key: cord-0929409-irhdf4o2
authors: Fried, Jacob; Imam, Sarah A.; Lee, Joshua A.; Nguyen, Shaun A.
title: Nasal endoscopy protocols in the era of COVID-19
date: 2020-05-14
journal: World J Otorhinolaryngol Head Neck Surg
DOI: 10.1016/j.wjorl.2020.04.007
sha: 64c8d8d95cf02a310bccc6e0f0e5685bebe525d3
doc_id: 929409
cord_uid: irhdf4o2

nan

COVID-19, the respiratory illness caused by the novel SARS-CoV-2 virus has rapidly 14 emerged as a serious global health concern. As of March 12, 2020, the World Health 15 Organization (WHO) has declared this virus a pandemic. 1 In the United States, there have been 16 35,841 cases diagnosed and 465 deaths, with both prevalence and mortality continuing to 17 escalate. 2 The WHO and has enacted various protocols for healthcare institutions internationally 18 in an attempt to slow the spread of disease, 3 including adjustments for procedures performed by 19 otolaryngologists. This paper aims to review the current literature pertaining to adjustments in 20 nasal endoscopy protocols and appropriate precautions in the era of COVID-19.

A comprehensive literature review was performed searching for any published English-23 language literature discussing nasopharyngoscopy and COVID-19. The search strategy primarily 24 queried PUBMED using search terms: "COVID-19 or coronavirus" with "nasopharyngoscopy or 25 nasal endoscopy." Additionally, google translate was used to find published Chinese-language 26 literature discussing nasopharyngoscopy and COVID-19. Simple web searches were also 27 utilized, taking advantage of media reporting from both China and the US. All articles, 28 webpages, reports, and official statements were reviewed by one author (JF).

Otolaryngologists appear to be at higher risk than their colleagues of contracting COVID- This may be due to higher levels of viral shedding from the nose, as viral loads have been found 79 The author declare no conflict or interest relevant to this paper. 

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