Evidence map›Paper›PMID 32358853›Full record

ArticleHead & neck2020

Endoscopic skull base and transoral surgery during COVID-19 pandemic: Minimizing droplet spread with negative-pressure otolaryngology viral isolation drape.

Abel P David, Nicole T Jiam, Joshua M Reither, Jose G Gurrola, Manish K Aghi, Ivan H El-Sayed

Abstract read
In one paragraph

Article in Head & neck, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. One year into the COVID-19 pandemic: What do we know so far from studies assessing risk and mitigation of droplet aerosolisation during endonasal surgery? A systematic review.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2021
    Pooled it
  2. Pooled it
  3. CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2020
    Guideline
  4. Review
  5. Review
  6. Article
  7. Article
  8. Diagnostic and surgical innovations in otolaryngology for adult and paediatric patients during the COVID-19 era.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Reducing the risks of endoscopic sinonasal surgery in the Covid-19 era.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2021
    Article
  14. Article
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  16. In vitro comparison of surgical techniques in times of the SARS-CoV-2 pandemic: electrocautery generates more droplets and aerosol than laser surgery or drilling.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
  17. Article
  18. The microscope drape method to reduce aerosolisation during endoscopic sinus and skull base surgery in the COVID era. How i do it.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
  19. A Bibliometric Network Analysis of Coronavirus during the First Eight Months of COVID-19 in 2020.International journal of environmental research and public health · 2021
    Article
  20. Innovations in otorhinolaryngology in the age of COVID-19: a systematic literature review.World journal of otorhinolaryngology - head and neck surgery · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Abel P DavidDepartment of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-1687-8240
Nicole T JiamDepartment of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.
Joshua M ReitherCenter for Minimally Invasive Skull Base Surgery, Departments of Otolaryngology-Head & Neck Surgery and Neurological Surgery, University of California, San Francisco, California, USA.
Jose G GurrolaDepartment of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.
Manish K AghiCenter for Minimally Invasive Skull Base Surgery, Departments of Otolaryngology-Head & Neck Surgery and Neurological Surgery, University of California, San Francisco, California, USA.
Ivan H El-SayedDepartment of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0001-8121-3726

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease (COVID-19) pandemic has raised concern of transmission of infectious organisms through aerosols formation in endonasal and transoral surgery.

methodsRetrospective review. We introduce the negative-pressure otolaryngology viral isolation drape (NOVID) system to reduce the risk of aerosol. NOVID consists of a plastic drape suspended above the patient's head and surgical field with a smoke evacuator suction placed inside the chamber.

resultsFour patients underwent endonasal (4) and endo-oral surgery (1). Fluorescein was applied to the surgical field. Black light examination of fluorescein-treated operative fields revealed minimal contamination distant to the surgical field. In two prolonged cases with high-speed drilling, droplets were identified under the barrier and on the tip of the smoke evacuator. Instruments and cottonoids appeared to be a greater contributor to field contamination.

conclusionsNegative-pressure aspiration of air under a chamber barrier, which appears to successfully keep aerosol and droplet contamination to a minimum.

Indexed as

Otorhinolaryngologic Surgical ProceduresSurgical DrapesAir Pollutants, OccupationalBetacoronavirusCoronavirus InfectionsCOVID-19FluoresceinFluorescent DyesHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalOccupational ExposurePandemicsPneumonia, ViralRetrospective StudiesSARS-CoV-2Air Pollutants, OccupationalFluoresceinFluorescent DyesaerosolizationCOVID-19endoscopic surgerynegative-pressureskull base

Identifiers

PMID32358853
PMCPMC7267245

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.