CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(04): e527-e534
DOI: 10.1055/s-0040-1715586
Systematic Review
Special Article COVID-19

COVID-19 Infection and Its Influence in Otorhinolaryngology-Head and Neck Surgery

1  Department of Otolaryngology – Head and Neck Surgery, Clinica Universidad de Navarra, Pamplona, Navarra, Spain
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1  Department of Otolaryngology – Head and Neck Surgery, Clinica Universidad de Navarra, Pamplona, Navarra, Spain
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2  Department of Medical Microbiology, Angios Centro Vascular, Caracas, Venezuela
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3  Department of Otolaryngology – Head and Neck Surgery, University of Miami, Miller School of Medicine, Miami, FL, United States
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3  Department of Otolaryngology – Head and Neck Surgery, University of Miami, Miller School of Medicine, Miami, FL, United States
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3  Department of Otolaryngology – Head and Neck Surgery, University of Miami, Miller School of Medicine, Miami, FL, United States
› Author Affiliations
  

Abstract

Introduction The novel coronavirus disease 2019 pandemic has rapidly spread worldwide, challenging healthcare resources and communities to an unprecedent degree. Simultaneously, the amount of clinical and scientific information released has overwhelmed journal platforms.

Objectives This review aims to summarize the available diagnostic tools and current guidelines to safely assist patients while limiting the exposure of otolaryngologists during this pandemic.

Data Synthesis Key articles were retrieved from the following databases: PubMed, Lancet, Springer Nature, BioMed Central, JAMA network and MEDLINE, as well as updated documents from the Spanish Ministry of Health, World Health Organization, Centers for Disease Control and Prevention, Spanish Association of Surgeons, ENT-UK, American College of Surgeons, and American Academy of Otolaryngology-Head and Neck Surgery. The terms used for the search were: COVID-19, Test COVID, Surgery in COVID, 2019-nCoV, ‘coronavirus’, and SARS-CoV-2. A total of 10,245 papers were retrieved. The inclusion criteria for the review included: COVID-19 testing (n = 531), society guidelines for otolaryngology-head and neck surgery patient care in the outpatient clinic (n = 10) and surgical (n = 18) settings. Studies not related to COVID-19 diagnosis were excluded.

Conclusion Healthcare institutions around the world are outlining their own protocols regarding laboratory testing and personnel protective equipment usage based upon medical societies recommendations during the COVID-19 pandemic. We have summarized the available laboratory tests and their respective sensitivity and specificity. Moreover, clinical guidelines from different societies were reviewed and summarized to facilitate guidance for otolaryngologists in the operating room and in the clinical settings.



Publication History

Received: 29 June 2020

Accepted: 05 July 2020

Publication Date:
24 September 2020 (online)

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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