Guidelines for otology surgery in coronavirus-19 pandemic

Abstract

<p class="abstract">Measures to be taken by the clinicians involved in Otology surgery in light of the recent COVID-19 pandemic. Current finding about COVID-19 infection and its relation with SARS-CoV 2 virus is evaluated and possible safety measure guidelines to be taken while doing Otological procedures is reviewed. Wearing PPE kit (N95 mask, double gloves, respirator, eye protection, face shield, gown, shoe cover ), limited attendance to essential personnel, using negative pressure room, using double drape system and proper removal of patient drape after rhinology operation reduces the risk of SARS-CoV 2 virus spread via aerosol into the environment. Emergent and Urgent otology surgery need prompt treatment, thus proper COVID-19 protocols should be maintained while doing otology surgery like wearing PPE ( N95 mask, double gloves, respirator, eye protection, face shield, gown, shoe cover ), limit attendance to essential personnel and use negative pressure room are undertaken. Double draping of the operating site is essential while drilling and suctioning and it’s too carried out under the plastic tent to reduce aerosol spread in the environment. Proper removing of the tent setup, including rolling of patient drape is needed to reduce aerosol spread. Otology surgeries should adhere to general guidelines set for high-risk procedures.</p>