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. 2020 Apr 10;41(3):102484. doi: 10.1016/j.amjoto.2020.102484

Table 1.

Actual recommendations to prevent COVID-19 infection in head & neck surgeons and otolaryngologists.

Author Publication date Country General recommendations Surgeries Types High risk procedures
(AGP)
PPE PT TM
Xu K et al. [16] 02 F 2020 China NA NA NA NA NA NA NA
Chan JYK et al. [17] 20 M 2020 Hong Kong
  • Redistribution of manpower and resources

  • Maximize hospital bed availability

  • Emergency

  • Oncologic

NA
  • Tracheostomy

  • Laryngoscopy

  • N95

  • Gown

  • Cap

  • Eye protection

  • Gloves

NA NA
SEORL-CCC 22 M 2020 Spain
  • Reduction of surgical procedures

  • Preserve the safety of patients and health workers, maintaining the necessary resources

  • Emergency

  • Oncologic

  • Postoperative

  • Otitis or complicated sinusitis

  • Sudden deafness

  • Surgical complications

  • Cervical infections

  • Air way obstruction

  • Trauma

Nasofibroscopy -N95
-blood proof gown
-N95, FFP2 o 3
-eye protection-Two pairs of gloves
Yes Yes
AAO-HNS 26 M 2020 United States When COVID-19 status of the patient cannot be confirmed the patient should be handled as if it were COVID-19 positive Emergency NR Tracheostomy N95 respirator masks with either goggles or a face shield (laryngoscopy) NR NR
Vukkadala N et al. [18] 26 M 2020 United States Our institution promotes early intubation to avoid emergent intubations, which would allow intubation planning and enough time to properly done PPE
  • Malignancy

  • Air way risk

NR
  • Tonsillectomy

  • Mastoid drilling

  • Sinus surgery, -other airway procedures

  • N95

  • Gown

  • Face shield (laryngoscopy)

Yes Yes
Lüers JC et al. [19] 26 M 2020 Germany NA NA NA NA NA NA NA
Boccalatte LA et al 2 A 2020 Argentina The key point is the care and training of the human resource in the correct use of PPE Emergency
  • Odontogenic abscess

  • Cervical infections

  • Air way obstruction

  • Trauma

  • Tracheostomy -laryngoscopy

  • Oral surgery

  • Upper aerodigestive tract procedures

  • N95

  • Gown

  • Cap

  • Glasses

  • Eye protection

  • Gloves

Yes> Yes

AGP: aerosol-generating procedures; PPE: personal protective equipment; PT: preoperative test; TM: telemedicine; SEORL-CCC: Spanish Society of Otolaryngology and Head and Neck Surgery; AAO-HNS: American Academy of Otolaryngology-Head and Neck Surgery; F: February; M: March; A: April; NA: no avaiable; NR: No reported; >: Our team suggest preoperative COVID-19 test for all patients. However, the avaiability in Latin America is low and the access is complicated, like other countries in this area.