Cetinkaya Erdem Atalay
Department of Otorhinolaryngology and Head and Neck Surgery, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
J Craniofac Surg. 2020 Sep;31(6):e651-e652. doi: 10.1097/SCS.0000000000006694.
All around world, the COVID-19 pandemic is accelerating, and any insight we can learn from our colleagues who have either encountered or are currently going through this will be used to protect our patients, our medical staff, and ourselves. No one knows to the best of our understanding whether or not COVID-19 includes the respiratory mucosal lining the middle ear and mastoid air cell system-but it seems probable they do. Since the rest of the airways are affected, and so is the nose and nasopharynx, it seems possible that the lining of the Eustachian tube, middle ear and mastoid air cell system would all be polluted. Viral particle aerosolization, which can occur otologic surgery using powered instruments and they remain in the air for at least 3 hours. Powered air purifying respirators are supplied even shorter than N95 masks, but strongly believed they are important for our team safety and protection. This mini review provides fundamental knowledge on otologic surgery feasibility in the COVID-19 pandemic from an objective perspective.
在世界各地，新冠疫情正在加速蔓延，我们能从已经遭遇或正在经历这场疫情的同事那里学到的任何见解，都将用于保护我们的患者、医护人员以及我们自己。据我们所知，没有人确切知道新冠病毒是否会累及中耳和乳突气房系统的呼吸道黏膜——但看起来很有可能会累及。由于呼吸道的其他部分会受到影响，鼻子和鼻咽部也会受到影响，所以咽鼓管、中耳和乳突气房系统的黏膜似乎都有可能被污染。使用电动器械进行耳科手术时会产生病毒颗粒气溶胶化，这些气溶胶会在空气中至少停留3小时。动力空气净化呼吸器的防护效果甚至比N95口罩还要差，但人们坚信它们对我们团队的安全和防护非常重要。这篇综述从客观角度提供了关于新冠疫情期间耳科手术可行性的基础知识。
