Your browser doesn't support javascript.
American Neurotology Society, American Otological Society, and American Academy of Otolaryngology - Head and Neck Foundation Guide to Enhance Otologic and Neurotologic Care During the COVID-19 Pandemic.
Kozin, Elliott D; Remenschneider, Aaron K; Blevins, Nikolas H; Jan, Taha A; Quesnel, Alicia M; Chari, Divya A; Kesser, Bradley W; Weinstein, Jaqueline E; Ahsan, Syed F; Telischi, Fred F; Adunka, Oliver F; Weber, Peter; Knoll, Renata M; Coelho, Daniel H; Anne, Samantha; Franck, Kevin H; Marchioni, Daniele; Barker, Frederick G; Carter, Bob S; Lustig, Lawrence R; Bojrab, Dennis I; Bhansali, Sanjay A; Westerberg, Brian D; Lundy, Larry; Jackler, Robert K; Roland, J Thomas; Chandrasekhar, Sujana S; Antonelli, Patrick J; Carey, John P; Welling, D Bradley; Slattery, William H; Lee, Daniel J.
  • Kozin ED; Department of Otolaryngology, Harvard Medical School.
  • Remenschneider AK; Department of Otolaryngology, Massachusetts Eye and Ear, Boston.
  • Blevins NH; Department of Otolaryngology, Harvard Medical School.
  • Jan TA; Department of Otolaryngology, Massachusetts Eye and Ear, Boston.
  • Quesnel AM; Department of Otolaryngology, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
  • Chari DA; Department of Otolaryngology, Stanford University School of Medicine, Stanford, California, USA.
  • Kesser BW; Department of Otolaryngology, Stanford University School of Medicine, Stanford, California, USA.
  • Weinstein JE; Department of Otolaryngology, Harvard Medical School.
  • Ahsan SF; Department of Otolaryngology, Massachusetts Eye and Ear, Boston.
  • Telischi FF; Department of Otolaryngology, Harvard Medical School.
  • Adunka OF; Department of Otolaryngology, Massachusetts Eye and Ear, Boston.
  • Weber P; Department of Otolaryngology, University of Virginia, Charlottesville, Virginia, USA.
  • Knoll RM; Benioff Children's Hospital, Division of Pediatric Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco.
  • Coelho DH; Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, California, USA.
  • Anne S; Department of Head and Neck Surgery, Kaiser Permanente , Anaheim, California, USA.
  • Franck KH; Department of Otolaryngology, University of Miami, Miller School of Medicine, Miami, Florida, USA.
  • Marchioni D; Department of Otolaryngology, Head and Neck Surgery, The Ohio State University College of Medicine, Columbus, Ohio, USA.
  • Barker FG; Department of Otolaryngology - Head and Neck Surgery, Boston University, Boston, Massachusetts, USA.
  • Carter BS; Department of Otolaryngology, Massachusetts Eye and Ear, Boston.
  • Lustig LR; Department of Otolaryngology - Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
  • Bojrab DI; Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio, USA.
  • Bhansali SA; Department of Otolaryngology, Harvard Medical School.
  • Westerberg BD; Department of Audiology, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
  • Lundy L; Otolaryngology Department, University Hospital of Verona, Verona, Italy.
  • Jackler RK; Department of Neurosurgery, Massachusetts General Hospital/Harvard Medical School Boston, Massachusetts, USA.
  • Roland JT; Department of Neurosurgery, Massachusetts General Hospital/Harvard Medical School Boston, Massachusetts, USA.
  • Chandrasekhar SS; Department of Otolaryngology - Head and Neck Surgery, Columbia.
  • Antonelli PJ; University Irving Medical Center and NewYork Presbyterian Hospital, New York, New York, USA.
  • Carey JP; Department of Neurotology, Michigan Ear Institute, Farmington Hills, Michigan, USA.
  • Welling DB; Ear Consultants of Georgia, Atlanta, Georgia, USA.
  • Slattery WH; Division of Otolaryngology - Head and Neck Surgery, St. Paul's Hospital, and BC Rotary Hearing & Balance Centre, University of British Columbia, Vancouver, BC, Canada.
  • Lee DJ; Department of Otorhinolaryngology, Mayo Clinic, Jacksonville, Florida, USA.
Otol Neurotol ; 41(9): 1163-1174, 2020 10.
Article in English | MEDLINE | ID: covidwho-724839
ABSTRACT
This combined American Neurotology Society, American Otological Society, and American Academy of Otolaryngology - Head and Neck Surgery Foundation document aims to provide guidance during the coronavirus disease of 2019 (COVID-19) on 1) "priority" of care for otologic and neurotologic patients in the office and operating room, and 2) optimal utilization of personal protective equipment. Given the paucity of evidence to inform otologic and neurotologic best practices during COVID-19, the recommendations herein are based on relevant peer-reviewed articles, the Centers for Disease Control and Prevention COVID-19 guidelines, United States and international hospital policies, and expert opinion. The suggestions presented here are not meant to be definitive, and best practices will undoubtedly change with increasing knowledge and high-quality data related to COVID-19. Interpretation of this guidance document is dependent on local factors including prevalence of COVID-19 in the surgeons' local community. This is not intended to set a standard of care, and should not supersede the clinician's best judgement when managing specific clinical concerns and/or regional conditions.Access to otologic and neurotologic care during and after the COVID-19 pandemic is dependent upon adequate protection of physicians, audiologists, and ancillary support staff. Otolaryngologists and associated staff are at high risk for COVID-19 disease transmission based on close contact with mucosal surfaces of the upper aerodigestive tract during diagnostic evaluation and therapeutic procedures. While many otologic and neurotologic conditions are not imminently life threatening, they have a major impact on communication, daily functioning, and quality of life. In addition, progression of disease and delay in treatment can result in cranial nerve deficits, intracranial and life-threatening complications, and/or irreversible consequences. In this regard, many otologic and neurotologic conditions should rightfully be considered "urgent," and almost all require timely attention to permit optimal outcomes. It is reasonable to proceed with otologic and neurotologic clinic visits and operative cases based on input from expert opinion of otologic care providers, clinic/hospital administration, infection prevention and control specialists, and local and state public health leaders. Significant regional variations in COVID-19 prevalence exist; therefore, physicians working with local municipalities are best suited to make determinations on the appropriateness and timing of otologic and neurotologic care.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Otolaryngology / Pneumonia, Viral / Coronavirus Infections / Neurotology / Otolaryngologists Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Otol Neurotol Journal subject: Neurology / Otolaryngology Year: 2020 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Otolaryngology / Pneumonia, Viral / Coronavirus Infections / Neurotology / Otolaryngologists Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Otol Neurotol Journal subject: Neurology / Otolaryngology Year: 2020 Document Type: Article