Safety for the Rhinologist in the Age of COVID-19: Mask Use, Nasal Corticosteroids, Saline Irrigation, and Endoscopic Procedures - Literature Review.
Safety for the Rhinologist in the Age of COVID-19: Mask Use, Nasal Corticosteroids, Saline Irrigation, and Endoscopic Procedures - Literature Review.
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DOI：
10.1055/s-0041-1740988
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发表时间：
2022-01
影响因子：
1.1
通讯作者：
Romano FR
中科院分区：
文献类型：
--
作者：
Kosugi EM;Villa JF;Ramos HF;Luz-Matsumoto GR;Serrano TLI;Campos CAC;Barreto CC;Lima CM;Fornazieri MA;Piltcher O;Lessa MM;Romano FR
2019冠状病毒病（COVID-19）已夺去数百万人的生命。充分保护参与病人护理的专业人员在防治这一疾病的斗争中至关重要。然而，在COVID-19的背景下，生物学家特别感兴趣的安全相关主题存在很大的不确定性。 目的评价目前关于三个安全性相关主题的证据：面罩和呼吸器的使用、鼻内镜手术的性能以及局部鼻和鼻内药物（盐水冲洗和鼻用皮质类固醇）的使用。 方法对PubMed、Scopus和科克伦数据库进行文献综述，对三个感兴趣的主题进行标准化检索。 结果共有13篇关于面罩使用的文章、6篇关于鼻用糖皮质激素安全性的文章、6篇关于鼻内镜手术安全性的文章和1篇关于生理盐水鼻腔冲洗的文章被纳入最终分析。 结论N95呼吸机是耳鼻喉科医师的必要防护设备。 如果必须重复使用，必须采用物理灭菌方法。没有证据表明禁忌使用鼻用皮质类固醇，无论是急性（用于治疗鼻窦炎性疾病）还是持续（用于长期使用皮质类固醇的患者）。在COVID-19的背景下，用生理盐水冲洗鼻腔显然不会增加风险。鼻内窥镜手术只能在对患者进行严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）检测后进行，手术团队必须穿戴全套个人防护设备，以防止气溶胶暴露。
Introduction Coronavirus disease 2019 (COVID-19) has claimed millions of lives. Adequate protection of the professionals involved in patient care is essential in the battle against this disease. However, there is much uncertainty involving safety-relarted topics that are of particular interest to the rhinologist in the context of COVID-19. Objective To evaluate the current evidence regarding three safety-related topics: mask and respirator use, performance of nasal endoscopic procedures, and use of topical nasal and intranasal medications (saline irrigation and nasal corticosteroids). Methods A literature review was performed on the PubMed, Scopus, and Cochrane databases, with standardized search queries for each of the three topics of interest. Results In total, 13 articles on mask use, 6 articles on the safety of nasal corticosteroids, 6 articles on the safety of nasal endoscopic procedures, and 1 article on nasal irrigation with saline solution were included in the final analysis. Conclusion N95 respirators are essential for the adequate protection of otolaryngologists. If reuse is necessary, physical methods of sterilization must be employed. No evidence was found to contraindicate the use of nasal corticosteroids, whether acute (in the management of sinonasal inflammatory conditions) or continued (in patients who use them chronically). Nasal irrigation with saline solution apparently does not increase the risk in the context of COVID-19. Nasal endoscopic procedures should only be performed after testing the patient for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and the surgical team must wear full personal protective equipment to prevent aerosol exposure.
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影响因子：
7.2
作者：
Fokkens, Wytske J.;Lund, Valerie J.;Zwetsloot, Casper P.
通讯作者：
Zwetsloot, Casper P.
影响因子：
17.1
作者：
Liao, Lei;Xiao, Wang;Cui, Yi
通讯作者：
Cui, Yi
影响因子：
7.7
作者：
Boskoski, Ivo;Gallo, Camilla;Costamagna, Guido
通讯作者：
Costamagna, Guido
影响因子：
12.7
作者：
Ma, Qing-Xia;Shan, Hu;Chen, Ji-Ming
通讯作者：
Chen, Ji-Ming
DOI：
10.1002/hed.26239
发表时间：
2020-05-30
影响因子：
2.9
作者：
David, Abel P.;Jiam, Nicole T.;El-Sayed, Ivan H.
通讯作者：
El-Sayed, Ivan H.