Objective: To review the impact of coronavirus disease 2019 (COVID-19) on pediatric otolaryngology and provide recommendations for the management of children during the COVID-19 pandemic.
Data sources: Clinical data were derived from peer-reviewed primary literature and published guidelines from national or international medical organizations. Preprint manuscripts and popular media articles provided background information and illustrative examples.
Methods: Included manuscripts were identified via searches using PubMed, MEDLINE, and Google Scholar, while organizational guidelines and popular media articles were identified using Google search queries. Practice guidelines were developed via consensus among all authors based on peer-reviewed manuscripts and national or international health care association guidelines. Strict objective criteria for inclusion were not used due to the rapidly changing environment surrounding the COVID-19 pandemic and a paucity of rigorous empirical evidence.
Conclusions: In the face of the COVID-19 pandemic, medical care must be judiciously allocated to treat the most severe conditions while minimizing the risk of long-term sequelae and ensuring patient, physician, and health care worker safety.
Implications for practice: The COVID-19 pandemic will have a profound short- and long-term impact on health care worldwide. Although the full repercussions of this disease have yet to be realized, the outlined recommendations will guide otolaryngologists in the treatment of pediatric patients in the face of an unprecedented global health crisis.
Keywords: COVID-19; SARS-CoV-2; otolaryngology; pediatric otolaryngology.
Evidence-Based Guidelines for Management of Head and Neck Mucosal Malignancies during the COVID-19 Pandemic.Otolaryngol Head Neck Surg. 2020 Apr 28:194599820923623. doi: 10.1177/0194599820923623. Online ahead of print. Otolaryngol Head Neck Surg. 2020. PMID: 32340549
Algorithm-Based Pediatric Otolaryngology Management During the COVID-19 Global Pandemic: A Children's Hospital of Philadelphia Clinical Consensus.Otolaryngol Head Neck Surg. 2020 May 19:194599820923633. doi: 10.1177/0194599820923633. Online ahead of print. Otolaryngol Head Neck Surg. 2020. PMID: 32423296
Endoscopic Skull Base Surgery Protocol From the Frontlines: Transnasal Surgery During the COVID-19 Pandemic.Otolaryngol Head Neck Surg. 2020 May 26:194599820931836. doi: 10.1177/0194599820931836. Online ahead of print. Otolaryngol Head Neck Surg. 2020. PMID: 32452722
Features, Evaluation and Treatment Coronavirus (COVID-19).2020 Apr 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. StatPearls. 2020 Jan–. PMID: 32150360 Free Books & Documents. Review.
Efficacy of chloroquine and hydroxychloroquine in the treatment of COVID-19.Eur Rev Med Pharmacol Sci. 2020 Apr;24(8):4539-4547. doi: 10.26355/eurrev_202004_21038. Eur Rev Med Pharmacol Sci. 2020. PMID: 32373993 Review.