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  • Case Report   
  • Otolaryngol,

‘POLIDON’ Approach- a Novel Solution for the ENT and Skull Base Surgeons in COVID-19 Era

Mostafa Kamal Arefin1*, Muhammad Shaharior Arafat1, SkNurul Fattah Rumi1, Nazmul Islam Munna2, Abu Yusuf Fakir3, Kamrul Hassan Tarafder4, Ashraful Islam5, Khorshed Alam Mozumder6 and AF Mohiuddin Khan1
1Otolaryngologist, Department of ENT & Head Neck Surgery, Dhaka Medical College Hospital, Bangladesh
2Professor of Otolaryngology, Line Director, Medical education &health manpower development, Directorate General of Medical Education, Bangladesh
3Professor of Otolaryngology, Additional Director General of Medical Education, Bangladesh
4Professor, Department of ENT & Head Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh
5Professor& Head, Department of ENT & Head Neck Surgery, Bangladesh Medical College Hospital, Bangladesh
6Professor, Department of ENT & Head Neck Surgery, Holy Family Medical College Hospital, Bangladesh
*Corresponding Author : Mostafa Kamal Arefin MBBS, MCPS, FCPS, Otolaryngologist, Department of ENT & Head Neck Surgery, Dhaka Medical College Hospital, Bangladesh, Tel: 8801671748866, Email: arefin61dmc@gmail.com

Received Date: Sep 26, 2020 / Accepted Date: Nov 20, 2020 / Published Date: Nov 27, 2020

Abstract

Health care providers ( HCP) of ENT and Skull base surgery are highly vulnerable and mostly infected with novel coronavirus ; as they have to examine and perform procedures directly in oral cavity, oropharynx, nose, nasopharynx, where novel coronavirus remains in plenty. ENT & Skull base surgeons need to do lots of aerosol generating procedures (AGP). Most of the endoscopic and microscopic ENT & skull base surgery, are AGP; like- mastoid surgery, sinus surgery, surgery of pituitary gland. We thought about neutralizing or destroying the novel coronavirus from its route of entry zone. All of we know, COVID negative by RT- PCR test is not always COVID negative. For this, in COVID-19 pandemic routine, even cancer surgeries are discouraged, avoided or postponed for the sake of safety of HCPs. Moreover, in case of surgical emergency there’s no way to refuse a patient for not having a report of COVID test. We designed and proposed a novel approach, i.e. ‘POLIDON’ (POLIDON= Polythene + Povidone Iodine), which can be the ultimate hope or solution for these unfortunate patients as well as surgeons or HCPs of above mentioned specialties. Firstly, Use of Povidone Iodine as mouthwash and nasal spray or irrigation for both patient and HCPs prior to surgery is proposed here. Then, use of simple polythene as barrier drape of patient or operative area for prevention of spread of aerosol in OT during surgery. Thus all these procedures can be done with more safety and confidence.

Keywords: POLIDON; Povidone Iodine (PVP-I); ENT; Skull base; Health care provider (HCP); COVID-19

Citation: Arefin NK, Arafat MS, Rumi SNF, Munna NI, Fakir AY, et al (2020) ‘POLIDON’ Approach- a Novel Solution for the ENT and Skull Base Surgeons in COVID-19 Era. Otolaryngol (Sunnyvale) 10: 502.

Copyright: © 2020 Arefin NK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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