Conclusion
Though largely confined to simulated settings, the current body of
evidence suggests that routine rhinological practice has the capacity to
create significant aerosolisation of both droplets and smaller
particles.13-24 Whilst several studies suggest this
can be mitigated to a degree, primarily through use of
suction,14,15,20,21,24 it is challenging to recommend
specific mitigation strategies that will eliminate risk completely,
particularly with use of the high-speed drill. Studies do indicate that
close adherence to standard operating
procedures,12,25-27 concerning both pre-operative
patient testing and intraoperative PPE use for staff, can be effective
at preventing spread of COVID-19 during rhinological surgery.