South Clin Ist Euras. 2020; 31(1): 65-68 | DOI: 10.14744/scie.2020.60252

Otorhinolaryngology Perspective and Patient Management in COVID-19 Pandemic

Hakan Avcý
University of Health Sciences, Istanbul Kartal Dr Lutfi Kirdar Training and Research Hospital, Department of Ear, Nose and Throat Diseases, Istanbul, Turkey

This review includes the evaluation of patients and measures to be taken in terms of ear, nose and throat (ENT) diseases during the Coronavirus Disease 2019 (COVID-19) pandemic period. For this purpose, the current literature has been searched using keywords such as “COVID-19 otolaryngology”, “COVID-19 rhinology” and “COVID-19 surgery”. The review also includes data on symptoms specific to ENT practice of patients who admitted to our hospital during the pandemic period. The COVID-19 virus, which affects all areas of life, has affected the ENT practice as well as in all health areas. It has been reported that the disease has classic symptoms such as fever, cough, and shortness of breath, as well as a sudden loss of smell and taste, especially in the early stages of the disease. It is suggested that elective interventions, emergency and cancer cases can be performed in appropriate conditions during the outbreak. For this purpose, healthcare professionals should take necessary protective measures especially in interventions where the risk of transmission from aerosol is high. Apart from that, a separate operation room should be created for COVID-19 patients if possible and attention should be paid to disinfection rules. As a result, although information about COVID-19 is being updated every day, adapting existing experiences to daily practice will contribute to the reduction of morbidity by preventing the spread of the disease.

Keywords: Anosmia, coronavirus; pandemic; smell disorders.

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COVID-19 Pandemisinde Kulak Burun Boðaz Hastalýklarý Bakýþ Açýsý ve Hasta Yönetimi

Hakan Avcý
Kartal Dr. Lütfi Kýrdar Þehir Hastanesi, Kulak Burun Boðaz Hastalýklarý Kliniði, Ýstanbul

Bu yazý, “Coronavirus Disease 2019 (COVID-19)” pandemi döneminde Kulak Burun Boðaz (KBB) hastalýklarý açýsýndan hastalarýn deðerlendirilmesi ve alýnabilecek tedbirleri içermektedir. Bu amaçla mevcut literatür “COVID-19 otolaringoloji”, “COVID-19 rinoloji” ve “COVID-19 cerrahi” gibi anahtar kelimeler kullanýlarak taranmýþtýr. Yazýda ayrýca pandemi sürecinde hastanemize baþvurmuþ hastalara ait KBB pratiðine özgü semptomlarla ilgili verilere de yer verilmiþtir. Hayatýn tüm alanlarýný etkileyen COVID-19 virüsü tüm saðlýk alanlarýný olduðu gibi KBB pratiðini de etkilemiþtir. Hastalýðýn ateþ, öksürük, nefes darlýðý gibi klasik semptomlarýnýn yanýnda özellikle erken dönemlerinde ani koku ve tat kaybý olabileceði de bildirilmiþtir. Salgýn sürecinde elektif müdahalelerin ertelenmesi, acil ve kanser olgularýnýn uygun koþullarda alýnabileceði önerilmektedir. Bu amaçla saðlýk çalýþanlarýnýn özellikle aerosol kaynaklý bulaþ riskinin yüksek olduðu müdahalelerde gerekli koruyucu önlemleri almasý gerekmektedir. Bunun dýþýnda COVID-19 hastalarý için mümkünse ayrý bir operasyon salonunun oluþturulmasý ve dezenfeksiyon kurallarýna dikkat edilmesi gerekmektedir. Sonuç olarak, her ne kadar COVID-19 ile ilgili bilgiler her geçen gün yenileniyor olsa da mevcut deneyimlerin günlük iþleyiþe uyarlanmasý hastalýðýn yayýlmasýný önleyerek morbiditenin azalmasýna katkýda bulunacaktýr.

Anahtar Kelimeler: Anozmi, koku bozukluklarý; koronavirüs; pandemi.

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