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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(02): e296-e300
DOI: 10.1055/s-0040-1718960
Original Research
Special Article COVID-19

Barrier for Particle Dispersion Control During Mastoidectomy

Camila Rêgo Muniz 
1   Discipline of Otorhinolaryngology, Hospital Walter Cantídio, Universidade Federal do Ceará, CE, Brazil
,
Carlos Felype Oliveira Pena 
2   Medicine College, Universidade de Fortaleza, CE, Brazil
,
Marcio Ribeiro Studart da Fonseca 
3   Discipline of Head and Neck Surgery, Hospital Walter Cantídio, Hospital da Universidade Federal do Ceará, CE, Brazil
,
Marcos Rabelo de Freitas 
1   Discipline of Otorhinolaryngology, Hospital Walter Cantídio, Universidade Federal do Ceará, CE, Brazil
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Abstract

Introduction 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.

Objective Aim to develop a low-cost prototype for a barrier device that can be used during mastoidectomy.

Methods 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.

Results 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.

Conclusion 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.

Keywords

mastoidectomy - aerosols - SARS-CoV - health personnel - otologic surgical procedures - otorhinolaryngology


Publication History

Received: 24 July 2020

Accepted: 26 August 2020

Article published online:
19 February 2021

© 2021. Fundação Otorrinolaringologia. 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 commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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