CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic
Abstract Healthcare services in many countries have been partially or completely disrupted by the Coronavirus (COVID-19) pandemic since its onset in the end of 2019. Amongst the most impacted are the elective medical and surgical services in order to conserve resources to care for COVID-19 patients....
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-12-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Online Access: | https://doi.org/10.1186/s40463-020-00476-9 |
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| _version_ | 1832544221859414016 |
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| author | Yvonne Chan Sarfaraz M. Banglawala Christopher J. Chin David W. J. Côté Dustin Dalgorf John R. de Almeida Martin Desrosiers Richard M. Gall Artur Gevorgyan A. Hassan Hassan Arif Janjua John M. Lee Randy M. Leung Bradford D. Mechor Dominik Mertz Eric Monteiro Smriti Nayan Brian Rotenberg John Scott Kristine A. Smith Doron D. Sommer Leigh Sowerby Marc A. Tewfik Andrew Thamboo Allan Vescan Ian J. Witterick |
| author_facet | Yvonne Chan Sarfaraz M. Banglawala Christopher J. Chin David W. J. Côté Dustin Dalgorf John R. de Almeida Martin Desrosiers Richard M. Gall Artur Gevorgyan A. Hassan Hassan Arif Janjua John M. Lee Randy M. Leung Bradford D. Mechor Dominik Mertz Eric Monteiro Smriti Nayan Brian Rotenberg John Scott Kristine A. Smith Doron D. Sommer Leigh Sowerby Marc A. Tewfik Andrew Thamboo Allan Vescan Ian J. Witterick |
| author_sort | Yvonne Chan |
| collection | DOAJ |
| description | Abstract Healthcare services in many countries have been partially or completely disrupted by the Coronavirus (COVID-19) pandemic since its onset in the end of 2019. Amongst the most impacted are the elective medical and surgical services in order to conserve resources to care for COVID-19 patients. As the number of infected patients decrease across Canada, elective surgeries are being restarted in a staged manner. Since Otolaryngologists – Head & Neck Surgeons manage surgical diseases of the upper aerodigestive tract where the highest viral load reside, it is imperative that these surgeries resume in a safe manner. The aim of this document is to compile the current best evidence available and provide expert consensus on the safe restart of rhinologic and skull base surgeries while discussing the pre-operative, intra-operative, and post-operative care and tips. Risk assessment, patient selection, case triage, and pre-operative COVID-19 testing will be analyzed and discussed. These guidelines will also consider the optimal use of personal protective equipment for specific cases, general and specific operative room precautions, and practical tips of intra-operative maneuvers to optimize patient and provider safety. Given that the literature surrounding COVID-19 is rapidly evolving, these recommendations will serve to start our specialty back into elective rhinologic surgeries over the next months and they may change as we learn more about this disease. |
| format | Article |
| id | doaj-art-b93d3afd167c4011898824cc0cfff1cb |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-b93d3afd167c4011898824cc0cfff1cb2025-02-03T10:53:56ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-12-0149112210.1186/s40463-020-00476-9CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemicYvonne Chan0Sarfaraz M. Banglawala1Christopher J. Chin2David W. J. Côté3Dustin Dalgorf4John R. de Almeida5Martin Desrosiers6Richard M. Gall7Artur Gevorgyan8A. Hassan Hassan9Arif Janjua10John M. Lee11Randy M. Leung12Bradford D. Mechor13Dominik Mertz14Eric Monteiro15Smriti Nayan16Brian Rotenberg17John Scott18Kristine A. Smith19Doron D. Sommer20Leigh Sowerby21Marc A. Tewfik22Andrew Thamboo23Allan Vescan24Ian J. Witterick25Department of Otolaryngology - Head & Neck Surgery, University of TorontoDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoDivision of Otolaryngology - Head and Neck Surgery, Department of Surgery, Dalhousie UniversityUniversity of Montreal Hospital Center (CHUM) and Research Center (CRCHUM)Department of Otolaryngology - Head & Neck Surgery, University of TorontoDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoUniversite de MontrealDepartment of Otolaryngology - Head and Neck Surgery, University of ManitobaDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoDepartment of Clinical Sciences, Northern Ontario School of MedicineDivision of Otolaryngology - Head & Neck Surgery, University of British ColumbiaDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoCalgary Sinus CentreDivision of Infectious Diseases, Department of Medicine, McMaster UniversityDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, McMaster UniversityDepartment of Otolaryngology - Head and Neck Surgery, Western UniversityDepartment of Otolaryngology - Head & Neck Surgery, Dalhousie UniversityDepartment of Otolaryngology - Head and Neck Surgery, University of ManitobaDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, McMaster UniversityDepartment of Otolaryngology - Head and Neck Surgery, Western UniversityDepartment of Otolaryngology - Head & Neck Surgery, McGill UniversityDivision of Otolaryngology - Head & Neck Surgery, University of British ColumbiaDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoAbstract Healthcare services in many countries have been partially or completely disrupted by the Coronavirus (COVID-19) pandemic since its onset in the end of 2019. Amongst the most impacted are the elective medical and surgical services in order to conserve resources to care for COVID-19 patients. As the number of infected patients decrease across Canada, elective surgeries are being restarted in a staged manner. Since Otolaryngologists – Head & Neck Surgeons manage surgical diseases of the upper aerodigestive tract where the highest viral load reside, it is imperative that these surgeries resume in a safe manner. The aim of this document is to compile the current best evidence available and provide expert consensus on the safe restart of rhinologic and skull base surgeries while discussing the pre-operative, intra-operative, and post-operative care and tips. Risk assessment, patient selection, case triage, and pre-operative COVID-19 testing will be analyzed and discussed. These guidelines will also consider the optimal use of personal protective equipment for specific cases, general and specific operative room precautions, and practical tips of intra-operative maneuvers to optimize patient and provider safety. Given that the literature surrounding COVID-19 is rapidly evolving, these recommendations will serve to start our specialty back into elective rhinologic surgeries over the next months and they may change as we learn more about this disease.https://doi.org/10.1186/s40463-020-00476-9 |
| spellingShingle | Yvonne Chan Sarfaraz M. Banglawala Christopher J. Chin David W. J. Côté Dustin Dalgorf John R. de Almeida Martin Desrosiers Richard M. Gall Artur Gevorgyan A. Hassan Hassan Arif Janjua John M. Lee Randy M. Leung Bradford D. Mechor Dominik Mertz Eric Monteiro Smriti Nayan Brian Rotenberg John Scott Kristine A. Smith Doron D. Sommer Leigh Sowerby Marc A. Tewfik Andrew Thamboo Allan Vescan Ian J. Witterick CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic Journal of Otolaryngology - Head and Neck Surgery |
| title | CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic |
| title_full | CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic |
| title_fullStr | CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic |
| title_full_unstemmed | CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic |
| title_short | CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic |
| title_sort | cso canadian society of otolaryngology head neck surgery position paper on rhinologic and skull base surgery during the covid 19 pandemic |
| url | https://doi.org/10.1186/s40463-020-00476-9 |
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