Rhinosurgery during and after the COVID-19 Pandemic: International Consensus Conference Statement on Preliminary Perioperative Safety Measures.

Ambulatory Care Facilities / organization & administration Ambulatory Surgical Procedures / standards COVID-19 / epidemiology Congresses as Topic Consensus Elective Surgical Procedures / standards Humans Infection Control / organization & administration Infectious Disease Transmission, Patient-to-Professional / prevention & control Pandemics / prevention & control Preoperative Care / standards Rhinoplasty / standards Surgeons Videoconferencing

Journal

Plastic and reconstructive surgery
ISSN: 1529-4242
Titre abrégé: Plast Reconstr Surg
Pays: United States
ID NLM: 1306050

Informations de publication

Date de publication:
01 05 2021
Historique:
pubmed: 10 4 2021
medline: 4 5 2021
entrez: 9 4 2021
Statut: ppublish

Résumé

The coronavirus disease of 2019 (COVID-19) pandemic has widely affected rhinosurgery, given the high risk of contagion and the elective nature of the aesthetic procedure, generating many questions on how to ensure safety. The Science and Research Committee of the Rhinoplasty Society of Europe aimed at preparing consensus recommendations on safe rhinosurgery in general during the COVID-19 pandemic by appointing an international panel of experts also including delegates of The Rhinoplasty Society. A Zoom meeting was performed with a panel of 14 international leading experts in rhinosurgery. During 3.5 hours, four categories of questions on preoperative safety measures in private practice and outpatient clinics, patient assessment before and during surgery, and legal issues were presented by four chairs and discussed by the expert group. Afterward, the panelists were requested to express an online, electronic vote on each category and question. The panel's recommendations were based on current evidence and expert opinions. The resulting report was circulated in an iterative open e-mail process until consensus was obtained. Consensus was obtained in several important points on how to safely restart performing rhinosurgery in general. Preliminary recommendations with different levels of agreement were prepared and condensed in a bundle of safety measures. The implementation of the panel's recommendations may improve safety of rhinoplasty by avoiding operating on nondetected COVID-19 patients and minimizing severe acute respiratory syndrome coronavirus 2 virus spread in outpatient clinics and operating rooms.

Sections du résumé

BACKGROUND
The coronavirus disease of 2019 (COVID-19) pandemic has widely affected rhinosurgery, given the high risk of contagion and the elective nature of the aesthetic procedure, generating many questions on how to ensure safety. The Science and Research Committee of the Rhinoplasty Society of Europe aimed at preparing consensus recommendations on safe rhinosurgery in general during the COVID-19 pandemic by appointing an international panel of experts also including delegates of The Rhinoplasty Society.
METHODS
A Zoom meeting was performed with a panel of 14 international leading experts in rhinosurgery. During 3.5 hours, four categories of questions on preoperative safety measures in private practice and outpatient clinics, patient assessment before and during surgery, and legal issues were presented by four chairs and discussed by the expert group. Afterward, the panelists were requested to express an online, electronic vote on each category and question. The panel's recommendations were based on current evidence and expert opinions. The resulting report was circulated in an iterative open e-mail process until consensus was obtained.
RESULTS
Consensus was obtained in several important points on how to safely restart performing rhinosurgery in general. Preliminary recommendations with different levels of agreement were prepared and condensed in a bundle of safety measures.
CONCLUSION
The implementation of the panel's recommendations may improve safety of rhinoplasty by avoiding operating on nondetected COVID-19 patients and minimizing severe acute respiratory syndrome coronavirus 2 virus spread in outpatient clinics and operating rooms.

Identifiants

DOI: 10.1097/PRS.0000000000007868 PMID: 33835086
pubmed: 33835086
doi: 10.1097/PRS.0000000000007868
pii: 00006534-202105000-00013
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1087-1095

Informations de copyright

Copyright © 2021 by the American Society of Plastic Surgeons.

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Auteurs

Martin D Haug (MD)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Garyfalia Lekakis (G)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Mario Bussi (M)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Nazim Cerkes (N)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Jay Calvert (J)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Charles East (C)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Olivier Gerbault (O)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Wolfgang Gubisch (W)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Werner Heppt (W)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Haldun Kamburoglu (H)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Sam Most (S)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Carlo M Oranges (CM)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Josef Vavrina (J)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Rod J Rohrich (RJ)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

Enrico Robotti (E)

From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, University of Basel; the Department of Otorhinolaryngology, Head and Neck Surgery, UZ Leuven Campus Gasthuisberg; the Division of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute; private practice; the Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital; the Department of Otorhinolaryngology, University College Hospital; the Clinic for Plastic Surgery; the Department of Facial Plastic Surgery, Marienhospital; the Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe; the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine; Klinik für Hals-, Nasen-, Ohren- und Gesichtschirurgie, Kantonsspital Luzern; the Dallas Plastic Surgery Institute; and the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII.

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Classifications MeSH

questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Établissements de soins ambulatoires › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie ambulatoire › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Organisations et économie des soins de santé › Organismes › Congrès comme sujet › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Consensus › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales non urgentes › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Contrôle des maladies transmissibles › Prévention des infections › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Transmission de maladie infectieuse › Transmission de maladie infectieuse du patient au professionnel de santé › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Épidémies de maladies › Épidémies › Pandémies › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins périopératoires › Soins préopératoires › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie reconstructive › Rhinoplastie › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › Chirurgiens › Rhinosurgery during and after the COVID-19...
questionsmedicales.fr › Sciences de l'information › Sources d'information › Moyens de communication › Télécommunications › Communication par vidéoconférence › Rhinosurgery during and after the COVID-19...