{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T22:30:25Z","timestamp":1762900225649,"version":"3.37.3"},"reference-count":42,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T00:00:00Z","timestamp":1643068800000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Coronavirus disease 2019 (COVID-19) has claimed millions of lives. Adequate protection of the professionals involved in patient care is essential in the battle against this disease. However, there is much uncertainty involving safety-relarted topics that are of particular interest to the rhinologist in the context of COVID-19.<\/jats:p><jats:p>\n          Objective\u2003To evaluate the current evidence regarding three safety-related topics: mask and respirator use, performance of nasal endoscopic procedures, and use of topical nasal and intranasal medications (saline irrigation and nasal corticosteroids).<\/jats:p><jats:p>\n          Methods\u2003A literature review was performed on the PubMed, Scopus, and Cochrane databases, with standardized search queries for each of the three topics of interest.<\/jats:p><jats:p>\n          Results\u2003In total, 13 articles on mask use, 6 articles on the safety of nasal corticosteroids, 6 articles on the safety of nasal endoscopic procedures, and 1 article on nasal irrigation with saline solution were included in the final analysis.<\/jats:p><jats:p>\n          Conclusion\u2003N95 respirators are essential for the adequate protection of otolaryngologists. If reuse is necessary, physical methods of sterilization must be employed. No evidence was found to contraindicate the use of nasal corticosteroids, whether acute (in the management of sinonasal inflammatory conditions) or continued (in patients who use them chronically). Nasal irrigation with saline solution apparently does not increase the risk in the context of COVID-19. Nasal endoscopic procedures should only be performed after testing the patient for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and the surgical team must wear full personal protective equipment to prevent aerosol exposure.<\/jats:p>","DOI":"10.1055\/s-0041-1740988","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T01:22:56Z","timestamp":1643160176000},"page":"e137-e147","source":"Crossref","is-referenced-by-count":2,"title":["Safety for the Rhinologist in the Age of COVID-19: Mask Use, Nasal Corticosteroids, Saline Irrigation, and Endoscopic Procedures \u2013 Literature Review"],"prefix":"10.1055","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1318-0541","authenticated-orcid":false,"given":"Eduardo Macoto","family":"Kosugi","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3771-0113","authenticated-orcid":false,"given":"Jonatas Figueiredo","family":"Villa","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2588-4319","authenticated-orcid":false,"given":"Henrique Faria","family":"Ramos","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0793-153X","authenticated-orcid":false,"given":"Gabriela Ricci","family":"Luz-Matsumoto","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6853-7897","authenticated-orcid":false,"given":"Thiago Luis Infanger","family":"Serrano","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6642-1957","authenticated-orcid":false,"given":"Carlos Augusto Correia de","family":"Campos","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5264-6642","authenticated-orcid":false,"given":"Carolina Cincur\u00e1","family":"Barreto","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5038-7977","authenticated-orcid":false,"given":"Clara M\u00f4nica","family":"Lima","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5213-2337","authenticated-orcid":false,"given":"Marco Aur\u00e9lio","family":"Fornazieri","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3384-3664","authenticated-orcid":false,"given":"Otavio","family":"Piltcher","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5003-0828","authenticated-orcid":false,"given":"Marcus Miranda","family":"Lessa","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2218-8417","authenticated-orcid":false,"given":"Fabrizio Ricci","family":"Romano","sequence":"additional","affiliation":[{"name":"Scientific Committee, Academia Brasileira de Rinologia (ABR), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,1,25]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1016\/j.bj.2020.04.007","article-title":"COVID-19: The first documented coronavirus pandemic in history","volume":"43","author":"Y C Liu","year":"2020","journal-title":"Biomed J"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"922","DOI":"10.1016\/S0140-6736(20)30644-9","article-title":"The Lancet. 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