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As the number of infected patients decrease across Canada, elective surgeries are being restarted in a staged manner. Since Otolaryngologists \u2013 Head &amp; Neck Surgeons manage surgical diseases of the upper aerodigestive tract where the highest viral load reside, it is imperative that these surgeries resume in a safe manner. The aim of this document is to compile the current best evidence available and provide expert consensus on the safe restart of rhinologic and skull base surgeries while discussing the pre-operative, intra-operative, and post-operative care and tips. Risk assessment, patient selection, case triage, and pre-operative COVID-19 testing will be analyzed and discussed. These guidelines will also consider the optimal use of personal protective equipment for specific cases, general and specific operative room precautions, and practical tips of intra-operative maneuvers to optimize patient and provider safety. Given that the literature surrounding COVID-19 is rapidly evolving, these recommendations will serve to start our specialty back into elective rhinologic surgeries over the next months and they may change as we learn more about this disease. <\/jats:p><jats:p> <\/jats:p>","DOI":"10.1186\/s40463-020-00476-9","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T20:13:00Z","timestamp":1607026380000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["CSO (Canadian Society of Otolaryngology - Head &amp; Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-3214","authenticated-orcid":false,"given":"Yvonne","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarfaraz M.","family":"Banglawala","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Chin","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, Dalhousie University, Saint John, NB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W. 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