About: The nose lid for the endoscopic endonasal procedures during COVID-19 era: technical note

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About: The nose lid for the endoscopic endonasal procedures during COVID-19 era: technical note Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	The nose lid for the endoscopic endonasal procedures during COVID-19 era: technical note
Creator	Cappabianca, Paolo Bove, Ilaria Cavallo, Luigi Esposito, Felice Solari, Domenico
Source	Medline; PMC
abstract	BACKGROUND: COVID-19 pandemic has disrupted the global health systems worldwide. According to the tremendous rate of interhuman transmission via aerosols and respiratory droplets, severe measures have been required to contain contagion spread. Accordingly, medical and surgical maneuvers involving the respiratory mucosa and, among them, transnasal transsphenoidal surgery have been charged of maximum risk of spread and contagion, above all for healthcare professionals. METHOD: Our department, according to the actual COVID-19 protocol national guidelines, has suspended elective procedures and, in the last month, only three patients underwent to endoscopic endonasal procedures, due to urgent conditions (a pituitary apoplexy, a chondrosarcoma causing cavernous sinus syndrome, and a pituitary macroadenoma determining chiasm compression). We describe peculiar surgical technique modifications and the use of an endonasal face mask, i.e., the nose lid, to be applied to the patient during transnasal procedures for skull base pathologies as a further possible COVID-19 mitigation strategy. RESULTS: The nose lid is cheap, promptly available, and can be easily assembled with the use of few tools available in the OR; this mask allows to both operating surgeon and his assistant to perform wider surgical maneuvers throughout the slits, without ripping it, while limiting the nostril airflow. CONCLUSIONS: Transnasal surgery, transgressing respiratory mucosa, can definitely increase the risk of virus transmission: we find that adopting further precautions, above all limiting high-speed drill can help preventing or at least reducing aerosol/droplets. The creation of a non-rigid face mask, i.e., the nose lid, allows the comfortable introduction of instruments through one or both nostrils and, at the same time, minimizes the release of droplets from the patient’s nasal cavity.
has issue date	2020-08-11(xsd:dateTime)
bibo:doi	10.1007/s00701-020-04518-z
bibo:pmid	32779028
has license	no-cc
sha1sum (hex)	6b4640e3bec7b234320da41ab90a8084d236c3e0
schema:url	https://doi.org/10.1007/s00701-020-04518-z
resource representing a document's title	The nose lid for the endoscopic endonasal procedures during COVID-19 era: technical note
has PubMed Central identifier	PMC7417198
has PubMed identifier	32779028
schema:publication	Acta Neurochir (Wien)
resource representing a document's body	covid:6b4640e3bec7b234320da41ab90a8084d236c3e0#body_text
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