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Barrier for Particle Dispersion Control During Mastoidectomy
Camila Rêgo Muniz1, Carlos Felype Oliveira Pena2, Marcio Ribeiro Studart da Fonseca3
1Discipline of Otorhinolaryngology, Hospital Walter Cantídio, Universidade Federal do Ceará, CE, Brazil.
International Archives of Otorhinolaryngology
|May 10, 2021
Summary
A novel, low-cost barrier device was developed for mastoidectomy procedures during the COVID-19 pandemic. This prototype effectively contains infectious particles, ensuring surgeon safety without compromising surgical visualization or instrumentation.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Infectious Disease Control
Background:
- The World Health Organization declared COVID-19 a global pandemic, necessitating enhanced safety measures in healthcare.
- Mastoidectomy is an aerosol-generating procedure posing a significant risk of infectious particle exposure to surgeons.
- Urgent otological surgeries in untested patients require immediate surgical intervention with robust protective protocols.
Purpose of the Study:
- To design and prototype a cost-effective barrier device for mastoidectomy procedures.
- To mitigate the risk of airborne particle transmission during mastoidectomy in the context of COVID-19.
Main Methods:
- Development of a low-cost barrier device for particle dispersion during mastoidectomy.
- Integration of the barrier with surgical instrumentation and microscope use.
- Evaluation of the device's performance in an otologic emergency setting.
Main Results:
- The prototype barrier did not impede surgical field visualization or instrument manipulation.
- The device allowed for microscope repositioning without limitation.
- Post-surgery, the barrier was easily removed, and it successfully collected bone dust and irrigation droplets.
Conclusions:
- A low-cost, reproducible barrier device for mastoidectomy in COVID-19 patients was successfully developed and tested in an emergency setting.
- The device offers a practical solution for protecting surgical teams during high-risk procedures.
- Further studies are recommended to validate the efficacy of this barrier device.

