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Otol Neurotol ; 42(3): e378-e379, 2021 03 01.
Article in English | MEDLINE | ID: covidwho-1109359


OBJECTIVE: The recent COVID-19 pandemic has required careful reconsideration of safe operating room practices. We describe our initial experiences performing otologic surgery with the exoscope during the COVID-19 pandemic. METHOD: The exoscope was used for several semiurgent otologic surgeries in combination with complete eye protection, a "tent" drape, a smoke evacuator with ultra-low particulate air filter, and betadine irrigation. These techniques are demonstrated in the accompanying video. This was compared with our experiences using the microscope. RESULTS: The described modified goggles allowed complete eye protection while providing a fully three-dimensional view of the surgical site. The other safety measures described are simple and efficient techniques which can easily be adopted for otologic surgery using the microscope. CONCLUSION: Use of the exoscope for otologic surgery during the COVID-19 pandemic allows full three-dimensional visualization of the surgical field while simultaneously providing complete eye protection. Use of the "tent" drape, ultra-low particulate air filter, and betadine irrigation are also options that otologic surgeons may consider for additional safety.

COVID-19/prevention & control , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Microscopy/instrumentation , Microscopy/methods , Otologic Surgical Procedures/instrumentation , Otologic Surgical Procedures/methods , Humans , Imaging, Three-Dimensional , Mastoidectomy/instrumentation , Mastoidectomy/methods , Pandemics , Personal Protective Equipment , SARS-CoV-2