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Rhinosurgery during and after the COVID-19 Pandemic: International Consensus Conference Statement on Preliminary
Martin D Haug1, Garyfalia Lekakis1, Mario Bussi1
1From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.
Background:
The coronavirus disease of 2019 (COVID-19) pandemic has widely affected rhinosurgery, given the high risk of contagion and the elective nature of the aesthetic procedure, generating many questions on how to ensure safety. The Science and Research Committee of the Rhinoplasty Society of Europe aimed at preparing consensus recommendations on safe rhinosurgery in general during the COVID-19 pandemic by appointing an international panel of experts also including delegates of The Rhinoplasty Society.
Methods:
A Zoom meeting was performed with a panel of 14 international leading experts in rhinosurgery. During 3.5 hours, four categories of questions on preoperative safety measures in private practice and outpatient clinics, patient assessment before and during surgery, and legal issues were presented by four chairs and discussed by the expert group. Afterward, the panelists were requested to express an online, electronic vote on each category and question. The panel's recommendations were based on current evidence and expert opinions. The resulting report was circulated in an iterative open e-mail process until consensus was obtained.
Results:
Consensus was obtained in several important points on how to safely restart performing rhinosurgery in general. Preliminary recommendations with different levels of agreement were prepared and condensed in a bundle of safety measures.
Conclusion:
The implementation of the panel's recommendations may improve safety of rhinoplasty by avoiding operating on nondetected COVID-19 patients and minimizing severe acute respiratory syndrome coronavirus 2 virus spread in outpatient clinics and operating rooms.
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