Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
Otolaryngol Head Neck Surg. 2020 Jun;162(6):797-799. doi: 10.1177/0194599820919741. Epub 2020 Apr 14.
There are insufficient data regarding the safety of otologic procedures in the setting of the coronavirus disease 2019 (COVID-19) pandemic. Given the proclivity for respiratory pathogens to involve the middle ear and the significant aerosolization associated with many otologic procedures, safety precautions should follow current recommendations for procedures involving the upper airway. Until preoperative diagnostic testing becomes standardized and readily available, elective cases should be deferred and emergent/urgent cases should be treated as high risk for COVID-19 exposure. Necessary otologic procedures on positive, suspected, or unknown COVID-19 status patients should be performed using enhanced personal protective equipment, including an N95 respirator and eye protection or powered air-purifying respirator (PAPR, preferred), disposable cap, disposable gown, and gloves. Powered instrumentation should be avoided unless absolutely necessary, and if performed, PAPR or sealed eye protection is recommended.
关于在 2019 年冠状病毒病（COVID-19）大流行背景下进行耳科学手术的安全性，目前数据有限。鉴于呼吸道病原体易累及中耳，且许多耳科学手术会产生大量气溶胶，因此安全预防措施应遵循当前有关上呼吸道手术的建议。在术前诊断检测标准化且广泛应用之前，应推迟择期手术，将急症/紧急手术视为 COVID-19 暴露的高风险手术。对新冠病毒检测阳性、疑似或未知的 COVID-19 患者进行必要的耳科学手术时，应使用增强型个人防护设备，包括 N95 呼吸器和眼部保护装置或动力送风过滤式呼吸防护器（首选）、一次性帽子、一次性手术衣和手套。除非绝对必要，否则应避免使用电动仪器，如果必须使用，则建议使用动力送风过滤式呼吸防护器或密封的眼部保护装置。
