Pub Date : 2020-09-04DOI: 10.33552/ojor.2020.03.000563
Dennis C Fitzgerald
{"title":"External Otitis","authors":"Dennis C Fitzgerald","doi":"10.33552/ojor.2020.03.000563","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000563","url":null,"abstract":"","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131175488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.33552/ojor.2020.03.000560
Rkain Ilham
Rachidi Alaoui Siham1,2, Rkain ilham1,3*, Touihmi Safaa3 and Motiaa Youssef1,4 1Faculty of Medicine and pharmacy of tangier, Abdelmalek Saadi University, Tétouan, Morocco 2Department of radiology, university hospital, Tanger, Morocco 3Department of otorhinolaryngology, Head and Neck surgery, university hospital, Tanger, Morocco 4Department of anesthesiology and intensive care, university hospital, Tanger, Morocco
{"title":"Dyspnea After Tracheostomy for Painful Cervical Swelling: What is Your Diagnosis?","authors":"Rkain Ilham","doi":"10.33552/ojor.2020.03.000560","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000560","url":null,"abstract":"Rachidi Alaoui Siham1,2, Rkain ilham1,3*, Touihmi Safaa3 and Motiaa Youssef1,4 1Faculty of Medicine and pharmacy of tangier, Abdelmalek Saadi University, Tétouan, Morocco 2Department of radiology, university hospital, Tanger, Morocco 3Department of otorhinolaryngology, Head and Neck surgery, university hospital, Tanger, Morocco 4Department of anesthesiology and intensive care, university hospital, Tanger, Morocco","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127740374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.33552/ojor.2020.03.000561
I. Rkain
Ilham Rkain1,2*, Safaa Touihmi1, Rachidi Alaoui Siham1,3 and Hicham mimouni4 1Department of otorhinolaryngology, Head and Neck Surgery, university hospital, Tangier, Morocco 2Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Saadi University, Tétouan, Morocco 3Department of radiology, university hospital, Tanger, Morocco 4Department of otorhinolaryngology, Head and Neck Surgery, Al kortobi hospital, Tangier, Morocco
{"title":"Nerves Paralysises Associated to Nasal Obstruction: What is Your Diagnosis??","authors":"I. Rkain","doi":"10.33552/ojor.2020.03.000561","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000561","url":null,"abstract":"Ilham Rkain1,2*, Safaa Touihmi1, Rachidi Alaoui Siham1,3 and Hicham mimouni4 1Department of otorhinolaryngology, Head and Neck Surgery, university hospital, Tangier, Morocco 2Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Saadi University, Tétouan, Morocco 3Department of radiology, university hospital, Tanger, Morocco 4Department of otorhinolaryngology, Head and Neck Surgery, Al kortobi hospital, Tangier, Morocco","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130135686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-25DOI: 10.33552/ojor.2020.03.000559
Fanelli Karina
The high prevalence of hearing loss in newborns and preschoolers around the world leads to audiology to design “auditory screening protocols” and “audiological follow-up”. These programs, based on scientific evidence and clinical experience, were modified over time to optimize time and minimize errors in test results implemented for detection. Their objectives are to reduce the age of identification, diagnosis, and effective interventions to improve language and social-emotional outcomes in children who are deaf or hard of hearing.
{"title":"Auditory Screening","authors":"Fanelli Karina","doi":"10.33552/ojor.2020.03.000559","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000559","url":null,"abstract":"The high prevalence of hearing loss in newborns and preschoolers around the world leads to audiology to design “auditory screening protocols” and “audiological follow-up”. These programs, based on scientific evidence and clinical experience, were modified over time to optimize time and minimize errors in test results implemented for detection. Their objectives are to reduce the age of identification, diagnosis, and effective interventions to improve language and social-emotional outcomes in children who are deaf or hard of hearing.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124896879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-25DOI: 10.33552/ojor.2020.03.000558
Islam Ma
Background & Objectives: Otitis media with effusion (OME) is a common cause of diminished hearing in children younger than 15 years. Hypertrophy of adenoids is one of the commonest etiologies of this condition. This study compares the efficacy of adenoidectomy on OME in patients with different grades of adenoids and the connection between different position of adenoids and middle ear effusion. Methods: This is a prospective study done on 120 pediatric patients (2 to 15 year) presented with chronic otitis media with effusion and adenoid hypertrophy from 2017 to 2019. Adenoid size was graded and correlated with the type of tympanometry. All the cases were subjected to adenoidectomy and myringotomy with or without ventilation tube insertion. They were observed every 3 months postoperatively for a period of 3 years. Preoperative and postoperative data were collected and comparison was made to evaluate whether adenoidectomy with myringotomy is sufficient on management of OME. Results: Adenoid tissue grading showed majority of population remained in Grade III (45%) and Grade C (56.67%). There is a highly significant relation between higher adenoid grade and type B tympanometry. This study showed significant association between grade III and grade C adenoid hypertrophy and otitis media with effusion when compared with other grades of adenoid hypertrophy. This suggests that increasing grade of adenoid hypertrophy is important predictor in establishment of otitis media with effusion in patient with adenoid hypertrophy. After adenoidectomy majority of tympanometry curve was shifted from type B to type A. In case of Grade III, type B tympanometry reduced from 45 to 11 (83% to 20%) in right ears; 49 to 7 (90% to 12%) in left ears. Again, in case of Grade C, type B tympanometry reduced from 55 to 6 (80% to 8%) in right ears; 58 to 5 (85% to 7%) in left ears. This change was significant. The greater the size of the adenoid, after adenoidectomy, more improvement noticed in tympanometry curve. Conclusion: This study may not be the actual picture of overall situation due to many limitations. Still it can be concluded that enlarged adenoids has a definite role in causing OME. This research also shows a benefit of adenoidectomy in the removal of middle ear effusion in children with OME. To efficiently assess the efficacy of adenoidectomy for otitis media with effusion in children, future research is needed.
{"title":"Effect of Adenoid Hypertrophy on Otitis Media with Effusion (OME): A Study of 120 Pediatric Cases","authors":"Islam Ma","doi":"10.33552/ojor.2020.03.000558","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000558","url":null,"abstract":"Background & Objectives: Otitis media with effusion (OME) is a common cause of diminished hearing in children younger than 15 years. Hypertrophy of adenoids is one of the commonest etiologies of this condition. This study compares the efficacy of adenoidectomy on OME in patients with different grades of adenoids and the connection between different position of adenoids and middle ear effusion. Methods: This is a prospective study done on 120 pediatric patients (2 to 15 year) presented with chronic otitis media with effusion and adenoid hypertrophy from 2017 to 2019. Adenoid size was graded and correlated with the type of tympanometry. All the cases were subjected to adenoidectomy and myringotomy with or without ventilation tube insertion. They were observed every 3 months postoperatively for a period of 3 years. Preoperative and postoperative data were collected and comparison was made to evaluate whether adenoidectomy with myringotomy is sufficient on management of OME. Results: Adenoid tissue grading showed majority of population remained in Grade III (45%) and Grade C (56.67%). There is a highly significant relation between higher adenoid grade and type B tympanometry. This study showed significant association between grade III and grade C adenoid hypertrophy and otitis media with effusion when compared with other grades of adenoid hypertrophy. This suggests that increasing grade of adenoid hypertrophy is important predictor in establishment of otitis media with effusion in patient with adenoid hypertrophy. After adenoidectomy majority of tympanometry curve was shifted from type B to type A. In case of Grade III, type B tympanometry reduced from 45 to 11 (83% to 20%) in right ears; 49 to 7 (90% to 12%) in left ears. Again, in case of Grade C, type B tympanometry reduced from 55 to 6 (80% to 8%) in right ears; 58 to 5 (85% to 7%) in left ears. This change was significant. The greater the size of the adenoid, after adenoidectomy, more improvement noticed in tympanometry curve. Conclusion: This study may not be the actual picture of overall situation due to many limitations. Still it can be concluded that enlarged adenoids has a definite role in causing OME. This research also shows a benefit of adenoidectomy in the removal of middle ear effusion in children with OME. To efficiently assess the efficacy of adenoidectomy for otitis media with effusion in children, future research is needed.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130075052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-18DOI: 10.33552/ojor.2020.03.000556
B. A. Hak
Background: Multi-detector computed tomography (MDCT) imaging of paranasal sinuses prior to functional endoscopic sinus surgery (FESS) has become mandatory. Material and methods: Comparative study of 20 patients underwent FESS to detect anatomical variations by MDCT and endo-nasal rhinoscopy examination, pre and postoperative. Results: The study was done on 20 patients, 14 females and 6 males, their age ranged from 6 years to 45 years with a mean of age (23.45). The most common anatomic variation found is the deviated septum in (45%) of the patients. The second anatomic variation is Onodi cell which appears in (35%) of patients, while the least found were congenital bony and mucosal atresia, Agger nasi cell and obstruction of maxillary ostium by bony septum which appear only in (5%). Conclusion: Multiplanar imaging, particularly coronal reformations, offers precise information regarding the anatomy of the sinuses and its variations, which is an essential requisite before surgery.
{"title":"Anatomical Variations of Paranasal Sinuses on Multidetector Computed Tomography","authors":"B. A. Hak","doi":"10.33552/ojor.2020.03.000556","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000556","url":null,"abstract":"Background: Multi-detector computed tomography (MDCT) imaging of paranasal sinuses prior to functional endoscopic sinus surgery (FESS) has become mandatory. Material and methods: Comparative study of 20 patients underwent FESS to detect anatomical variations by MDCT and endo-nasal rhinoscopy examination, pre and postoperative. Results: The study was done on 20 patients, 14 females and 6 males, their age ranged from 6 years to 45 years with a mean of age (23.45). The most common anatomic variation found is the deviated septum in (45%) of the patients. The second anatomic variation is Onodi cell which appears in (35%) of patients, while the least found were congenital bony and mucosal atresia, Agger nasi cell and obstruction of maxillary ostium by bony septum which appear only in (5%). Conclusion: Multiplanar imaging, particularly coronal reformations, offers precise information regarding the anatomy of the sinuses and its variations, which is an essential requisite before surgery.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133835371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-18DOI: 10.33552/ojor.2020.03.000557
H. Riad
The boundaries of the frontal recess are typically formed by the agger nasi cell anteriorly; the lamina papyracea laterally; the most anterior and superior portion of the middle turbinate medially; and the ethmoid bulla, its associated bulla lamella, and the suprabullar cell (if present) posteriorly. This area is called the frontal recess. This is one of the most common regions for residual infection after sinus surgery. Special instruments and training are needed to adequately address obstructions here. Even when special care is taken to examine and protect this area, frontal sinus obstruction can be difficult to correct. The frontal sinus has the longest drainage pathway. Surprisingly, the frontal sinus is not as frequently involved as the maxillary or anterior ethmoid sinuses (Figure 2).
{"title":"Anatomy of Frontal Recess and Opening","authors":"H. Riad","doi":"10.33552/ojor.2020.03.000557","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000557","url":null,"abstract":"The boundaries of the frontal recess are typically formed by the agger nasi cell anteriorly; the lamina papyracea laterally; the most anterior and superior portion of the middle turbinate medially; and the ethmoid bulla, its associated bulla lamella, and the suprabullar cell (if present) posteriorly. This area is called the frontal recess. This is one of the most common regions for residual infection after sinus surgery. Special instruments and training are needed to adequately address obstructions here. Even when special care is taken to examine and protect this area, frontal sinus obstruction can be difficult to correct. The frontal sinus has the longest drainage pathway. Surprisingly, the frontal sinus is not as frequently involved as the maxillary or anterior ethmoid sinuses (Figure 2).","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121175222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-14DOI: 10.33552/ojor.2020.03.000555
Islam Ma
Background & objectives: Papillary thyroid cancer (PTC) is the most prevalent histologic subtype of thyroid cancer accounting for more than 80% of all cases and size of the thyroid nodule in PTC is considered the determinant factor in thyroid surgery i.e. hemithyroidectomy or total thyroidectomy. A single size threshold of 4 cm maximized prognostic discrimination with tumors size >4 cm associated with a five times higher risk of recurrence than those ≤4 cm. The present study aimed to determine an effective treatment strategy for patients with small unilateral papillary thyroid carcinoma in a low risk group below tumor size ≤4 cm. Material and methods: A prospective study was carried out on 700 patients who were diagnosed as papillary thyroid carcinoma by preoperative FNAC or postoperative histopathology. The age of the patients’ was ranged between 15 to 45 years. The criteria were: tumor ≤4 cm, unilateral involvement, cytological non-aggressive subtype, absence of lymph node involvement and extra thyroidal extension on ultrasonography and absence of clinical distant metastases. The study was conducted in tertiary care hospital in Bangladesh from 2004 to 2019. Results: 700 patients were included in the study, 667 patients (95.3%) did not show any recurrence of disease. 33 patients (4.7 %) came with locoregional recurrence of disease in clinical and USG findings without any distant metastasis. Maximum patients were between the ages 31-40 year followed by 21-30 year. Female was outnumber male in the ratio 2.5:1 Conclusion: This study can lead to a result that hemi thyroidectomy is now-a-days a better surgical option for PTC even up to tumor size of ≤4 cm.
{"title":"Size Dictates in the Treatment of Papillary Thyroid Carcinoma","authors":"Islam Ma","doi":"10.33552/ojor.2020.03.000555","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000555","url":null,"abstract":"Background & objectives: Papillary thyroid cancer (PTC) is the most prevalent histologic subtype of thyroid cancer accounting for more than 80% of all cases and size of the thyroid nodule in PTC is considered the determinant factor in thyroid surgery i.e. hemithyroidectomy or total thyroidectomy. A single size threshold of 4 cm maximized prognostic discrimination with tumors size >4 cm associated with a five times higher risk of recurrence than those ≤4 cm. The present study aimed to determine an effective treatment strategy for patients with small unilateral papillary thyroid carcinoma in a low risk group below tumor size ≤4 cm. Material and methods: A prospective study was carried out on 700 patients who were diagnosed as papillary thyroid carcinoma by preoperative FNAC or postoperative histopathology. The age of the patients’ was ranged between 15 to 45 years. The criteria were: tumor ≤4 cm, unilateral involvement, cytological non-aggressive subtype, absence of lymph node involvement and extra thyroidal extension on ultrasonography and absence of clinical distant metastases. The study was conducted in tertiary care hospital in Bangladesh from 2004 to 2019. Results: 700 patients were included in the study, 667 patients (95.3%) did not show any recurrence of disease. 33 patients (4.7 %) came with locoregional recurrence of disease in clinical and USG findings without any distant metastasis. Maximum patients were between the ages 31-40 year followed by 21-30 year. Female was outnumber male in the ratio 2.5:1 Conclusion: This study can lead to a result that hemi thyroidectomy is now-a-days a better surgical option for PTC even up to tumor size of ≤4 cm.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"727 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134139874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-10DOI: 10.33552/ojor.2020.03.000554
R. M. Mason
In the normal dental rest position, teeth are not in contact. The small vertical space between upper and lower teeth that normally occurs at rest is referred to as the dental freeway space, or interocclusal space. The normal freeway space measures 2-3mm at the molars, and 4-6mm at the incisors [1]. The most common causes of orofacial myofunctional disorders (OMDs) are airway interferences and allergies [2]. An OMD, whether the result of a digit habit or an altered oral posture such as a tongue protruding between the incisors, will hinge the mandible open, thus increasing the vertical rest position, or freeway space between the upper and lower jaws and teeth.
{"title":"The Importance of the Freeway Space in ENT Evaluations of Airway Interferences","authors":"R. M. Mason","doi":"10.33552/ojor.2020.03.000554","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000554","url":null,"abstract":"In the normal dental rest position, teeth are not in contact. The small vertical space between upper and lower teeth that normally occurs at rest is referred to as the dental freeway space, or interocclusal space. The normal freeway space measures 2-3mm at the molars, and 4-6mm at the incisors [1]. The most common causes of orofacial myofunctional disorders (OMDs) are airway interferences and allergies [2]. An OMD, whether the result of a digit habit or an altered oral posture such as a tongue protruding between the incisors, will hinge the mandible open, thus increasing the vertical rest position, or freeway space between the upper and lower jaws and teeth.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129481399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-07DOI: 10.33552/ojor.2020.03.000553
R. Persaud
The current Covid-19 pandemic is caused by a highly contagious novel coronavirus which originated from Wuhan China in 2019 [1]. Povidone-iodine (P-I) is known to have virucidal activity [2], that is far superior to any of the commonly used antiseptic agents, including chlorhexidine gluconate and benzalkonium choloride [3]. Previous in vitro studies have shown P-I to be effective against coronaviruses responsible for Sudden Acute Respiratory Syndrome (SARS) [4] and Middle East Respiratory Syndrome (MERS) [5]. Very recently, in vitro experiments have demonstrated that P-I is also virucidal against Covid-19 [6]. In my opinion, P-I is the new PPE and its topical usage in nose, oral cavity and pharynx is now one of the best ways to Flatten the Curve of Covid-19, especially in countries like USA, India and Brazil. Furthermore, P-I maybe the “silver bullet” in the prevention and control of Covid-19 infection, based on the recent in vitro studies [6] and personal observations in ENT clinical practice.
{"title":"Povidone-Iodine may be the “Silver Bullet” in the Prevention and Control of Covid-19 Infection, Based on New Scientific Data","authors":"R. Persaud","doi":"10.33552/ojor.2020.03.000553","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000553","url":null,"abstract":"The current Covid-19 pandemic is caused by a highly contagious novel coronavirus which originated from Wuhan China in 2019 [1]. Povidone-iodine (P-I) is known to have virucidal activity [2], that is far superior to any of the commonly used antiseptic agents, including chlorhexidine gluconate and benzalkonium choloride [3]. Previous in vitro studies have shown P-I to be effective against coronaviruses responsible for Sudden Acute Respiratory Syndrome (SARS) [4] and Middle East Respiratory Syndrome (MERS) [5]. Very recently, in vitro experiments have demonstrated that P-I is also virucidal against Covid-19 [6]. In my opinion, P-I is the new PPE and its topical usage in nose, oral cavity and pharynx is now one of the best ways to Flatten the Curve of Covid-19, especially in countries like USA, India and Brazil. Furthermore, P-I maybe the “silver bullet” in the prevention and control of Covid-19 infection, based on the recent in vitro studies [6] and personal observations in ENT clinical practice.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116541017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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