Sialendoscopy before, during and after the COVID-19 pandemic
DOI:
https://doi.org/10.6016/ZdravVestn.3182Keywords:
salivary glands, endoscopy, SARS-CoV-2, epidemic, safetyAbstract
The sialendoscopic techniques represent a new paradigm that has essentially changed the management of the obstructive salivary gland disease. The COVID-19 epidemic represents a new challenge for the health system of each particular country and puts numerous particularly elective surgical procedures to the test. The surgical procedures of head and neck, especially the ones of oral cavity, present a high risk for the transmission of COVID-19. During sialendoscopy and sialendoscopically assisted surgery, the surgical and anaesthesiological teams are exposed to the saliva and the products of reflexes of the sensitive anatomical regions of the oral cavity and the rest of the upper aerodigestive tract. The level of risk of the surgical procedure according to the phase of surgery, type of anaesthesia, personal protective equipment and current epidemiological situation of COVID-19 remains unknown. At first, the emergent and later also elective sialendoscopic and sialendoscopically assisted procedures were performed during the COVID-19 epidemic in the University Department of Otorhinolaryngology and Cervicofacial Surgery Ljubljana. We believe that in the period of containable COVID-19 epidemiological situation, taking into account indications and protective measures, the sialendoscopic surgery is safe for the patient and the practitioner.
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