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A Simple Technique for Droplet Control During Mastoid Surgery

Educational Objective
To understand how to manage droplet control during mastoid surgery
1 Credit CME

For more than 100 years, mastoidectomy has been a common procedure in otolaryngology in the management of cholesteatoma and infections and cochlear implantation. Concerns about droplets and virus aerosolization have been raised during the coronavirus disease 2019 (COVID-19) crisis, particularly after an endoscopic hypophysectomy in Wuhan, China, supposedly led to 14 members of the surgical team becoming infected with the novel coronavirus.13 The goal of this case-control study was to devise a drape system to control the droplet spray during mastoidectomy.

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Article Information

Accepted for Publication: April 13, 2020.

Corresponding Author: Jeffrey D. Carron, MD, Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216 (jcarron@umc.edu).

Published Online: April 28, 2020. doi:10.1001/jamaoto.2020.1064

Author Contributions: Dr Carron had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Study concept and design: Eby.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Carron.

Critical revision of the manuscript for important intellectual content: Buck, Harbarger, Eby.

Administrative, technical, or material support: All authors.

Study supervision: Carron.

Conflict of Interest Disclosures: Dr Carron reported receiving grants from Med-El Corporation outside the submitted work. No other disclosures were reported.

References
1.
China News Weekly. Restore the infection path of “Super Communicator” Wuhan Doctor: the epidemic just started. Article in Chinese (simplified). Accessed April 20, 2020. http://View.inews.qq.com/a/20200125A07TT200?uid=&devid=BDFE70CD-5BF1-4702-91B7-329F20A6E839&qimei=bdfe70cd-5bf1-4702-91b7-329f20a6e839
2.
Patel  ZM , Fernandez-Miranda  J , Hwang  PH ,  et al.  Letter: precautions for endoscopic transnasal skull base surgery during the COVID-19 pandemic  [published online April 15, 2020].  Neurosurgery. doi:10.1093/neuros/nyaa125PubMedGoogle Scholar
3.
Vukkadala  N , Qian  ZJ , Holsinger  FC , Patel  ZM , Rosenthal  E .  COVID-19 and the otolaryngologist—preliminary evidence-based review  [published online March 26, 2020].  Laryngoscope. doi:10.1002/lary.28672PubMedGoogle Scholar
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