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Updated: Dec 10, 2025

Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
COVID-19 and ear endoscopy in otologic practices
Stephane Ayache1, Walter Kutz2, Brandon Isaacson2
1Otology and Neurotology Unit, Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Centre Simone Veil, Cannes, France. s.ayache@ch-cannes.fr.
Purpose:
Otolaryngologists have had to postpone the majority of surgical procedures in the current COVID-19 pandemic. Airborne transmission, beyond the projection of droplets from upper airways, expose healthcare workers to a risk of viral infection. Aerosol generating procedures (AGP) increase the risk of viral transmission to staff within the operating room.
Methods:
Surgery of middle ear and mastoid is also considered an AGP, particularly mastoidectomy performed using a high-speed drill. The authors report their experience in endoscopic ear surgery as an alternative technique to reduce AGP in otologic procedures.
Results:
Transcanal endoscopic ear surgery is a reliable technique used to manage many otologic conditions.
Conclusion:
The endoscopic approach may reduce the risk of viral transmission to operating room staff by reducing the need for mastoidectomy.
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