{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T16:21:56Z","timestamp":1762273316323,"version":"3.41.2"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:00:00Z","timestamp":1717459200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objectives were to determine the surgical modality with the lowest aerosol and droplets generated by commonly used modalities in oropharyngeal and laryngeal surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A simulation of oropharyngeal and laryngeal surgery was set up using fresh sheep heads. Four common surgical modalities were utilized: cold steel, electrocautery, coblation, and microdebrider. The resultant aerosol generated was evaluated using two measurement modalities at two key positions in the theater. (1) DustTrak Pro Aerosol Monitor was used to measure the concentration of particles. (2) Fluorescein dye coated on the oropharynx and larynx, and the resultant scatter on paper.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Electrocautery and coblation produced statistically significant increases in the concentration of aerosols (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Microdebrider and cold steel instrumentation produced the least aerosols. No measurable fluorescein droplets were noted for all four modalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Electrocautery and coblation produced higher concentrations of aerosols. Mitigation factors should be considered with instruments with increased aerosolization. These modalities show low droplet\u2010related infection risk.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.1287","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T21:36:20Z","timestamp":1717536980000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Variation in aerosol generation by surgical modality during oropharyngeal and laryngeal surgery"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1474-4983","authenticated-orcid":false,"given":"S. P.","family":"Sithole","sequence":"first","affiliation":[{"name":"University of KwaZulu\u2010Natal, Nelson R. Mandela School of Medicine  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Kuhn","sequence":"additional","affiliation":[{"name":"University of KwaZulu\u2010Natal, Nelson R. Mandela School of Medicine  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. A.","family":"Sibiya","sequence":"additional","affiliation":[{"name":"University of KwaZulu\u2010Natal, Nelson R. Mandela School of Medicine  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"WHO.Director\u2010General's Opening Remarks at the Media Briefing on COVID\u201019\u201413 April 2020.2020Accessed November 13 2023.https:\/\/www.who.int\/director\u2010general\/speeches\/detail\/who\u2010director\u2010general\u2010s\u2010opening\u2010remarks\u2010at\u2010the\u2010media\u2010briefing\u2010on\u2010covid\u201019\u2010\u201013\u2010april\u20102020"},{"key":"e_1_2_8_3_1","unstructured":"WHO.Weekly Epidemiological Update on COVID\u201019.2022Accessed November 13 2023.https:\/\/www.who.int\/publications\/m\/item\/weekly-epidemiological-update-on-covid-19---19-october-2022"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2020.05.019"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2020.05.012"},{"key":"e_1_2_8_6_1","unstructured":"WHO.The impact of COVID\u201019 on health and care workers: a closer look at deaths.2021Accessed November 13 2023.https:\/\/www.who.int\/publications\u2010detail\u2010redirect\/WHO\u2010HWF\u2010WorkingPaper\u20102021.1"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463\u2010020\u201000424\u20107"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463\u2010020\u201000425\u20106"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13337\u2010021\u201000660\u2010z"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820931805"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22577"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820957966"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.520"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820951169"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.4102\/sajid.v36i1.256"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.1287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T10:41:42Z","timestamp":1719225702000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.1287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/lio2.1287"],"URL":"https:\/\/doi.org\/10.1002\/lio2.1287","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"type":"print","value":"2378-8038"},{"type":"electronic","value":"2378-8038"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"2024-03-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1287"}}