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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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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.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|September 3, 2020
PubMed
Summary

Endoscopic ear surgery offers a safer alternative to traditional mastoidectomy, reducing aerosol-generating procedures (AGP) and lowering viral transmission risk for operating room staff during the COVID-19 pandemic.

Keywords:
COVID-19EarEndoscopyMicroscopyOtology

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Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery
  • Infectious Disease Control

Background:

  • COVID-19 pandemic necessitates minimizing aerosol-generating procedures (AGP) in otolaryngology.
  • Healthcare workers face significant viral infection risk from airborne transmission during surgery.
  • Aerosol-generating procedures, like mastoidectomy, pose a heightened risk in operating rooms.

Purpose of the Study:

  • To evaluate endoscopic ear surgery as an alternative to traditional mastoidectomy.
  • To assess the potential of endoscopic techniques in reducing AGP during otologic procedures.
  • To mitigate viral transmission risks to operating room staff.

Main Methods:

  • The study reports on the authors' experience with transcanal endoscopic ear surgery.
  • This technique is presented as an alternative to reduce aerosol-generating procedures.
  • Focus on otologic procedures, specifically those involving the middle ear and mastoid.

Main Results:

  • Transcanal endoscopic ear surgery is a reliable method for managing various otologic conditions.
  • The endoscopic approach can potentially decrease the need for mastoidectomy.
  • This reduction in mastoidectomy may lower the generation of aerosols.

Conclusions:

  • Endoscopic ear surgery may significantly reduce the risk of viral transmission to operating room personnel.
  • By potentially avoiding mastoidectomy, the endoscopic approach offers a safer surgical option.
  • This technique contributes to enhanced safety protocols in otolaryngology during pandemics.