Abstract
Introduction Amidst another wave of COVID-19, the alarming number of cases per day in India has
affected the healthcare system and professionals tremendously. As the disease burden
continues to increase, ear, nose, and throat (ENT) specialists remain at high risk
of exposure to this aerosol borne virus. This requires the creation and regulation
of protocols for conducting routine clinical practice, especially by ENT specialists.
Objectives To review the available literature and to propose strategies and recommendations
for ENT practitioners to conduct their regular practice amidst this pandemic.
Data synthesis A systematic review of the available literature on ENT practice during the COVID-19
pandemic was done. Out of the many protocols proposed in various studies, the most
practical and feasible ones that could be adopted by practicing ENT doctors/ surgeons
in the long run were selected. Adequate precautions and use of high level of personal
protective equipment (PPE) is required to be adopted by all practicing ENT doctors.
Use of teleconsultation has been promoted as it limits face-to-face exposure. Proper
guidelines should be followed for both emergency and elective surgeries. Endoscopy
can be used as a safe and useful tool for ENT examination.
Conclusion As practicing otorhinolaryngologists, it is of utmost importance that we take all
necessary precautions and adopt safety measures in our clinical practice while conducting
out patient department (OPD) consultations, operative procedures, and emergency care
to protect our patients, ourselves, and other healthcare staff during this time.
Keywords
COVID-19 - otorhinolaryngology guidelines - tracheostomy - SARS-CoV-2
