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Endonasal surgery in the coronavirus era - Birmingham experience
P P Naik1, G Tsermoulas2, A Paluzzi2
1Department of ENT, University Hospital Birmingham, UK.
The Journal of Laryngology and Otology
|November 4, 2020
Summary
Urgent endonasal surgeries can be performed safely during the coronavirus disease 2019 pandemic. This study found no coronavirus-related complications in patients undergoing these procedures with proper precautions.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Infectious Disease Epidemiology
Background:
- The coronavirus disease 2019 (COVID-19) pandemic raised concerns for performing endonasal surgeries due to high nasopharyngeal viral loads.
- This study details experiences with emergency and urgent endonasal operations during the pandemic's peak in the UK.
Purpose of the Study:
- To evaluate the outcomes of endonasal surgery conducted during the COVID-19 pandemic peak.
- To assess the incidence of nosocomial COVID-19 infection post-operatively.
Main Methods:
- A retrospective cohort study was performed.
- Included patients underwent urgent endoscopic nasal or anterior skull base surgery between March 23 and June 15, 2020.
- Data were collected from University Hospitals Birmingham NHS Trust.
Main Results:
- Twenty-four patients (12 male, 12 female) underwent endonasal surgery.
- No patient experienced COVID-19-related morbidity during the study period.
Conclusions:
- Urgent endonasal surgery can be safely conducted.
- Appropriate peri-operative measures effectively mitigate the risk of nosocomial COVID-19 transmission.
