Soni Sweta, Shrivastava Nisha, Bharti Bhartendu, Kumar Vijay, Prakash Rudra, Suneha Swati, Singh Saraj K, Bhavana Kranti
Department of ENT, All India Institute of Medical Sciences, Patna, India.
Department of Otorhinolaryngology and Head and Neck Surgery, Department of ENT, All India Institute of Medical Sciences, Patna, India.
Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):449-452. doi: 10.1007/s12070-020-02232-x. Epub 2020 Oct 23.
In current scenario of Covid-19 pandemic spread of virus via aerosol generating procedures has become a special concern in otorhinolaryngology community. Motive of this study is to spread awareness of an ancient forgotten method of performing mastoidectomy through which risk of virus infection can be greatly reduced among otologic surgeons. Retrospective Observational study. Three patients of chronic otitis media with complication were operatively intervened with combined approach of otorhinolaryngology and neurosurgeons. Mastoidectomies were performed without drilling. Instruments used were small, medium and large size gouge, chisel and hammer, curettes, kerrison punches and other microscopic ear instruments. All three patients recovered well without any residual disease or cavity problems. Referring ancient practices like above in this COVID era may prove an important tool in addressing surgical urgencies while combating transmission risks at the same time. One should be vigilant and versatile in surgical techniques in order to serve the needy and save the saviours simultaneously.
在当前新冠疫情的情况下，通过气溶胶生成程序传播病毒已成为耳鼻咽喉科领域的一个特别关注点。本研究的目的是提高对一种古老且被遗忘的乳突切除术方法的认识，通过这种方法可以大大降低耳科外科医生感染病毒的风险。回顾性观察研究。对3例慢性中耳炎伴并发症患者采用耳鼻咽喉科和神经外科医生联合的方法进行手术干预。在不钻孔的情况下进行乳突切除术。使用的器械有小号、中号和大号的圆凿、凿子和锤子、刮匙、克里森咬骨钳和其他显微耳科器械。所有3例患者恢复良好，无任何残留疾病或术腔问题。在这个新冠时代借鉴上述古老做法可能是应对手术急症同时抗击传播风险的一项重要工具。在手术技术方面应保持警惕并灵活多变，以便同时服务于有需要的患者并拯救医护人员。
