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Pandemics and pediatric otolaryngology
Kara D Brodie1, David E Conrad2
1Department of Otolaryngology - Head and Neck Surgery, University of California - San Francisco, San Francisco, California.
The COVID pandemic altered pediatric otolaryngology (ear, nose, and throat) care, increasing telehealth use and changing treatment protocols. This shift offers new insights into conditions like otitis media and may reduce past surgical overutilization.
Area of Science:
- Pediatric Otolaryngology
- Epidemiology
- Healthcare Management
Background:
- The COVID-19 pandemic necessitated significant changes in healthcare delivery to prevent viral transmission.
- This led to widespread adoption of telehealth and revised clinical guidelines for pediatric otolaryngologic conditions.
Purpose of the Study:
- To describe the impact of the COVID pandemic on the epidemiology and management of pediatric otolaryngologic diseases.
- To evaluate how these changes may influence future clinical decision-making and practice patterns.
Main Methods:
- Review of changes in healthcare delivery structures.
- Analysis of published guidelines and protocols for pediatric otolaryngologic conditions.
- Evaluation of shifts in surgical intervention rates.
Main Results:
- Widespread adoption of telehealth in pediatric otolaryngology.
- Delayed or replaced surgical interventions for common conditions.
- New understanding of pathophysiology, particularly for otitis media, linking it to upper respiratory infections.
Conclusions:
- Pandemic-induced practice pattern alterations provide insights into potential past overutilization of surgical interventions.
- Ongoing research is crucial to refine clinical practice guidelines for pediatric otolaryngology.
- Changes may lead to more conservative management strategies and improved understanding of disease etiology.
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