CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic

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

doi:10.1186/s40463-020-00476-9

CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic

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. SmithDoron D. Sommer, Leigh Sowerby, Marc A. Tewfik, Andrew Thamboo, Allan Vescan, Ian J. Witterick

Medicine

Résultat de recherche: Review article › examen par les pairs

5 Citations (Scopus)

Résumé

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. [Figure not available: see fulltext.]

Langue d'origine	English
Numéro d'article	81
Journal	Journal of Otolaryngology - Head and Neck Surgery
Volume	49
Numéro de publication	1
DOI	https://doi.org/10.1186/s40463-020-00476-9
Statut de publication	Published - déc. 2020

Note bibliographique

Funding Information:
The Canadian Society of Otolaryngology - Head & Neck Surgery (CSO-HNS) has developed this information as guidance for its members. This is based on information available at the time of writing (July 13, 2020) and the Society recognizes that the situation is evolving rapidly, so recommendations may change. The guidance included in this document does not replace regular standards of care, nor do they replace the application of clinical judgement to each individual presentation, nor variations due to jurisdiction or facility type. The CSO-HNS is not liable for the accuracy or completeness of the information in this document. The information in this document cannot replace professional advice. Please address any correspondence to the Canadian Society of Otolaryngology – Head & Neck Surgery at cso.hns@sympatico.ca

Publisher Copyright:
© 2020, The Author(s).

ASJC Scopus Subject Areas

Surgery
Otorhinolaryngology

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10.1186/s40463-020-00476-9

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Chan, Y., Banglawala, S. M., Chin, C. J., Côté, D. W. J., Dalgorf, D., de Almeida, J. R., Desrosiers, M., Gall, R. M., Gevorgyan, A., Hassan Hassan, A., Janjua, A., Lee, J. M., Leung, R. M., Mechor, B. D., Mertz, D., Monteiro, E., Nayan, S., Rotenberg, B., Scott, J., ... Witterick, I. J. (2020). 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, 49(1), Article 81. https://doi.org/10.1186/s40463-020-00476-9

Chan, Y, Banglawala, SM, Chin, CJ, Côté, DWJ, Dalgorf, D, de Almeida, JR, Desrosiers, M, Gall, RM, Gevorgyan, A, Hassan Hassan, A, Janjua, A, Lee, JM, Leung, RM, Mechor, BD, Mertz, D, Monteiro, E, Nayan, S, Rotenberg, B, Scott, J, Smith, KA, Sommer, DD, Sowerby, L, Tewfik, MA, Thamboo, A, Vescan, A & Witterick, IJ 2020, '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, vol. 49, n° 1, 81. https://doi.org/10.1186/s40463-020-00476-9

@article{5ce5c0cef3544f9d954b3550b68a7c6d,

title = "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. 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. [Figure not available: see fulltext.]",

author = "Yvonne Chan and Banglawala, {Sarfaraz M.} and Chin, {Christopher J.} and C{\^o}t{\'e}, {David W.J.} and Dustin Dalgorf and {de Almeida}, {John R.} and Martin Desrosiers and Gall, {Richard M.} and Artur Gevorgyan and {Hassan Hassan}, A. and Arif Janjua and Lee, {John M.} and Leung, {Randy M.} and Mechor, {Bradford D.} and Dominik Mertz and Eric Monteiro and Smriti Nayan and Brian Rotenberg and John Scott and Smith, {Kristine A.} and Sommer, {Doron D.} and Leigh Sowerby and Tewfik, {Marc A.} and Andrew Thamboo and Allan Vescan and Witterick, {Ian J.}",

note = "Funding Information: The Canadian Society of Otolaryngology - Head & Neck Surgery (CSO-HNS) has developed this information as guidance for its members. This is based on information available at the time of writing (July 13, 2020) and the Society recognizes that the situation is evolving rapidly, so recommendations may change. The guidance included in this document does not replace regular standards of care, nor do they replace the application of clinical judgement to each individual presentation, nor variations due to jurisdiction or facility type. The CSO-HNS is not liable for the accuracy or completeness of the information in this document. The information in this document cannot replace professional advice. Please address any correspondence to the Canadian Society of Otolaryngology – Head & Neck Surgery at cso.hns@sympatico.ca Publisher Copyright: {\textcopyright} 2020, The Author(s).",

year = "2020",

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volume = "49",

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AU - Chin, Christopher J.

AU - Côté, David W.J.

AU - Dalgorf, Dustin

AU - de Almeida, John R.

AU - Desrosiers, Martin

AU - Gall, Richard M.

AU - Gevorgyan, Artur

AU - Hassan Hassan, A.

AU - Janjua, Arif

AU - Lee, John M.

AU - Leung, Randy M.

AU - Mechor, Bradford D.

AU - Mertz, Dominik

AU - Monteiro, Eric

AU - Nayan, Smriti

AU - Rotenberg, Brian

AU - Scott, John

AU - Smith, Kristine A.

AU - Sommer, Doron D.

AU - Sowerby, Leigh

AU - Tewfik, Marc A.

AU - Thamboo, Andrew

AU - Vescan, Allan

AU - Witterick, Ian J.

N1 - Funding Information: The Canadian Society of Otolaryngology - Head & Neck Surgery (CSO-HNS) has developed this information as guidance for its members. This is based on information available at the time of writing (July 13, 2020) and the Society recognizes that the situation is evolving rapidly, so recommendations may change. The guidance included in this document does not replace regular standards of care, nor do they replace the application of clinical judgement to each individual presentation, nor variations due to jurisdiction or facility type. The CSO-HNS is not liable for the accuracy or completeness of the information in this document. The information in this document cannot replace professional advice. Please address any correspondence to the Canadian Society of Otolaryngology – Head & Neck Surgery at cso.hns@sympatico.ca Publisher Copyright: © 2020, The Author(s).

PY - 2020/12

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N2 - 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. [Figure not available: see fulltext.]

AB - 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. [Figure not available: see fulltext.]

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CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic

Résumé

Note bibliographique

ASJC Scopus Subject Areas

Accès au document

Autres fichiers et liens

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