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European Archives of Oto-Rhino-Laryngology

Erschienen in:

23.06.2020 | COVID-19 | Review Article Zur Zeit gratis

Otolaryngology in the COVID-19 pandemic era: the impact on our clinical practice

verfasst von: Andreas Anagiotos, Georgios Petrikkos

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 3/2021

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Abstract

Purpose

To give an overview of the current knowledge about COVID-19 pandemic and its impact on otolaryngology clinical practice.

Methods

Recent findings about SARS-CoV-2 virus and the COVID-19 infection it causes are reviewed. In addition to international databases and in the absence of hard scientific data, literature search included reports published online from scientific societies and other institutions.

Results

The role of anosmia as a COVID-19-related symptom is presented. Further, considerations about steroid administration in ENT-related conditions are also discussed. Due to the close work with mucosa surfaces of the upper aerodigestive tract, otolaryngologists and surrounding staff are considered high risk for coronavirus transmission. Hence, staff protection measures for ENT examinations, surgeries and other procedures during COVID-19 pandemic are recommended.

Conclusion

Knowledge and evidence about the impact of COVID-19 infection on otolaryngology clinical practice are accumulating rapidly. Additionally to patient’s management, safety of health care professionals should be a main goal right now by following strict safety guidelines.

Bedford J, Enria D, Giesecke J et al (2020) COVID-19: towards controlling of a pandemic. Lancet 395(10229):1015–1018CrossRef

WHO, WHO Virtual press conference on COVID-19 (2020).https://www.who.int/emergencies/diseases/novel-coronavirus-2019/media-resources/press-briefings. Accessed 11 March 2020

DGHNO-KHC, BVHNO (2020) Aktuelle Informationen zum Thema Pragmatischer Personalschutz“ durch Schutzmasken/Visiere außerhalb von krankenhausspezifischen Covid-19-Isolationsund OP-Bereichen von Seiten der DGHNO-KHC und des BVHNO https://cdn.hno.org/media/Corona-Ticker/Pragmatischer_Personalschutz_Info_DGHNO_BVHNO_30-03-20.pdf. Accessed 31 May 2020

van Doremalen N, Bushmaker T, Morris DH et al (2020) Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med 382:1564–1567CrossRef

World Health Organization (2020) "Modes of transmission of the COVID-19 virus, Geneva: World Health Organization, Vols. https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations. Accessed 31 May 2020.

American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) (2020), New Recommendations Regarding Urgent and Nonurgent Patient Care, https://www.entnet.org/content/new-recommendations-regarding-urgent-and-nonurgent-patient-care. Accessed 31 May 2020

The Australian Society of Otolaryngology Head and Neck Surgery (ASOHNS) (2020) Australian Guidance for ENT surgeons during the COVID-19 pandemic, https://asohns.org.au/about-us/news-and-announcements/latest-news?article=78. Accessed 31 May 2020

American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) (2020) Otolaryngologists and the COVID-19 Pandemic. https://www.entnet.org/content/otolaryngologists-and-covid-19-pandemic. Accessed 31 May 2020

Patel ZM, Fernandez-Miranda J, Hwang PH, et al., (2020) Precautions for endoscopic transnasal skull base surgery during the covid-19 pandemic., https://www.entnet.org/sites/default/files/uploads/covid-19_endosb_lettertoeditor_neurosurgery_update3.23.20.pdf.

10.

DGHNO-KHC, BVHNO (2020) Gemeinsame Empfehlungen der DGHNO-KHC und des HNO-BV - Warnung der Präsidien der HNO-Verbände, https://www.hno.org/de/corona Accessed 21 March 2020

11.

World Health Organization, Questions and Answers on coronaviruses (COVID-19) (2020) https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/q-a-coronaviruses, Accessed on 08 June 2020

12.

American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) (2020) Anosmia, Hyposmia, and Dysgeusia Symptoms of Coronavirus Disease, https://www.entnet.org/content/aao-hns-anosmia-hyposmia-and-dysgeusia-symptoms-coronavirus-disease, Accessed 01 June 2020

13.

Sociedad Española de Neurología (SEN) (2020) Recomendaciones de la Sociedad Española de Neurología (SEN) en relación con la pérdida de olfato como posible síntoma precoz de infección por CoVID-19, https://www.sen.es Accessed 01 June 2020

14.

ENT UK, Loss of Sense of Smell as Marker of COVID-19 Infection (2020) https://www.entuk.org Accessed 21 March 2020

15.

Vroegop AV, Eeckels AS, Van Rompaey V, et al. (2020) COVID-19 and olfactory dysfunction—an ENT perspective to the current COVID-19 pandemic. B-ENT 1:1 (Epub Ahead of print)

16.

Nunan D (2020) Loss of smell and taste as symptoms of COVID-19: what does the evidence say?, The Centre for Evidence-Based Medicine, Vols. https://www.cebm.net/covid-19/loss-of-smell-and-taste-as-symptoms-of-covid-19-what-does-the-evidence-say/ Accessed 02 June 2020

17.

Lechien JR, Chiesa-Estomba CM, De Siati DR, et al. Olfactory and Gustatory Dysfunctions as a Clinical Presentation of Mild to Moderate forms of the Coronavirus Disease (COVID-19): A Multicenter European Study. Eur Arch Otorhinolaryngol. 1-11 (published online ahead of print, 6 Apr 2020)

18.

Kaye R, Chang CWD, Kazahaya K, et al. (2020) COVID-19 anosmia reporting tool: initial findings, Otolaryngol Head Neck Surg, (published online ahead of print, 28 Apr 2020).

19.

Lüers JC, Klußmann JP, Guntinas-Lichius O (2020) The Covid-19 pandemic and otolaryngology: what it comes down to? Laryngo-Rhino-Otol. https://doi.org/10.1055/a-1095-2344 (Online published: 26.03.2020)CrossRef

20.

European Rhinologic Society (2020) Information for rhinologists on COVID-19, Vols. https://www.europeanrhinologicsociety.org/?page_id=2143. Accessed 2 June 2020

21.

Eliezer M, Hautefort C, Hamel AL, et al. (2020) Sudden and Complete Olfactory Loss Function as a Possible Symptom of COVID-19, JAMA Otolaryngol Head Neck Surg (Published online April 8, 2020)

22.

DGHNO-KHC (2020) Stellungnahme HNO Verbände: Atemschutzmasken für HNO-Ärzt*innen sowie Phoniater*innen besonders wichtig. https://cdn.hno.org/media/Corona-Ticker/Stellungnahme_HNO-PP-Verb%C3%A4nde_zu_Atemschutzmasken_23-3-20.pdf. Accessed 31 May 2020

23.

American Head and Neck Society (AHNS) (2020) How COVID-19 is Affecting our Head and Neck Community: AHNS COVID-19 Bulletin. https://med.uth.edu/orl/wp-content/uploads/sites/68/2020/03/AHNS-statement-on-COVID-19-2020-03-23.pdf. Accessed 31 May 2020

24.

ENT UK (2020) Nasal endoscopy and laryngoscopy examination of ENT patients. https://www.entuk.org. Accessed 31 May 2020

25.

Krajewska J, Krajewski W, Zub K (2020) COVID-19 in otolaryngologist practice: a review of current knowledge. European Archives of Oto-Rhino-Laryngology. 1‐13 (published online ahead of print, 2020 Apr 18).

26.

US Centers for Disease Control and Prevention (2020) Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease (COVID-19) in healthcare settings

27.

Zou L, Ruan F, Huang M et al (2020) SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 382(12):1177–1179CrossRef

28.

Givi B, Schiff BA, Chinn SB, et al. (2020) safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic, JAMA Otolaryngol Head Neck Surg (Published online March 31, 2020)

29.

Cho RHW, Yeung ZWC, Ho OYM et al (2020) Pearls of experience for safe and efficient hospital practices in otorhinolaryngology-head and neck surgery in Hong Kong during the 2019 novel coronavirus disease (COVID-19) pandemic. J Otolaryngol Head Neck Surg 49:1 (Published 15 Mai 2020)CrossRef

30.

ENT UK (2020) COVID-19 Tonsillitis and Quinsy Guidelines. https://www.entuk.org/covid-19. Accessed 31 May 2020

31.

CEORL-HNS (2020) Confederation of the European Otorhinolaryngology and Head and Neck Surgery CEORL-HNS Statement to COVID-19. https://www.ceorlhns.org/covid-19. Accessed 31 May 2020

32.

ENT UK (2020) COVID-19 Epistaxis Management. https://www.entuk.org/covid-19. Accessed 31 May 2020

33.

Zheng MH, Boni L, Fingerhut A (2020) Minimally invasivesurgeryandthenovelcoronavirus outbreak:lessonslearnedinChinaandItaly. AnnSurg 272(1):e5–e6

34.

American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) (2020) Academy supports cms, offers specific nasal policy. https://www.entnet.org/content/academy-supports-cms-offers-specific-nasal-policy.

35.

Van Gerven L, Hellings PW, Cox T et al (2020) Personal protection and delivery of rhinologic and endoscopic skull base procedures during the COVID-19 outbreak. Rhinology 58(3):289–294PubMed

36.

Workman A, Bradley Welling D, Carter B et al (2020) Endonasal Instrumentation and Aerosolization Risk in the Era of COVID-19: Simulation, Literature Review, and Proposed Mitigation Strategies, International Forum of Allergy and Rhinology. p 1–8

37.

ENT UK - British Association for Paediatric Otolaryngology (BAPO) (2020) BAPO statement on SARS Cov2 and Paediatric Otolaryngology Provision. https://www.entuk.org/covid-19 Accessed 26 March 2020

38.

Jackler RK (2020) COVID-19 and Ear Surgery, https://med.uth.edu/orl/wp-content/uploads/sites/68/2020/03/COVID-19-Ear-Surgery-Jackler-2020-03-23.pdf. Accessed 31 May 2020

39.

ENT UK (2020) Guidance for undertaking otological procedures during COVID-19 pandemic.British Society of Otology. https://www.entuk.org/guidance-undertaking-otological-procedures-during-covid-19-pandemic. Accessed 31 May 2020

40.

Kluge S, Janssens U, Welte T et al (2020) AWMF: S1-Empfehlungen zur intensivmedizinischen Therapie von Patienten mit COVID-19. AWMF - https://www.awmf.org/leitlinien/detail/ll/113-001.html. Accessed 31 May 2020

41.

ENT UK (2020) Guidance for Surgical Tracheostomy and Tracheostomy Tube Change during the COVID-19 Pandemic. https://www.entuk.org/tracheostomy-guidance-during-covid-19-pandemic. Accessed 31 May 2020

42.

American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) (2020) Tracheotomy Recommendations During the COVID-19 Pandemic. https://www.entnet.org/content/tracheotomy-recommendations-during-covid-19-pandemic. Accessed 31 May 2020

43.

ENT UK (2020) Framework for open tracheostomy in COVID-19 patients. https://www.entuk.org/covid-19. Accessed 31 May 2020

44.

Tay JK, Khoo ML-C, Loh WS (2020) Surgical considerations for tracheostomy during the COVID-19 pandemic: lessons learned from the severe acute respiratory syndrome outbreak. JAMA Otolaryngol Head Neck Surg 146(6):517–518CrossRef

45.

A. S. o. P. O. (ASPO) (2020) Message from the President, March 23, 2020. https://www.entnet.org/sites/default/files/uploads/aspo_03-23-20.pdf. Accessed 31 May 2020

46.

Russell CD, Millar JE, Baillie JK et al (2019nCoV) Clinical evidence does not support corticosteroid treatment for 2019nCoV lung injury. Lancet 20:30317–30322

47.

DGHNO-KHC (2020) Stellungnahme Zur Anwendung von Glukokortikosteroiden bei entzündlichen Erkrankungen der oberen Atemwege bei COVID-19 https://cdn.hno.org/media/Corona-Ticker/Positionspapier_Glukokortikosteroide_COVID-19_30-03-2020.pdf.

48.

Bousquet J, Akdis C, Jutel M, et al. (2020) Intranasal corticosteroids in allergic rhinitis in COVID-19 infected patients: An ARIAEAACI statement. Allergy (In press)

49.

Hopkins C, Surda P, Whitehead E (2020) Early recovery following new onset anosmia during the COVID-19 pandemic—an observational cohort study. J Otolaryngol Head Neck Surg 49(26):1–6

50.

Hopkins C, Davies E, Alanin E et al (2020) Guideline for management of COVID-19 anosmia. ENTUK. https://www.entuk.org/guideline-management-covid-19-anosmia. Accessed 8 June 2020

Titel: Otolaryngology in the COVID-19 pandemic era: the impact on our clinical practice
verfasst von: Andreas Anagiotos
Georgios Petrikkos
Publikationsdatum: 23.06.2020
Verlag: Springer Berlin Heidelberg
Schlagwörter: COVID-19
Infektionen in der HNO-Heilkunde
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 3/2021
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06161-x

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Otolaryngology in the COVID-19 pandemic era: the impact on our clinical practice

Abstract

Purpose

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Results

Conclusion

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