Evidence map›Paper›PMID 33614929›Full record

ArticleLaryngoscope investigative otolaryngology2021

Aerosol generation during routine rhinologic surgeries and in-office procedures.

Dhruv Sharma, Vincent J Campiti, Michael J Ye, Kolin E Rubel, Thomas S Higgins, Arthur W Wu, Taha Z Shipchandler, Sarah J Burgin, Michael W Sim, Elisa A Illing and 2 more

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline 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
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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

12 authors.

Dhruv SharmaDepartment of Otolaryngology - Head & Neck Surgery Indiana University Indianapolis Indiana USA.ORCID https://orcid.org/0000-0001-8107-9520
Vincent J CampitiIndiana University School of Medicine Indianapolis Indiana USA.
Michael J YeDepartment of Otolaryngology - Head & Neck Surgery Indiana University Indianapolis Indiana USA.
Kolin E RubelDepartment of Otolaryngology - Head & Neck Surgery Indiana University Indianapolis Indiana USA.
Thomas S HigginsDepartment of Otolaryngology - Head & Neck Surgery University of Louisville Louisville Kentucky USA.ORCID https://orcid.org/0000-0002-2020-6386
Arthur W WuDepartment of Otolaryngology - Head & Neck Surgery Cedars Sinai Los Angeles California USA.ORCID https://orcid.org/0000-0001-8993-6355
Taha Z ShipchandlerDepartment of Otolaryngology - Head & Neck Surgery Indiana University Indianapolis Indiana USA.
Sarah J BurginDepartment of Otolaryngology - Head & Neck Surgery Indiana University Indianapolis Indiana USA.
Michael W SimDepartment of Otolaryngology - Head & Neck Surgery Indiana University Indianapolis Indiana USA.ORCID https://orcid.org/0000-0001-6571-9452
Elisa A IllingDepartment of Otolaryngology - Head & Neck Surgery Indiana University Indianapolis Indiana USA.
Jae Hong ParkSchool of Health Sciences Purdue University West Lafayette Indiana USA.ORCID https://orcid.org/0000-0003-0772-0433
Jonathan Y TingDepartment of Otolaryngology - Head & Neck Surgery Indiana University Indianapolis Indiana USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCadaveric simulations have shown endonasal drilling and cautery generate aerosols, which is a significant concern for otolaryngologists during the COVID-19 era. This study quantifies aerosol generation during routine rhinologic surgeries and in-office procedures in live patients.

methodsAerosols ranging from 0.30 to 10.0 μm were measured in real-time using an optical particle sizer during surgeries and in-office procedures. Various mask conditions were tested during rigid nasal endoscopy (RNE) and postoperative debridement (POD).

resultsHigher aerosol concentrations (AC) ranging from 2.69 to 10.0 μm were measured during RNE (

conclusionUse of a surgical mask over the patient's mouth during in-office procedures or a mask with a slit for an endoscope during RNE significantly diminished aerosol generation. However, whether this reduction in aerosol generation is sufficient to prevent transmission of communicable diseases via aerosols was beyond the scope of this study. There were several spikes in aerosols during FESS and ASBS, though none were associated with endonasal drilling with the use of suction mitigation. LEVEL OF EVIDENCE: 4.

Indexed as

aerosol‐generating procedureairborneCOVID‐19endonasal drillingnovel coronavirusSARS‐CoV‐2sinus surgeryskull base surgery

Identifiers

PMID33614929
PMCPMC7883622

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.