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SARS-CoV-2 Virus Isolated From the Mastoid and Middle EarImplications for COVID-19 Precautions During Ear Surgery

Educational Objective
To understand the necessary precautions needed before undertaking middle ear and mastoid surgery during COVID-19
1 Credit CME

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Article Information

Accepted for Publication: June 2, 2020.

Corresponding Author: C. Matthew Stewart, MD, PhD, Johns Hopkins Outpatient Center, 601 N Caroline St, 6th floor, Baltimore, MD 21287 (cstewa16@jhmi.edu).

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

Concept and design: All authors.

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

Drafting of the manuscript: Mostafa, Stewart.

Critical revision of the manuscript for important intellectual content: All authors.

Administrative, technical, or material support: All authors.

Supervision: Mostafa, Stewart.

Conflict of Interest Disclosures: Dr Hooper reported grants from the National Institutes of Health during the conduct of the study. No other disclosures were reported.

Published Online: July 23, 2020. doi:10.1001/jamaoto.2020.1922

Correction: This article was corrected on September 3, 2020, to fix a missing acknowledgement of funding from the National Institutes of Health. This article was corrected online.

Funding: Dr Frazier’s research is supported by the National Institutes of Health (NIH NIDCD 2T32DC000027).

Role of the Funder/Sponsor: National Institutes of Health had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Additional Contributions: We thank Michael Forman, MS, for his molecular virology laboratory and PCR expertise (uncompensated) as well as the families who granted consent for autopsy.

References
1.
Givi  B , Schiff  BA , Chinn  SB ,  et al.  Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic.  [published online ahead of print, 2020 Mar 31].  JAMA Otolaryngol Head Neck Surg. 2020. doi:10.1001/jamaoto.2020.0780PubMedGoogle Scholar
2.
Carron  JD , Buck  LS , Harbarger  CF , Eby  TL .  A simple technique for droplet control during mastoid surgery.   JAMA Otolaryngol Head Neck Surg. 2020;e201064. doi:10.1001/jamaoto.2020.1064PubMedGoogle Scholar
3.
Seppanen  EJ , Thornton  RB , Corscadden  KJ ,  et al.  High concentrations of middle ear antimicrobial peptides and proteins and proinflammatory cytokines are associated with detection of middle ear pathogens in children with recurrent acute otitis media.   PLoS One. 2019;14(12):e0227080. Published online December 26, 2019. doi:10.1371/journal.pone.0227080PubMedGoogle Scholar
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Duregon  E , Schneider  J , DeMarzo  AM , Hooper  JE .  Rapid research autopsy is a stealthy but growing contributor to cancer research.   Cancer. 2019;125(17):2915-2919. doi:10.1002/cncr.32184PubMedGoogle ScholarCrossref
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Uhteg  K , Jarrett  J , Richards  M ,  et al.  Comparing the analytical performance of three SARS-CoV-2 molecular diagnostic assays.  [published online ahead of print, 2020 Apr 26].  J Clin Virol. 2020;127:104384. doi:10.1016/j.jcv.2020.104384PubMedGoogle Scholar
6.
Sharma  D , Rubel  KE , Ye  MJ ,  et al.  Cadaveric simulation of otologic procedures: an analysis of droplet splatter patterns during the COVID-19 pandemic.  [published online ahead of print, 2020 May 19].  Otolaryngol Head Neck Surg. 2020;194599820930245:194599820930245. Accessed May 28, 2020. doi:10.1177/0194599820930245PubMedGoogle Scholar
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