新型冠状病毒肺炎疫情下喉镜检查的防护策略

目的探讨新型冠状病毒肺炎（COVID 19）疫情下耳鼻咽喉头颈外科喉镜室如何做好防护工作,在保证临床诊疗工作顺利完成的同时保护好医务人员及患者健康、避免院内交叉感染。方法本研究查阅相关资料并总结医院的疫情防控经验及应对策略,在患者合理分流、喉镜室工作环境的布置及工作人员的个人防护、喉镜检查前的准备工作、检查中的操作流程及注意事项及检查后的清洁消毒工作等方面做好疫情期间周详合理的工作安排。结果疫情期间,耳鼻咽喉头颈外科喉镜室每日临床工作顺利完成,所有医务人员及患者均未感染新型冠状病毒,也未出现其他院内交叉感染。结论耳鼻咽喉头颈外科喉镜室的防护策略合理有效,能够在完成临床诊疗工作的同时有效保护医患的健康。     

新型冠状病毒感染疫情期间定点收治医院耳鼻咽喉科门诊的防控管理

新型冠状病毒感染疫情期间,作为定点收治医院的耳鼻咽喉科门诊实施有效防控措施,做到医务人员的科学防护,就诊患者的规范防护,防护物资的精细管理,消毒措施的系统全面,发热患者的应急处置,取得良好的防疫效果,无医院内交叉感染。     

新型冠状病毒肺炎与耳鼻咽喉科诊疗的相关研究

2019年末,我国湖北省武汉市暴发了新型冠状病毒肺炎（COVID-19）并在短时间内迅速波及全国。COVID-19患者病情变化迅速,常累及多个器官,需要多学科协作进行综合性诊疗。虽然患者最常见的临床表现为发热、乏力及干咳,但临床数据分析显示有部分患者可以鼻塞、咽痛、嗅觉障碍等耳鼻咽喉科相关症状就诊。同时在标准诊疗方案中也涉及到耳鼻咽喉科的相关内容,故充分认识耳鼻咽喉科与COVID-19诊治的相关性,有助于提高对该疾病的认识与掌握。本文从耳鼻咽喉科角度出发,对二者之间的相关性作一综述,为COVID-19诊断及治疗过程中的耳鼻咽喉科相关问题提供参考。     

COVID-19防控期间疫情非高发地区综合医院耳鼻咽喉头颈外科病房诊疗实践

新型冠状病毒病(COVID-19)疫情防控形势持续严峻,耳鼻咽喉头颈外科同道既要防控疫情同时还要更好开展必要的病房日常诊疗工作,杜绝医护人员感染。绵阳地区的COVID-19疫情有其自身特点,结合科室在这方面的经验举措,分享"疫情防控+诊疗工作"的病房诊疗实践经验,期望对湖北以外疫情非高发地区的耳鼻咽喉头颈外科同道有所帮助。     

护理质量管理对耳鼻咽喉科内镜室医院感染控制影响的研究

目的探析护理质量管理在耳鼻咽喉科内镜室医院感染控制中的应用效果及价值,为临床管理者降低医院感染提供依据。方法西南医科大学附属医院耳鼻咽喉科内镜室2017年4月实施护理质量管理,观察内镜细菌培养合格率、空气细菌培养合格率;手卫生依从性、院感知识知晓率;消毒液、酶液合格率及内镜消毒程序合格率等指标,将实施护理质量管理前后一年的相关指标分为对照组和观察组,分析对比相关指标。结果观察组内镜、空气细菌培养合格率、卫生依存性、院感知识知晓率比对照组高(P0.05);观察组消毒液、酶液及内镜消毒程序合格率明显高于对照组(P0.05)。结论在耳鼻咽喉科内镜室运用护理质量管理,可减少医院感染的环节,明显提高医院感染的控制,确保护理质量,减少医疗纠纷。     

新型冠状病毒肺炎疫情期间中医(中西医结合)耳鼻咽喉科诊疗工作专家建议

【前言】在新型冠状病毒肺炎疫情期间,由于一些医院咽拭子核酸检测取样项目由耳鼻咽喉科统一承担,故耳鼻咽喉科是密切接触感染源的高风险职业暴露科室。本建议着重强调专科操作规范,为积极做好新型冠状病毒肺炎的防控工作,降低该疾病在医疗机构内传播风险,保证疾病暴发期中医(中西医结合)耳鼻咽喉科诊疗工作有序开展,由中华中医药学会耳鼻咽喉科分会、中国中医药信息学会耳鼻喉科分会、世界中医药学会联合会耳鼻喉口腔科专业委员会、中国中医药研究促进会耳鼻咽喉科专业委员会组织专家联合制定,并积极采纳四川省耳鼻咽喉头颈外科学会意见,参考《新型冠状病毒肺炎诊疗方案(试行第六版)》、《医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)》以及相关文献,结合耳鼻咽喉科当前工作特点提出建议,供各有关人员结合当地实际情况参考。     

2012兰州鼻内镜外科技术进阶课程纪要

2012年8月16～19日由中国医师协会耳鼻咽喉科医师分会、美敦力大学耳鼻咽喉头颈外科学院、《中国医学文摘耳鼻咽喉科学》杂志社联合举办,兰州大学第二医院协办的"2012鼻内镜外科技术进阶课程"在兰州大学第二医院成功举办。     

新型冠状病毒肺炎疫情期间喉癌和下咽癌诊治的思考与建议

目前我国由2019新型冠状病毒（SARS-CoV-2）引起的肺炎疫情仍在持续，抗疫形势仍很严峻。新型冠状病毒肺炎（COVID-19）潜伏期较长、传染能力强、人群普遍易感，给医护人员、患者和人民群众都造成了严重威胁。耳鼻咽喉头颈外科中的喉癌和下咽癌患者在疫情下仍需进行限期处理，因此在做好COVID-19排查和防控工作后，合理选择治疗方式，根据不同的风险等级，做好医务人员自身的防护措施，协调手术各方，合理有序地开展手术治疗及患者术后的规范化管理，对疫情下救治喉癌和下咽癌患者具有重要意义。     

贵州省召开第五届耳鼻咽喉-头颈外科学术会议

中华医学会贵州省第五届耳鼻咽喉科分会于 2 0 0 3年 10月 7～ 11日在赤水市隆重举行“贵州省鼻内镜外科学习班暨学术研讨会”。与会者来自全省各地 70余名同道。会议期间还邀请到中华医学会耳鼻咽喉科分会主任委员解放军 30 1医院耳鼻咽喉科研究所所长杨伟炎教授 ,北京大学第三医院耳鼻咽喉科宋为明博士就“耳科基础研究现状与存在问题” ,“传导性聋的外科诊疗”等作了精彩的专题讲座 ,对临床工作有重要的指导意义。我省耳鼻咽喉科专家就鼻内镜外科新技术、新疗法及相关领域分别作了重要专题讲座 ,参加培训学员 ,认真听取了专家们的讲课 ,…     

全国鼻内镜微创外科学习班通知

由北京大学人民医院耳鼻咽喉科主办的“全国鼻内镜微创外科学习班”将于2010年8月19-23日期间在北京如期举行，该项目属于国家级继续医学教育项目，授予I类继续教育学分，已连续举办十六届，深受广大学员的欢迎。学习班将邀请国内著名耳鼻咽喉科专家做专题讲座，将针对目前开展鼻内镜手术中遇到的实际情况对鼻部解剖、鼻内镜外科手术操作技巧、     

Otolaryngology during COVID-19: Preventive care and precautionary measures

Since the outbreak of novel coronavirus disease (COVID-19) in December 2019, it has spread to various regions and countries, forming a global pandemic. Reducing nosocomial infection is a new issue and challenge for all healthcare systems. Otolaryngology is a high-risk specialty as it close contact with upper respiratory tract mucous, secretions, droplets and aerosols during procedures and surgery. Therefore, infection prevention and control measures for this specialty are essential. Literatures on the epidemiology, clinical characteristics and infection control measures of COVID-19 were reviewed, practical knowledge from first-line otolaryngologists in China, the United States, and Brazil were reviewed and collated. It was recommended that otolaryngology professionals should improve screening in suspected patients with relevant nasal and pharyngeal symptoms and signs, suspend non-emergency consultations and examinations in clinics, and rearrange the working procedures in operating rooms. The guidelines of personal protective equipment for swab sampling, endoscopy and surgery were listed. Indications for tracheotomy during the pandemic should be carefully considered to avoid unnecessary airway opening and aerosol-generation; precautions during surgery to reduce the risk of exposure and infection were illustrated. This review aimed to provide recommendations for otolaryngologists to enhance personal protection against COVID-19 and reduce the risk of nosocomial infection.     

新型冠状病毒肺炎疫情下耳鼻咽喉头颈外科住院手术流程及防护建议

2019新型冠状病毒肺炎(新冠肺炎)疫情发展迅速,防控形势持续严峻,耳鼻咽喉头颈外科作为医护人员防护难度高、感染风险大的高危科室之一,其住院手术诊疗流程也受肺炎疫情影响整体难以按常规开展。本文根据耳鼻咽喉头颈外科医生工作特点和复旦大学附属眼耳鼻喉科医院在本次新冠肺炎疫情防控工作中的实际情况,初步提出耳鼻咽喉头颈外科住院手术流程及防护相关建议,以供参考和讨论。     

Best practice recommendations: ENT consultations during the COVID-19 pandemic

These best practice recommendations for ENT consultations during the COVID-19 pandemic have been drawn up because ENT examinations and treatments are at risk of contamination by the SARS-Cov-2 virus in certain instances. Thus, ENT specialists are among the professionals who are most exposed to this infection. During the pandemic, insofar as an asymptomatic patient may be infected and contagious, the same precautions must be employed whether the patient is ill with, suspected of having, or without any clinical evidence of COVID-19 infection. According to the scientific data available, the examinations and procedures potentially exposing to projections/aerosolizations of organic material of human origin are considered to be at risk of staff contamination. For ENT examinations and procedures without exposure to such projections/aerosolizations, the professional is advised to a long sleeve clean outfit, a surgical mask and gloves in case of contact with the patient's mucosa. ENT examinations and procedures with exposure to these projections/aerosolizations require the so-called “airborne”, “contact”, and “droplets” additional precautions: FFP2/N95 respiratory protection device, eye protection, disposable headwear and long sleeve overgown.     

Diagnostic and therapeutic endonasal rhinologic procedures generating aerosol during COVID-19 pandemic: a systematized review

IntroductionMost rhinologic procedures, particularly endoscopic sinonasal procedures, are liable to produce aerosols. The severe acute respiratory syndrome coronavirus 2 (SARS-Co V-2) transmits via respiratory droplets, but the degree of its spread through airborne routes by aerosol is unclear.ObjectiveThe aim of this article is to counsel rhinologists on how to modify their conventional practice during the COVID-19 pandemic by prioritising the need of procedures, identifying aerosol- generating procedures and using precise personal protection equipment for various endonasal procedures.MethodsWe did a review of articles indexed for MEDLINE on PubMed, ENT Cochrane, DOAJ and Web of Science databases using the keywords nasal endoscopy, SARS‐CoV‐2, COVID‐19, aerosol generating medical procedures and rhinology to formulate guidelines for the safety of healthcare workers.ResultsThe review included evidence from 28 articles from the otorhinolaryngology, surgery, infectious disease, head and neck surgery and cancer biology literature. We have provided recommendations and relevant information for rhinologists during the COVID-19 pandemic, based on the available studies and data, to warrant high-quality patient care and requisite levels of infection prevention during rhinology procedures.ConclusionIn rhinology, marked care is advised during nasal packing, electrocauterisation and use of high-speed rotating devices in potentially infected tissue as they are considerable aerosol- producing procedures. The choice of personal protective equipment is based on the risk of exposure and possible modes of aerosol generation.     

ENT manifestation in COVID-19 patients

Objectiveto detect, analyze and discuss the different ear nose throat (ENT) manifestations those were reported in COVID19 positive patients in the reviewed and published literatures.MethodsWe performed a search in the PubMed databases, Web of Science, LILACS, MEDLINE, SciELO, and Cochrane Library using the keywords; COVID-19, Novel coronavirus, corona, 2019-nCoV, SARS-CoV-2, ENT, ear, nose, throat, otorhinolaryngology, ORL, pharynx, ORL, smell, larynx, different ENT related symptoms. We reviewed published and peer reviewed studies that reported the ENT manifestations in COVID-19 laboratory-confirmed positive patients.Resultswithin the included 1773 COVID-19 laboratory-confirmed positive patients, the most common ENT manifestations of COVID-19 were sore throat (11.3%) and headache (10.7%). While the other reported ENT manifestations were pharyngeal erythema (5.3%), nasal congestion (4.1%), runny nose or rhinorrhea (2.1%), upper respiratory tract infection (URTI) (1.9%), and tonsil enlargement (1.3%).ConclusionENT manifestations for COVID-19 are not common as fever and cough. But, a universal questionnaire using well-defined COVID-19 manifestations is needed to make the COVID-19 data precisely defined, complete and homogenous.     

Impact of the COVID-19 epidemic on ENT surgical volume

PurposeThe purpose of this study was to assess the impact of the COVID-19 pandemic on the surgical volume of three ENT departments in Ile-de-France, a region severely affected by the epidemic.Materials and methodsThe number and nature of surgeries was collected from three university hospital ENT departments from 17/03/2020 to 17/04/2020 and from 18/03/2019 to 18/04/2019. Centre 1 is a general adult ENT department specialized in otology, centre 2 is a general adult ENT department specialized in cancer and centre 3 is a paediatric ENT department. Comparative analysis of the decreased surgical volume was conducted between 2019 and 2020.ObjectiveTo analyse the reduction of ENT surgical volume.ResultsThe three centres operated on 540 patients in 2019, versus 89 in 2020, i.e. an 84% decrease: 89% in Centre 1, 61% in Centre 2, and 95% in the paediatric centre. Otological surgery decreased by 97%, endonasal surgery decreased by 91%, head and neck surgery decreased by 54%, plastic surgery decreased by 82%, and transoral surgery decreased by 85%. The number of surgical operations for skin cancer decreased (24 vs. 9), while the total number of head and neck cancer surgeries remained stable (18 vs. 22). The number of planned tracheostomies increased from 8 to 22.ConclusionThe number of ENT surgeries decreased by 84% during the first month of the COVID-19 epidemic. This decreased surgical volume mainly concerned functional surgery, while the level of cancer surgery remained stable. Hospital units will need to absorb a marked excess surgical volume after the epidemic.