About: Suction Mitigation of Airborne Particulate Generated During Sinonasal Drilling and Cautery

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Suction Mitigation of Airborne Particulate Generated During Sinonasal Drilling and Cautery
Creator	Bleier, Benjamin Quesnel, Alicia Workman, Alan Feng, Allen Gadkaree, Shekhar Scangas, George Xiao, Roy
Source	Medline; PMC
abstract	INTRODUCTION: COVID‐19 has significantly impacted endonasal surgery, and recent experimentation has demonstrated that sinonasal drilling and cautery have significant propensity for airborne particulate generation immediately adjacent to the surgical field. In the present investigation, we assess nasopharyngeal suctioning as a mitigation strategy to decrease particulate spread during simulated endonasal surgical activity. METHODS: Airborne particulate generation in the 1‐10μm range was quantified with an optical particle sizer in real‐time during cadaveric‐simulated anterior and posterior endonasal drilling and cautery conditions. To test suction mitigation, experiments were performed both with and without a rigid suction placed in the contralateral nostril, terminating in the nasopharynx. RESULTS: Both anterior (medial maxillary wall and nasal septum) and posterior (sphenoid rostrum) drilling produced significant particulate generation in the 1‐10μm range throughout the duration of drilling (p<0.001) without the use of suction, while nasopharyngeal suction use eliminated the detection of generated airborne particulate. A similar effect was seen with nasal cautery, with significant particle generation (p<0.001) that was reduced to undetectable levels with the use of nasopharyngeal suction. CONCLUSIONS: The use of nasopharyngeal suctioning via the contralateral nostril minimizes airborne particulate spread during simulated sinonasal drilling and cautery. In the era of COVID‐19, this technique offers an immediately available measure that may increase surgical safety. This article is protected by copyright. All rights reserved
has issue date	2020-06-18(xsd:dateTime)
bibo:doi	10.1002/alr.22644
bibo:pmid	32779883
has license	no-cc
sha1sum (hex)	343d8d558b08c9eeb856a353c82f1380c79d2b7c
schema:url	https://doi.org/10.1002/alr.22644
resource representing a document's title	Suction Mitigation of Airborne Particulate Generated During Sinonasal Drilling and Cautery
has PubMed Central identifier	PMC7323193
has PubMed identifier	32779883
schema:publication	Int Forum Allergy Rhinol
resource representing a document's body	covid:343d8d558b08c9eeb856a353c82f1380c79d2b7c#body_text
is schema:about of	named entity 'Bleier' named entity 'Cautery' named entity 'BENJAMIN' named entity 'EQUITY' named entity 'RELATIONSHIPS' named entity 'source control' named entity 'Cautery' named entity 'nasopharynx' named entity 'secretion' named entity 'nostril' named entity 'cadaver' named entity 'COVID-19' named entity 'health policy' named entity 'aerosol' named entity 'La Jolla' named entity 'contralateral' named entity 'Nasopharyngeal' named entity 'desiccation' named entity 'N95 masks' named entity 'endoscopic' named entity 'morphological' named entity 'Cautery' named entity 'standard error' named entity 'Vernon Hills' named entity 'Mann-Whitney' named entity 'Irrigation' named entity 'Irrigation' named entity 'nostril' named entity 'U.S.' named entity 'cadaver' named entity 'Shoreview' named entity 'undersampling' named entity 'PPE' named entity 'surgeon' named entity 'correction for multiple comparisons' named entity 'endoscope' named entity 'cautery' named entity 'airborne particles' named entity 'rostrum' named entity 'cautery' named entity 'COVID-19' named entity 'cautery' named entity 'statistical analysis' named entity 'COVID-19 pandemic' named entity 'proof-of-concept' named entity 'COVID-19 testing' named entity 'PPE' named entity 'coronavirus disease 2019' named entity 'cadaver' named entity 'cadaver' named entity 'contralateral' named entity 'SARS-CoV-2' named entity 'PPE' named entity 'surgeon' named entity 'otolaryngologic' named entity 'cautery' named entity 'soft palate' named entity 'OPS' named entity 'high definition' named entity 'OPS' named entity 'rostrum' named entity 'patient care' named entity 'cadaver' named entity 'PPE' named entity 'operating room' named entity 'Particulate' named entity 'nasopharynx' named entity 'cautery' named entity 'nostril' named entity 'nasopharynx' named entity 'cautery' named entity 'cadaver' named entity 'electrocautery' named entity 'endoscopic surgeon' named entity 'Cole-Parmer'

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