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. 2020 Apr 10;102484.
doi: 10.1016/j.amjoto.2020.102484. Online ahead of print.

Brief Guideline for the Prevention of COVID-19 Infection in Head and Neck and Otolaryngology Surgeons

Free PMC article

Brief Guideline for the Prevention of COVID-19 Infection in Head and Neck and Otolaryngology Surgeons

L A Boccalatte et al. Am J Otolaryngol. .
Free PMC article


Importance: Anatomically, viral density is greater in the nasal cavity and the nasopharynx. It is to be expected that instrumentation in or through those areas will entail a higher risk of transmission. That's why head and neck and otolaryngologist surgeons are among the most vulnerable health professionals.

Observations: Surgeons should essentially perform procedures they require. Surgeries should be performed with personal protective equipment suitable for the high risk of aerosolization: goggles, N95 face mask, facial mask, blood-repelling gown and gloves. It is advisable to have the cooperative COVID-19 test in all patients. Telemedicine is a useful resource if resources allow it.

Conclusions and relevance: Otolaryngologists and related specialists are among the groups at higher risk when performing surgeries and upper airway examinations. There are no emergencies in a pandemic. The care of health professionals is crucial to combating this health situation.


Fig. 1
Fig. 1
Personal protective equipment (PPE) for COVID-19 for head and neck and otolaryngology surgeons. A. Frontal view. B. Lateral view. The recommendation is to use maximum protection due to the risk of aerosolization (for procedures involving aerosols and critical care units): N95 mask, blood-proof gown, cap, glasses, eye protection and gloves.

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