{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:33:36Z","timestamp":1761006816921,"version":"build-2065373602"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To provide evolving information on active protocols regarding inpatient, outpatient, procedural, and surgical case management taking place in otolaryngology practices in response to COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Type<\/jats:title><jats:p>Cross\u2010sectional multi\u2010institutional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online survey of 55 otolaryngology departments across North America.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>As of March 25, 2020, almost all (n = 53 of 55, 96.3%) otolaryngology departments had canceled elective cases and were performing only urgent consults. Most residents continued to participate in operative cases (n = 45 of 49, 91.8%) and take call (n = 48 of 50, 96.0%). Of the respondents, 27 of 29 (93.1%) stated that they were deferring nonemergent tracheostomy procedures for the time being. The use of personal protective equipment followed a general trend of an increasing level of protection with an increased risk of the procedure; most (n = 49 of 54, 90.7%) incorporated N95\u00a0mask usage for bedside\/clinic examinations with flexible laryngoscopy. Powered air\u2010purifying respirators and N95\u00a0masks were used mainly for procedures involving the mucosal surfaces.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Due to the high viral density in the nasal cavity and nasopharynx of patients with COVID\u201019, basic examinations and common otolaryngology procedures place practitioners at high risk of exposure. Although there is variability in practice among otolaryngologists across North America in managing the COVID\u201019 outbreak, most are primarily seeing urgent ambulatory and inpatient consultations. Most are also incorporating personal protective equipment appropriate to the level of transmission across mucous membranes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>In these rapidly evolving times, it is helpful to find solidarity and assurance among health care providers. Current data aimed to provide (1) perceived methods regarding the safe care of otolaryngology patients and (2) updated practice patterns at a national level.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820930244","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T04:00:37Z","timestamp":1590465637000},"page":"259-264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Evolving Management of COVID\u201019: A Multi\u2010institutional Otolaryngology Perspective"],"prefix":"10.1002","volume":"163","author":[{"given":"Johanna L.","family":"Wickemeyer","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Illinois at Chicago Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen R.","family":"Billings","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Ann &amp; Robert H. Lurie Children\u2019s Hospital of Chicago Chicago Illinois USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Feinberg School of Medicine Northwestern University Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taher S.","family":"Valika","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Ann &amp; Robert H. Lurie Children\u2019s Hospital of Chicago Chicago Illinois USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Feinberg School of Medicine Northwestern University Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,26]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"SiddiquiS.CMS adult elective surgery and procedures recommendations: limit all non\u2010essential planned surgeries and procedures including dental until further notice. 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Accessed March 26 2020.https:\/\/www.entnet.org\/content\/academy\u2010supports\u2010cms\u2010offers\u2010specific\u2010nasal\u2010policy"},{"key":"e_1_2_8_9_1","unstructured":"American Academy of Otolaryngology\u2010Head and Neck Surgery.New recommendations regarding urgent and nonurgent patient care. Accessed March 26 2020.https:\/\/www.entnet.org\/content\/new\u2010recommendations\u2010regarding\u2010urgent\u2010and\u2010nonurgent\u2010patient\u2010care"},{"key":"e_1_2_8_10_1","unstructured":"American Academy of Otolaryngology\u2013Head and Neck Surgery.Otolaryngologists and the COVID\u201019 pandemic. Accessed March 25 2020.https:\/\/www.entnet.org\/content\/otolaryngologists\u2010and\u2010covid\u201019\u2010pandemic"},{"key":"e_1_2_8_11_1","unstructured":"ENTCOVID. 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