Muniz Camila Rêgo, Pena Carlos Felype Oliveira, da Fonseca Marcio Ribeiro Studart, de Freitas Marcos Rabelo
Discipline of Otorhinolaryngology, Hospital Walter Cantídio, Universidade Federal do Ceará, CE, Brazil.
Medicine College, Universidade de Fortaleza, CE, Brazil.
Int Arch Otorhinolaryngol. 2021 Apr;25(2):e296-e300. doi: 10.1055/s-0040-1718960. Epub 2021 Feb 19.
The China Health Authority alerted the World Health Organization (WHO) of several cases of pneumonia, and the WHO has declared the novel coronavirus (COVID-19) a global pandemic. Mastoidectomy is a high-risk aerosol generating procedure with the potential to expose the surgeon to infectious particles. Aim to develop a low-cost prototype for a barrier device that can be used during mastoidectomy. Describe the steps involved during otological emergency, requiring immediate surgical procedure, in untested patients. The Otorhinolaryngology Surgical Team of Walter Cantídio Hospital developed the barrier for particle dispersion presented here. During surgery, the prototype did not compromise visualization of the surgical field and instrumentation. Microscope repositioning was not compromised or limited by tent Instrumentation and instrument pouch under the Microscope-Tent (MT) performed surgery. After surgery, the plastic sheet was removed simply, without requiring strength. Bone dust and irrigation droplets were collected on the tent. Our team developed and practiced, in an otologic emergency, a low-cost and reproducible barrier device that can be used in mastoidectomy in COVID-19 patients. Further tests on efficacy may be necessary.
中国卫生部门就几例肺炎病例向世界卫生组织（WHO）发出警报，WHO已宣布新型冠状病毒（COVID-19）为全球大流行病。乳突切除术是一种高风险的产生气溶胶的手术，有可能使外科医生暴露于感染性颗粒中。旨在开发一种可在乳突切除术期间使用的低成本屏障装置原型。描述在未经检测的患者中，耳科急诊（需要立即进行外科手术）所涉及的步骤。沃尔特·坎蒂迪奥医院的耳鼻喉科手术团队开发了此处展示的用于颗粒扩散的屏障。手术过程中，该原型未影响手术视野和器械的可视化。显微镜的重新定位未受到显微镜帐篷（MT）下的器械和器械袋的影响或限制。手术后，塑料片可轻松移除，无需用力。骨屑和冲洗液滴收集在帐篷上。我们的团队在耳科急诊中开发并实践了一种低成本且可重复使用的屏障装置，可用于COVID-19患者的乳突切除术。可能需要进一步进行疗效测试。
