{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:54:31Z","timestamp":1792479271596,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T00:00:00Z","timestamp":1589241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81822011"],"award-info":[{"award-number":["81822011"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81771013"],"award-info":[{"award-number":["81771013"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>To describe coronavirus disease 2019 (COVID\u201019) patient presentations requiring otolaryngology consultation and provide recommendations for protective measures based on the experience of ear, nose, and throat (ENT) departments in 4 Chinese hospitals during the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design.<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting.<\/jats:title><jats:p>Multicenter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods.<\/jats:title><jats:p>Twenty hospitalized COVID\u201019 patients requiring ENT consultation from 3 designated COVID\u201019 hospitals in Wuhan, Shanghai, and Shenzhen were identified. Data on demographics, comorbidities, COVID\u201019 symptoms and severity, consult reason, treatment, and personal protective equipment (PPE) use were collected and analyzed. Infection control strategies implemented for ENT outpatients and emergency room visits at the Eye and ENT Hospital of Fudan University were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>Median age was 63 years, 55% were male, and 95% were in severe or critical condition. Six tracheotomies were performed. Posttracheotomy outcomes were mixed (2 deaths, 2 patients comatose, all living patients still hospitalized). Other consults included epistaxis, pharyngitis, nasal congestion, hyposmia, rhinitis, otitis externa, dizziness, and tinnitus. At all hospitals, powered air\u2010supply filter respirators (PAPRs) were used for tracheotomy or bleeding control. PAPR or N95\u2010equivalent masks plus full protective clothing were used for other complaints. No inpatient ENT providers were infected. After implementation of infection control strategies for outpatient clinics, emergency visits, and surgeries, no providers were infected at the Eye and ENT Hospital of Fudan University.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Relevance.<\/jats:title><jats:p>COVID\u201019 patients require ENT consultation for many reasons, including tracheotomy. Otolaryngologists play an indispensable role in the treatment of COVID\u201019 patients but, due to their work, are at high risk of exposure. Appropriate protective strategies can prevent infection of otolaryngologists.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820926144","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T12:23:56Z","timestamp":1589286236000},"page":"121-131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Approaching Otolaryngology Patients During the COVID\u201019\u00a0Pandemic"],"prefix":"10.1002","volume":"163","author":[{"given":"Chong","family":"Cui","sequence":"first","affiliation":[{"name":"ENT Institute and Otorhinolaryngology Department of the Affiliated Eye and ENT Hospital State Key Laboratory of Medical Neurobiology Institutes of Biomedical Sciences Fudan University Shanghai China"},{"name":"NHC Key Laboratory of Hearing Medicine Fudan University Shanghai 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