id author title date pages extension mime words sentences flesch summary cache txt cord-351528-23lbs8al Zacharia, Brad E Letter: Surgical Management of Brain Tumor Patients in the COVID-19 Era 2020-04-29 .txt text/plain 999 68 39 title: Letter: Surgical Management of Brain Tumor Patients in the COVID-19 Era In regions with high baseline COVID-19 rates and available testing, all patients should undergo testing as close as possible to surgery. 5 In regions where COVID-19 testing is not readily available, all patients should be screened with a questionnaire to assess the likelihood of active disease and prior exposure. 6 In institutions without routine testing availability and without high rates of disease presence, those patients who screen negative may likely proceed to the operating room with standard precautionary measures. Given the high viral load in the upper airway of infected patients, aerosolization of SARS-CoV-2 may be extremely high during sinonasal and upper airway procedures, particularly when powered instruments (such as drills) are employed. 9 The American Association of Otolaryngology-Head and Neck Surgery (AAO-HNS) recommends deferring endoscopic endonasal procedures unless emergent or until preoperative COVID-19 testing can be performed. ./cache/cord-351528-23lbs8al.txt ./txt/cord-351528-23lbs8al.txt