About: Cadaveric Simulation of Otologic Procedures: An Analysis of Droplet Splatter Patterns During the COVID-19 Pandemic

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About: Cadaveric Simulation of Otologic Procedures: An Analysis of Droplet Splatter Patterns During the COVID-19 Pandemic 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	Cadaveric Simulation of Otologic Procedures: An Analysis of Droplet Splatter Patterns During the COVID-19 Pandemic
Creator	Burgin, Sarah Campiti, Vincent Carroll, Aaron Illing, Elisa Rubel, Kolin Sharma, Dhruv Ting, Jonathan Ye, Michael
Source	Medline; PMC
abstract	OBJECTIVE: The otolaryngology community has significant concerns regarding the spread of SARS-CoV-2 through droplet contamination and viral aerosolization during head and neck examinations and procedures. The objective of this study was to investigate the droplet and splatter contamination from common otologic procedures. STUDY DESIGN: Cadaver simulation series. SETTING: Dedicated surgical laboratory. METHODS: Two cadaver heads were prepped via bilateral middle cranial fossa approaches to the tegmen (n = 4). Fluorescein was instilled through a 4-mm burr hole drilled into the middle cranial fossa floor, and presence in the middle ear was confirmed via microscopic ear examination. Myringotomy with ventilation tube placement and mastoidectomy were performed, and the distribution and distance of resulting droplet splatter patterns were systematically evaluated. RESULTS: There were no fluorescein droplets or splatter contamination observed in the measured surgical field in any direction after myringotomy and insertion of ventilation tube. Gross contamination from the surgical site to 6 ft was noted after complete mastoidectomy, though, when performed in standard fashion. CONCLUSION: Our results show that there is no droplet generation during myringotomy with ventilation tube placement in an operating room setting. Mastoidectomy, however, showed gross contamination 3 to 6 ft away in all directions measured. Additionally, there was significantly more droplet and splatter generation to the left of the surgeon when measured at 1 and 3 ft as compared with all other measured directions.
has issue date	2020-05-19(xsd:dateTime)
bibo:doi	10.1177/0194599820930245
bibo:pmid	32423287
has license	cc-by
sha1sum (hex)	bd0d41e969acfeb144b4aa64140101060579f023
schema:url	https://doi.org/10.1177/0194599820930245
resource representing a document's title	Cadaveric Simulation of Otologic Procedures: An Analysis of Droplet Splatter Patterns During the COVID-19 Pandemic
has PubMed Central identifier	PMC7240315
has PubMed identifier	32423287
schema:publication	Otolaryngol Head Neck Surg
resource representing a document's body	covid:bd0d41e969acfeb144b4aa64140101060579f023#body_text
is schema:about of	named entity 'aerosolization' named entity 'Splatter' named entity 'COVID-19' named entity 'OTOLOGIC' named entity 'CONCERNS' named entity 'HEAD AND NECK' named entity 'SPREAD' named entity 'contamination' named entity 'SARS-CoV-2' named entity 'otolaryngology' named entity 'otologic' named entity 'aerosolization' named entity 'COVID-19 Pandemic' named entity 'MCF' named entity 'SARS-CoV-2' named entity 'mucosa' named entity 'surgical instruments' named entity 'middle ear' named entity 'American Academy of Otolaryngology' named entity 'face shield' named entity 'SARS-CoV-2' named entity 'health care sector' named entity 'aerosol' named entity 'operating room' named entity 'ultraviolet light' named entity 'cardinal directions' named entity 'cadaver' named entity 'otolaryngologists' named entity 'general population' named entity 'viral load' named entity 'calvarium' named entity 'mastoidectomy' named entity 'microscope' named entity 'mastoidectomy' named entity 'viral transmission' named entity 'respiratory epithelium' named entity 'mastoid' named entity 'COVID-19' named entity 'Hubei' named entity 'SARS-CoV-2' named entity 'surgeon' named entity 'upper respiratory tract' named entity 'sigmoid sinus' named entity 'temporal bone' named entity 'contaminated surfaces' named entity 'sneezing' named entity 'USP' named entity 'cadaver' named entity 'surgical procedure' named entity 'aerosolization' named entity 'Aaron E. Carroll' named entity 'mastoidectomy' named entity 'respiratory droplets' named entity 'aerosolization' named entity 'mastoidectomy' named entity 'myringotomy' named entity 'aerosol' named entity 'face shield' named entity 'myringotomy' named entity 'fluorescein' named entity 'surgeon' named entity 'fluorescein' named entity 'aerosolization' named entity 'middle ear' named entity 'surgeon' named entity 'otologic' named entity 'elective procedures' named entity 'fluorescein' named entity 'MCF' named entity 'MCF' named entity 'fluorescein' named entity 'mucosal surface' named entity 'cough reflex' named entity 'surgeon'

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