Approach to otolaryngology emergency in COVID-19 pandemic

Berkay Çaytemel; Halime Kılıç; Şenol Çomoğlu

Approach to otolaryngology emergency in COVID-19 pandemic

Abstract

Since the first case of novel coronavirus disease COVID-19 was reported in China on December 31st, 2019, it spread almost all over the world rapidly and was declared pandemic by the World Health Organization WHO on March 11th, 2020. The first case in Turkey was also reported on the same day. COVID-19 is mainly transmitted through droplets and infected individuals may remain asymptomatic. As the reservoir of the virus is the upper respiratory tract, otolaryngology ENT examinations carry a high risk of infection to the physician and fever, sore throat, cough, shortness of breath and general illness, which are frequent COVID-19 symptoms, can be also seen in various ENT diseases. In case of severe upper respiratory obstruction, unstoppable nasal bleeding, or septal hematoma, which should be promptly intervened as ENT emergencies during the pandemic, patients should be accepted as COVID-19-positive and intervened accordingly. Thus, personal protective equipment PPE with eye protection/goggles, face shield, bonnet, disposable protective drape, and FFP3/N99 mask, if available and FF2/N95, if not must be used. In cases where the procedure can be postponed for some time, patients such as nasal fracture, and otitis-sinusitis complications should be requested polymerase chain reaction PCR for COVID-19 exclusion and thoracic section should be included in the computed tomography examination, if required. If possible, it is recommended to use powered air purifying respirators in surgical procedures to the upper respiratory tract. In case of sudden hearing loss and facial paralysis, systemic steroid therapy should be avoided due to its immunosuppressive effects.

Keywords

COVID-19, emergency, otorhinolaryngologic diseases, SARS-CoV-2

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Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Berkay Çaytemel This is me

Halime Kılıç This is me

Şenol Çomoğlu This is me

Publication Date

May 10, 2020

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2020 Volume: 30 Number: 1

IZ

https://izlik.org/JA47NR67AK

Cite

RIS / Bibtex

APA

Çaytemel, B., Kılıç, H., & Çomoğlu, Ş. (2020). Approach to otolaryngology emergency in COVID-19 pandemic. The Turkish Journal of Ear Nose and Throat, 30(1), 24-36. https://izlik.org/JA47NR67AK

AMA

1.Çaytemel B, Kılıç H, Çomoğlu Ş. Approach to otolaryngology emergency in COVID-19 pandemic. Tr-ENT. 2020;30(1):24-36. https://izlik.org/JA47NR67AK

Chicago

Çaytemel, Berkay, Halime Kılıç, and Şenol Çomoğlu. 2020. “Approach to Otolaryngology Emergency in COVID-19 Pandemic”. The Turkish Journal of Ear Nose and Throat 30 (1): 24-36. https://izlik.org/JA47NR67AK.

EndNote

Çaytemel B, Kılıç H, Çomoğlu Ş (May 1, 2020) Approach to otolaryngology emergency in COVID-19 pandemic. The Turkish Journal of Ear Nose and Throat 30 1 24–36.

IEEE

[1]B. Çaytemel, H. Kılıç, and Ş. Çomoğlu, “Approach to otolaryngology emergency in COVID-19 pandemic”, Tr-ENT, vol. 30, no. 1, pp. 24–36, May 2020, [Online]. Available: https://izlik.org/JA47NR67AK

ISNAD

Çaytemel, Berkay - Kılıç, Halime - Çomoğlu, Şenol. “Approach to Otolaryngology Emergency in COVID-19 Pandemic”. The Turkish Journal of Ear Nose and Throat 30/1 (May 1, 2020): 24-36. https://izlik.org/JA47NR67AK.

JAMA

1.Çaytemel B, Kılıç H, Çomoğlu Ş. Approach to otolaryngology emergency in COVID-19 pandemic. Tr-ENT. 2020;30:24–36.

MLA

Çaytemel, Berkay, et al. “Approach to Otolaryngology Emergency in COVID-19 Pandemic”. The Turkish Journal of Ear Nose and Throat, vol. 30, no. 1, May 2020, pp. 24-36, https://izlik.org/JA47NR67AK.

Vancouver

1.Berkay Çaytemel, Halime Kılıç, Şenol Çomoğlu. Approach to otolaryngology emergency in COVID-19 pandemic. Tr-ENT [Internet]. 2020 May 1;30(1):24-36. Available from: https://izlik.org/JA47NR67AK