.

    Couloigner, V / Schmerber, S / Nicollas, R / Coste, A / Barry, B / Makeieff, M / Boudard, P / Bequignon, E / Morel, N / Lescanne, E

    European annals of otorhinolaryngology, head and neck diseases

    2020  Volume 137, Issue 3, Page(s) 161–166

    Abstract: 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 ...

    Abstract 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
    MeSH term(s) Betacoronavirus/isolation & purification ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; France/epidemiology ; Head and Neck Neoplasms/pathology ; Head and Neck Neoplasms/surgery ; Head and Neck Neoplasms/virology ; Humans ; Infection Control/methods ; Infection Control/standards ; Otolaryngology/methods ; Otolaryngology/standards ; Otorhinolaryngologic Surgical Procedures/methods ; Otorhinolaryngologic Surgical Procedures/standards ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-23
    Publishing country France
    Document type Practice Guideline
    ZDB-ID 2558008-5
    ISSN 1879-730X ; 1879-7296
    ISSN (online) 1879-730X
    ISSN 1879-7296
    DOI 10.1016/j.anorl.2020.04.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 and ENT Surgery

    Couloigner, V. / Schmerber, S. / Nicollas, R. / Coste, A. / Barry, B. / Makeieff, M. / Boudard, P. / Bequignon, E. / Morel, N. / Lescanne, E.

    European Annals of Otorhinolaryngology, Head and Neck Diseases

    2020  Volume 137, Issue 3, Page(s) 161–166

    Keywords Surgery ; Otorhinolaryngology ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2558008-5
    ISSN 1879-730X ; 1879-7296
    ISSN (online) 1879-730X
    ISSN 1879-7296
    DOI 10.1016/j.anorl.2020.04.012
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: COVID-19 and ENT Surgery

    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

    Abstract: ... This document provides guidance on how to proceed with and adapt ENT surgery in the current pandemic context ... with COVID-19, prioritise the allocation of staff and provision of the equipment necessary for their medical ... In Otorhinolaryngology - Head and Neck Surgery, clinical examination and invasive procedures ...

    Abstract 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 R0 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.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #108790
    Database COVID19

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  4. Article ; Online: COVID-19 and ENT surgery

    Sharma, Akriti / Bhardwaj, Rohit

    European Archives of Oto-Rhino-Laryngology ; ISSN 0937-4477 1434-4726

    a brief review of essential precautions and triage

    2020  

    Keywords Otorhinolaryngology ; General Medicine ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s00405-020-06207-0
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: COVID-19 and ENT surgery: a brief review of essential precautions and triage.

    Sharma, Akriti / Bhardwaj, Rohit

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2020  Volume 278, Issue 5, Page(s) 1301–1305

    Abstract: ... 2 in conjunction with ENT surgery.: Results: Elective and non urgent cases are best avoided ... surgeons while carrying out a procedure during the COVID-19 pandemic.: Methods: The ENT Cochrane, Pubmed ... and Web of Science databases were searched without a time limit using the terms 'COVID-19 and SARS-CoV ...

    Abstract Purpose: This study is a brief review of the existing knowledge on the ENT surgeon's approach towards management of patients during the COVID-19 pandemic. While it is being recommended to carry out only the emergent procedures and to postpone the non-urgent ones to a later date, this article is meant to provide an insight into triage of the ENT procedures and the various precautions to be taken into account by the ENT surgeons while carrying out a procedure during the COVID-19 pandemic.
    Methods: The ENT Cochrane, Pubmed and Web of Science databases were searched without a time limit using the terms 'COVID-19 and SARS-CoV-2 in conjunction with ENT surgery.
    Results: Elective and non urgent cases are best avoided during this time. Only absolutely essential and emergent procedures need to be carried out with the use of Personal protective equipment comprising of safety gown, N95 mask, safety goggles, disposable gloves and caps. There is a possibility of transmission of the SARS- CoV-2 through asymptomatic patients and hence all patients, even with an unknown COVID-19 status, need to undergo a preoperative screening. As all procedures under general anesthesia are aerosol generating, the use of Personal protective equipment (PPE) is recommended for all the health care workers present in the operation theater.
    Conclusion: A proper knowledge of triage would be of immense help to the ENT surgeon in minimizing the exposure to health care workers and patients during this pandemic. All patients with an unknown COVID-19 status should be considered suspects and essential precautions for their management be taken accordingly.
    MeSH term(s) COVID-19 ; Humans ; Pandemics ; Personal Protective Equipment ; SARS-CoV-2 ; Triage
    Keywords covid19
    Language English
    Publishing date 2020-07-11
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-020-06207-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: COVID-19 and ENT surgery: a brief review of essential precautions and triage

    Sharma, Akriti / Bhardwaj, Rohit

    Eur. arch. oto-rhino-laryngol

    Abstract: ... surgeons while carrying out a procedure during the COVID-19 pandemic. METHODS: The ENT Cochrane, Pubmed and ... in conjunction with ENT surgery. RESULTS: Elective and non urgent cases are best avoided during this time. Only ... Web of Science databases were searched without a time limit using the terms 'COVID-19 and SARS-CoV-2 ...

    Abstract PURPOSE: This study is a brief review of the existing knowledge on the ENT surgeon's approach towards management of patients during the COVID-19 pandemic. While it is being recommended to carry out only the emergent procedures and to postpone the non-urgent ones to a later date, this article is meant to provide an insight into triage of the ENT procedures and the various precautions to be taken into account by the ENT surgeons while carrying out a procedure during the COVID-19 pandemic. METHODS: The ENT Cochrane, Pubmed and Web of Science databases were searched without a time limit using the terms 'COVID-19 and SARS-CoV-2 in conjunction with ENT surgery. RESULTS: Elective and non urgent cases are best avoided during this time. Only absolutely essential and emergent procedures need to be carried out with the use of Personal protective equipment comprising of safety gown, N95 mask, safety goggles, disposable gloves and caps. There is a possibility of transmission of the SARS- CoV-2 through asymptomatic patients and hence all patients, even with an unknown COVID-19 status, need to undergo a preoperative screening. As all procedures under general anesthesia are aerosol generating, the use of Personal protective equipment (PPE) is recommended for all the health care workers present in the operation theater. CONCLUSION: A proper knowledge of triage would be of immense help to the ENT surgeon in minimizing the exposure to health care workers and patients during this pandemic. All patients with an unknown COVID-19 status should be considered suspects and essential precautions for their management be taken accordingly.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #638743
    Database COVID19

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  7. Article ; Online: Robotic surgery in ENT and head and neck during the COVID-19 pandemic

    Nagpal, Kalpana / Malik, NoorUl Din / Naruka, SureshSingh / Rana, Nishant

    Apollo Medicine

    2020  

    Keywords covid19
    Language English
    Publisher Medknow
    Publishing country in
    Document type Article ; Online
    ZDB-ID 2652144-1
    ISSN 2213-3682 ; 0976-0016
    ISSN (online) 2213-3682
    ISSN 0976-0016
    DOI 10.4103/am.am_65_20
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Robotic surgery in ENT and head and neck during the COVID-19 pandemic

    Kalpana Nagpal / Noor Ul Din Malik / Suresh Singh Naruka / Nishant Rana

    Apollo Medicine, Vol 17, Iss 5, Pp 18-

    2020  Volume 20

    Abstract: ... The COVID-19 pandemic posed an immense impact on ENT and head-and-neck routine and emergency surgeries ... The management of ENT and head-and-neck surgical cases represents a unique challenge in the COVID-19 times ... assisted surgery in ENT and head-and-neck surgery can effectively minimize the risk of contamination ...

    Abstract The COVID-19 pandemic has resulted in a deep impact on the health-care system. The increased risk of contagion is especially for anesthetists, dentists, otolaryngologists, and head-and-neck surgeons. The management of ENT and head-and-neck surgical cases represents a unique challenge in the COVID-19 times. The COVID-19 pandemic posed an immense impact on ENT and head-and-neck routine and emergency surgeries. Patients needing immediate intervention when operated using robotic assistance could prove beneficial. Console surgeon is sitting at a distance to the patient and is not directly exposed to the surgical field. Short hospital stay, less blood loss, and no direct handling of tissue are some advantages. Robotic-assisted surgery in ENT and head-and-neck surgery can effectively minimize the risk of contamination of health-care providers.
    Keywords covid-19 pandemic ; ent and head-and-neck surgery ; robotic-assisted surgery ; Medicine ; R
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Intracranial complications of sinogenic and otogenic infections in children: an ESPN survey on their occurrence in the pre-COVID and post-COVID era.

    Massimi, L / Cinalli, G / Frassanito, P / Arcangeli, V / Auer, C / Baro, V / Bartoli, A / Bianchi, F / Dietvorst, S / Di Rocco, F / Gallo, P / Giordano, F / Hinojosa, J / Iglesias, S / Jecko, V / Kahilogullari, G / Knerlich-Lukoschus, F / Laera, R / Locatelli, D /
    Luglietto, D / Luzi, M / Messing-Jünger, M / Mura, R / Ragazzi, P / Riffaud, L / Roth, J / Sagarribay, A / Pinheiro, M Santos / Spazzapan, P / Spennato, P / Syrmos, N / Talamonti, G / Valentini, L / Van Veelen, M L / Zucchelli, M / Tamburrini, G

    Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

    2024  Volume 40, Issue 4, Page(s) 1221–1237

    Abstract: ... subdural empyema and brain abscess were the most common ICSO (73% and 17%, respectively). Surgery was required ... in 95% of cases (neurosurgical and ENT procedure in 71% and 62% of cases, respectively ... Background: COVID-19 pandemic is thought to have changed the epidemiology of some pediatric ...

    Abstract Background: COVID-19 pandemic is thought to have changed the epidemiology of some pediatric neurosurgical disease: among them are the intracranial complications of sinusitis and otitis (ICSO). According to some studies on a limited number of cases, both streptococci-related sinusitis and ICSO would have increased immediately after the pandemic, although the reason is not clear yet (seasonal changes versus pandemic-related effects). The goal of the present survey of the European Society for Pediatric Neurosurgery (ESPN) was to collect a large number of cases from different European countries encompassing the pre-COVID (2017-2019), COVID (2020-2021), and post-COVID period (2022-June 2023) looking for possible epidemiological and/or clinical changes.
    Material and methods: An English language questionnaire was sent to ESPN members about year of the event, patient's age and gender, presence of immune-deficit or other favoring risk factors, COVID infection, signs and symptoms at onset, site of primary infection, type of intracranial complication, identified germ, type and number of surgical operations, type and duration of medical treatment, clinical and radiological outcome, duration of the follow-up.
    Results: Two hundred fifty-four cases were collected by 30 centers coming from 14 different European countries. There was a statistically significant difference between the post-COVID period (129 children, 86 cases/year, 50.7% of the whole series) and the COVID (40 children, 20 cases/year, 15.7%) or the pre-COVID period (85 children, 28.3 cases/year, 33.5%). Other significant differences concerned the presence of predisposing factors/concurrent diseases (higher in the pre-COVID period) and previous COVID infection (higher in the post-COVID period). No relevant differences occurred as far as demographic, microbiological, clinical, radiological, outcome, morbidity, and mortality data were concerned. Paranasal sinuses and middle ear/mastoid were the most involved primary site of infection (71% and 27%, respectively), while extradural or subdural empyema and brain abscess were the most common ICSO (73% and 17%, respectively). Surgery was required in 95% of cases (neurosurgical and ENT procedure in 71% and 62% of cases, respectively) while antibiotics in 99% of cases. After a 12.4-month follow-up, a full clinical and radiological recovery was obtained in 85% and 84% of cases, respectively. The mortality rate was 2.7%.
    Conclusions: These results suggest that the occurrence of ICSO was significantly increased after the pandemic. Such an increase seems to be related to the indirect effects of the pandemic (e.g., immunity debt) rather than to a direct effect of COVID infection or to seasonal fluctuations. ICSO remain challenging diseases but the pandemic did not affect the management strategies nor their prognosis. The epidemiological change of sinusitis/otitis and ICSO should alert about the appropriate follow-up of children with sinusitis/otitis.
    MeSH term(s) Child ; Humans ; Pandemics ; COVID-19/complications ; Brain Abscess/epidemiology ; Empyema, Subdural/etiology ; Sinusitis/complications ; Otitis/complications ; Otitis/epidemiology ; Retrospective Studies
    Language English
    Publishing date 2024-03-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 605988-0
    ISSN 1433-0350 ; 0302-2803 ; 0256-7040
    ISSN (online) 1433-0350
    ISSN 0302-2803 ; 0256-7040
    DOI 10.1007/s00381-024-06332-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: ENT On-call Equipment Bag: Updated for COVID-19.

    Sangha, Miljyot Singh / Kumta, Radhika / Jumani, Kiran

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2022  Volume 74, Issue Suppl 2, Page(s) 3268–3272

    Abstract: ... adequately stocked. In conclusion, we present a COVID-19 updated ENT bag and checklist. We hope ... this will help act as a reference for other ENT teams to compare and implement during the current COVID-19 ... a list of required equipment in the setting of the current COVID-19 pandemic. For the ENT equipment bag ...

    Abstract Otorhinolaryngology, or Ear Nose and throat (ENT), is a specialty requiring specific equipment for the management and treatment of patients. While most hospitals provide a 24/7 ENT procedure room, there is also a need for a mobile equipment bag with objects and instruments not readily available outside of the ENT department. We look to introduce a novel ENT equipment bag and checklist which has been updated to include a list of required equipment in the setting of the current COVID-19 pandemic. For the ENT equipment bag we use a high visibility multi-compartment bag. In addition to this, the bag contains four folders, labelled "Ear", "Nose", "Throat" and "Drugs". The necessary ENT equipment is divided and included within these folders. The bag also contains a copy of the "ENT bag checklist". This is a list, designed by the Whipps Cross ENT team, which specifies the required ENT equipment, including PPE in light of the current COVID-19 pandemic. The bag is stocked once a week using this list. Using this new system we developed a portable, practical and easy to use ENT on call equipment bag that included all of the relevant PPE to manage COVID-19 patients. We also implemented a new method of bag stocking to ensure that the bag is adequately stocked. In conclusion, we present a COVID-19 updated ENT bag and checklist. We hope this will help act as a reference for other ENT teams to compare and implement during the current COVID-19 pandemic.
    Language English
    Publishing date 2022-04-12
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-021-02824-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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