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An Overview of Otorhinolaryngology and Head and Neck Surgery Practice in COVID-19 Pandemic

Year 2020, Issue: Special Issue on COVID 19, 185 - 194, 20.03.2020
https://doi.org/10.21673/anadoluklin.733565

Abstract

In December 2019, unknown cause of pneumonia occurred in Wuhan, China. It was defined that the pneumonia agent in these patients was a novel strain of human coronaviruses, 'severe acute respiratory syndrome coronavirus-2' (SARS-CoV-2; first named nCoV-2019). In February 2020, the World Health Organization (WHO) for the disease caused by this virus; named coronavirus disease-2019 (COrona VIrus Disase 2019; COVID-19). Evidence from China, Italy and Iran shows that otolaryngololgy specialists have a very high risk of transmission of COVID-19. These risks arises due to contact of the mucous membranes of the upper respiratory tract and exposure to patient secretions. In this article, we tried to present the risks faced by otolaryngology physicians, their common problems and solutions with the current literature for the COVID-19 pandemic.

References

  • 1. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020;323:1061–1069.
  • 2. Klopfenstein T, Kadiane-Oussou NJ, Toko L, et al. Features of anosmia in COVID-19 [published online ahead of print, 2020 Apr 17]. Med Mal Infect. 2020;S0399-077X(20)30110-4. doi:10.1016/j.medmal.2020.04.006
  • 3. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395:507–513.
  • 4. Guan W-J, Ni Z-Y, Hu Y, et al. Clinical characteristics of coronavirus dis- ease 2019 in China [published online February 28, 2020]. N Engl J Med. https://doi.org/10.1056/NEJMoa2002032.
  • 5. .Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497–506
  • 6. Lai C-C, Liu YH, Wang C-Y, et al. Asymptomatic carrier state, acute respi- ratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARSCoV-2): facts and myths. J Microbiol Immunol Infect 2020;2:1–36.
  • 7. Li Q, Guan X, Wu P, et al. Early transmissison dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020;26: 1199–1207.
  • 8. Rothe C, Schunk M, Sothmann P, et al. Transmission of 2019-nCoV infec- tion from an asymptomatic contact in Germany. N Engl J Med 2020;382: 970–971.
  • 9. Lippi G, Plebani M. Laboratory abnormalities in patients with COVID-2019 infection [published online March 3, 2020]. Clin Chem Lab Med. https:// doi.org/10.1515/cclm-2020-0198.
  • 10. CDC Tests for COVID-19. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/coronavirus/2019-ncov/php/testing.html. Accessed March 19, 2020
  • 11. Zou L, Ruan F, Huang M, et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 2020;382:1177–1179.
  • 12. Patel, Zara M., et al. "Precautions for endoscopic transnasal skull base surgery during the COVID-19 pandemic." Neurosurgery (2020).
  • 13. ENT UK. Guidance for ENT during the COVID-19 pandemic. Accessed March 23, 2020.
  • 14. Siddiqui S. Centers for Medicare and Medicaid Services. "CMS Adult Elective Surgery and Procedures Recommendations[version 3.15.20]. Accessed March 23, 2020
  • 15. Ng K, Poon BH, Kiat Puar TH, et al. COVID-19 and the risk to health care workers: a case report. Ann Intern Med. 2020.
  • 16. Yu, P, Zhu, J, Zhang, Z, Han, Y, Huang, L. A familial cluster of infection associated with the 2019 novel coronavirus indicating potential person-to-person transmission during the incubation period [published online February 18, 2020]. J Infect Dis
  • 17. Rameau A, Young VN, Amin MR, Sulica L. Flexible Laryngoscopy and COVID-19 [published online ahead of print, 2020 Apr 21]. Otolaryngol Head Neck Surg. 2020;194599820921395. doi:10.1177/0194599820921395
  • 18. van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564‐1567. doi:10.1056/NEJMc2004973
  • 19. Sayın İ, Yazıcı MZ, Oz F, Akgul A. Otolaryngology-Head and Neck Surgery Perspective of COVID-19 DOI: 10.5336/medsci.2020-75313
  • 20. Wua YC, Chena CS, Chan YJ. The outbreak of COVID-19: An overview. Journal of Chinese Medical Association; 83 (3): 217- 220. doi: 101097/JCMA0000000000000270,
  • 21. Muscarella, LF. Prevention of disease transmission during flexible laryngoscopy. Am J Infect Control. 2007;35(8):536-544.
  • 22. Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy [published online March 15, 2020]. Ann Surg. Accessed March 23, 2020.
  • 23. Zuo M‐Z, Huang Y‐G, Ma W‐H, et al. Expert recommendations for tracheal intubation in critically ill patients with Noval coronavirus disease 2019 [published online February 27, 2020]. Chin Med Sci J. https://doi.org/10.24920/003724
  • 24. 32Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID‐19 patient needs an operation: operating room preparation and guidance [published online March 6, 2020]. Can J Anaesth. https://doi.org/10.1007/s12630-020-01617-4
  • 25. Risk for Otorhinolaryngologists https://www.europeanrhinologicsociety.org/?page_id=2143
  • 26. Vukkadala, Neelaysh, et al. "COVID‐19 and the otolaryngologist–preliminary evidence‐based review." The Laryngoscope (2020). doi:10.1002/lary.28672
  • 27. Tay JK, Khoo ML-C, Loh WS. Surgical considerations for tracheostomy during the COVID-19 pandemic: lessons learned from the severe acute respiratory syndrome outbreak [published online March 31, 2020]. JAMA Otolaryngol Head Neck Surg. doi:10.1001/jamaoto.2020.0764
  • 28. Roberts V. To PAPR or not to PAPR? Can J Respir Ther. 2014;50(3):87-90.
  • 29. Institute of Medicine. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. National Academies Press; 2015
  • 30. Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients Can J Anaesth [published online February 12, 2020].
  • 31. American College of Surgeons. COVID-19: guidance for triage of non-emergent surgical procedures. Accessed March 23, 2020
  • 32. Zou L, Ruan F, Huang M, et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 2020;382:1177–1179.
  • 33. Isakbaeva ET, Khetsuriani N, Beard RS, et al; SARS Investigation Group. SARS-associated coronavirus transmission, United States. Emerg Infect Dis. 2004;10(2):225-231.
  • 34. Ding Y, He L, Zhang Q, et al. Organ distribution of severe acute respiratory syndrome (SARS) associated coronavirus (SARS-CoV) in SARS patients: implications for pathogenesis and virus transmission pathways. J Pathol. 2004;203(2):622-630.
  • 35. Pitkäranta A, Virolainen A, Jero J, Arruda E, Hayden FG. Detection of rhinovirus, respiratory syncytial virus, and coronavirus infections in acute otitis media by reverse transcriptase polymerase chain reaction. Pediatrics. 1998;102(2, pt 1):291-295.
  • 36. Heikkinen T, Thint M, Chonmaitree T. Prevalence of various respiratory viruses in the middle ear during acute otitis media. N Engl J Med. 1999;340(4):260-264
  • 37. Liang W, Guan W, Chen R, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol 2020;21:335–337.
  • 38. Young D, Harrison DA, Cuthbertson BH, Rowan K; TracMan Collaborators. Effect of early vs late tracheostomy placement on survival in patients receiving mechanical ventilation: the TracMan randomized trial. JAMA. 2013;309(20):2121-2129.
  • 39. Murthy S, Gomersall CD, Fowler RA. Care for critically ill patients with COVID-19 [published online March 11, 2020]. JAMA. doi:10.1001/jama.2020.3633

COVID-19 Pandemisinde Kulak Burun Boğaz ve Baş Boyun Cerrahisi Pratiğine Genel Bakış

Year 2020, Issue: Special Issue on COVID 19, 185 - 194, 20.03.2020
https://doi.org/10.21673/anadoluklin.733565

Abstract

Çin’in Wuhan kentinde Aralık 2019’da sebebi bilinmeyen pnömoni vakaları ortaya çıktı. Bu hastalardaki pnömoni etkeninin insan koronavirüslerinin yeni bir türü ‘severe acute respiratory syndrome coronavirus- 2’ (SARS-CoV-2; önce nCoV- 2019 olarak isimlendirildi) olduğu tanımlandı. Şubat 2020’de Dünya Sağlık Örgütü (DSÖ) bu virüsün neden olduğu hastalığın adına; koronavirüs hastalığı-2019 (COrona VIrus Disase 2019; COVID-19) adlandırmasını yapmıştır. Çin, İtalya ve İran’dan elde edilen kanıtlar Kulak Burun Boğaz (KBB) uzmanlarının çeşitli açılardan COVİD- 19 bulaşma riskinin çok yüksek olduğunu göstermektedir. Üst solunum yollarının mukozaları teması ve hasta sekresyonlarına maruziyet nedeniyle bu risk oluşmaktadır. Bu makalede, COVİD-19 salgını için Kulak Burun Boğaz pratiğinde hekimlerin karşı karşıya kaldıkları riskler, sık karşılaşılan problemler ve onlara güncel literatür eşliğinde çözüm yolu sunulmaya çalışmıştır.

References

  • 1. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020;323:1061–1069.
  • 2. Klopfenstein T, Kadiane-Oussou NJ, Toko L, et al. Features of anosmia in COVID-19 [published online ahead of print, 2020 Apr 17]. Med Mal Infect. 2020;S0399-077X(20)30110-4. doi:10.1016/j.medmal.2020.04.006
  • 3. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395:507–513.
  • 4. Guan W-J, Ni Z-Y, Hu Y, et al. Clinical characteristics of coronavirus dis- ease 2019 in China [published online February 28, 2020]. N Engl J Med. https://doi.org/10.1056/NEJMoa2002032.
  • 5. .Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497–506
  • 6. Lai C-C, Liu YH, Wang C-Y, et al. Asymptomatic carrier state, acute respi- ratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARSCoV-2): facts and myths. J Microbiol Immunol Infect 2020;2:1–36.
  • 7. Li Q, Guan X, Wu P, et al. Early transmissison dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020;26: 1199–1207.
  • 8. Rothe C, Schunk M, Sothmann P, et al. Transmission of 2019-nCoV infec- tion from an asymptomatic contact in Germany. N Engl J Med 2020;382: 970–971.
  • 9. Lippi G, Plebani M. Laboratory abnormalities in patients with COVID-2019 infection [published online March 3, 2020]. Clin Chem Lab Med. https:// doi.org/10.1515/cclm-2020-0198.
  • 10. CDC Tests for COVID-19. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/coronavirus/2019-ncov/php/testing.html. Accessed March 19, 2020
  • 11. Zou L, Ruan F, Huang M, et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 2020;382:1177–1179.
  • 12. Patel, Zara M., et al. "Precautions for endoscopic transnasal skull base surgery during the COVID-19 pandemic." Neurosurgery (2020).
  • 13. ENT UK. Guidance for ENT during the COVID-19 pandemic. Accessed March 23, 2020.
  • 14. Siddiqui S. Centers for Medicare and Medicaid Services. "CMS Adult Elective Surgery and Procedures Recommendations[version 3.15.20]. Accessed March 23, 2020
  • 15. Ng K, Poon BH, Kiat Puar TH, et al. COVID-19 and the risk to health care workers: a case report. Ann Intern Med. 2020.
  • 16. Yu, P, Zhu, J, Zhang, Z, Han, Y, Huang, L. A familial cluster of infection associated with the 2019 novel coronavirus indicating potential person-to-person transmission during the incubation period [published online February 18, 2020]. J Infect Dis
  • 17. Rameau A, Young VN, Amin MR, Sulica L. Flexible Laryngoscopy and COVID-19 [published online ahead of print, 2020 Apr 21]. Otolaryngol Head Neck Surg. 2020;194599820921395. doi:10.1177/0194599820921395
  • 18. van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564‐1567. doi:10.1056/NEJMc2004973
  • 19. Sayın İ, Yazıcı MZ, Oz F, Akgul A. Otolaryngology-Head and Neck Surgery Perspective of COVID-19 DOI: 10.5336/medsci.2020-75313
  • 20. Wua YC, Chena CS, Chan YJ. The outbreak of COVID-19: An overview. Journal of Chinese Medical Association; 83 (3): 217- 220. doi: 101097/JCMA0000000000000270,
  • 21. Muscarella, LF. Prevention of disease transmission during flexible laryngoscopy. Am J Infect Control. 2007;35(8):536-544.
  • 22. Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy [published online March 15, 2020]. Ann Surg. Accessed March 23, 2020.
  • 23. Zuo M‐Z, Huang Y‐G, Ma W‐H, et al. Expert recommendations for tracheal intubation in critically ill patients with Noval coronavirus disease 2019 [published online February 27, 2020]. Chin Med Sci J. https://doi.org/10.24920/003724
  • 24. 32Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID‐19 patient needs an operation: operating room preparation and guidance [published online March 6, 2020]. Can J Anaesth. https://doi.org/10.1007/s12630-020-01617-4
  • 25. Risk for Otorhinolaryngologists https://www.europeanrhinologicsociety.org/?page_id=2143
  • 26. Vukkadala, Neelaysh, et al. "COVID‐19 and the otolaryngologist–preliminary evidence‐based review." The Laryngoscope (2020). doi:10.1002/lary.28672
  • 27. Tay JK, Khoo ML-C, Loh WS. Surgical considerations for tracheostomy during the COVID-19 pandemic: lessons learned from the severe acute respiratory syndrome outbreak [published online March 31, 2020]. JAMA Otolaryngol Head Neck Surg. doi:10.1001/jamaoto.2020.0764
  • 28. Roberts V. To PAPR or not to PAPR? Can J Respir Ther. 2014;50(3):87-90.
  • 29. Institute of Medicine. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. National Academies Press; 2015
  • 30. Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients Can J Anaesth [published online February 12, 2020].
  • 31. American College of Surgeons. COVID-19: guidance for triage of non-emergent surgical procedures. Accessed March 23, 2020
  • 32. Zou L, Ruan F, Huang M, et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 2020;382:1177–1179.
  • 33. Isakbaeva ET, Khetsuriani N, Beard RS, et al; SARS Investigation Group. SARS-associated coronavirus transmission, United States. Emerg Infect Dis. 2004;10(2):225-231.
  • 34. Ding Y, He L, Zhang Q, et al. Organ distribution of severe acute respiratory syndrome (SARS) associated coronavirus (SARS-CoV) in SARS patients: implications for pathogenesis and virus transmission pathways. J Pathol. 2004;203(2):622-630.
  • 35. Pitkäranta A, Virolainen A, Jero J, Arruda E, Hayden FG. Detection of rhinovirus, respiratory syncytial virus, and coronavirus infections in acute otitis media by reverse transcriptase polymerase chain reaction. Pediatrics. 1998;102(2, pt 1):291-295.
  • 36. Heikkinen T, Thint M, Chonmaitree T. Prevalence of various respiratory viruses in the middle ear during acute otitis media. N Engl J Med. 1999;340(4):260-264
  • 37. Liang W, Guan W, Chen R, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol 2020;21:335–337.
  • 38. Young D, Harrison DA, Cuthbertson BH, Rowan K; TracMan Collaborators. Effect of early vs late tracheostomy placement on survival in patients receiving mechanical ventilation: the TracMan randomized trial. JAMA. 2013;309(20):2121-2129.
  • 39. Murthy S, Gomersall CD, Fowler RA. Care for critically ill patients with COVID-19 [published online March 11, 2020]. JAMA. doi:10.1001/jama.2020.3633
There are 39 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section REVİEW
Authors

Fatih Öner 0000-0001-6195-3110

Publication Date March 20, 2020
Acceptance Date May 14, 2020
Published in Issue Year 2020 Issue: Special Issue on COVID 19

Cite

Vancouver Öner F. An Overview of Otorhinolaryngology and Head and Neck Surgery Practice in COVID-19 Pandemic. Anatolian Clin. 2020;25(Special Issue on COVID 19):185-94.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.