{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T14:26:10Z","timestamp":1761920770625,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T00:00:00Z","timestamp":1598227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>It has become clear that healthcare workers are at high risk, and otolaryngology has been theorized to be among the highest risk specialties for coronavirus disease 2019 (COVID\u201019). The purpose of this study was to detail the international impact of COVID\u201019 among otolaryngologists, and to identify instructional cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Country representatives of the Young Otolaryngologists\u2013International Federation of Otolaryngologic Societies (YO\u2010IFOS) surveyed otolaryngologists through various channels. Nationwide surveys were distributed in 19 countries. The gray literature and social media channels were searched to identify reported deaths of otolaryngologists from COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 361 otolaryngologists were identified to have had COVID\u201019, and data for 325 surgeons was available for analysis. The age range was 25 to 84 years, with one\u2010half under the age of 44 years. There were 24 deaths in the study period, with 83% over age 55 years. Source of infection was likely clinical activity in 175 (54%) cases. Prolonged exposure to a colleague was the source for 37 (11%) surgeons. Six instructional cases were identified where infections occurred during the performance of aerosol\u2010generating operations (tracheostomy, mastoidectomy, epistaxis control, dacryocystorhinostomy, and translabyrinthine resection). In 3 of these cases, multiple operating room attendees were infected, and in 2, the surgeon succumbed to complications of COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The etiology of reported cases within the otolaryngology community appear to stem equally from clinical activity and community spread. Multiple procedures performed by otolaryngologists are aerosol\u2010generating procedures (AGPs) and great care should be taken to protect the surgical team before, during, and after these operations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.22677","type":"journal-article","created":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T10:18:16Z","timestamp":1596190696000},"page":"1201-1208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["International registry of otolaryngologist\u2013head and neck surgeons with COVID\u201019"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5825-2759","authenticated-orcid":false,"given":"Leigh J","family":"Sowerby","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Western University  London ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7061-1841","authenticated-orcid":false,"given":"Kate","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otolaryngology Birmingham Children's Hospital  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Dickie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Western University  London ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico A. Di","family":"Lella","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Hospital Italiano de Buenos Aires  Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niall","family":"Jefferson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery John Hunter Adult and Children's\u2019 Hospitals  Newcastle NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"North","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Children's Hospital Westmead and Westmead Hospital  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Daniele","family":"De Siati","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Saint\u2010Luc University Hospital University of Louvain  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Maunsell","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology State University of Campinas (UNICAMP)  Campinas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3091-0331","authenticated-orcid":false,"given":"Michael","family":"Herzog","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Carl\u2010Thiem\u2010Klinikum  Cottbus Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raghu","family":"Nandhan","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology \u2010 Head and Neck Surgery Madras ENT Research Foundation  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilena","family":"Trozzi","sequence":"additional","affiliation":[{"name":"Airway Surgery Unit, Pediatric Surgery Department, Bambino Ges\u00f9 Children's Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS)  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8339-1868","authenticated-orcid":false,"given":"Puya","family":"Dehgani\u2010Mobaraki","sequence":"additional","affiliation":[{"name":"Association \u201cNaso Sano\u201d Onlus, Umbria Regional Registry of Volunteer Activities, Department of Otorhinolaryngology and Head and Neck Surgery Gubbio\u2010Gualdo Tadino Hospital  Perugia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Melkane","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Hotel Dieu de France Hospital Saint Joseph University  Beirut 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Hospital Medica Sur  Mexico Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joao Eloi","family":"Moura","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Coimbra Hospital and University Centre  Coimbra Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Hermansson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shazia","family":"Peer","sequence":"additional","affiliation":[{"name":"Division of Otorhinolaryngology University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Burnell","sequence":"additional","affiliation":[{"name":"ENT Morningside Morningside Mediclinic  Sandton Johannesburg South 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