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Quantitative measurement of airborne particles during endoscopic and microscopic ear surgery in the operating room

Published online by Cambridge University Press:  30 August 2023

S Nishiike Open the ORCID record for S Nishiike [Opens in a new window] ,
T Michiba ,
R Ito ,
N Ashida ,
H Kato ,
A Kuki ,
K Ogawa ,
K Tamura  and
S Uetsuka
S Nishiike*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
T Michiba
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
R Ito
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
N Ashida
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
H Kato
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
A Kuki
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
K Ogawa
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
K Tamura
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
S Uetsuka
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Osaka, Japan
*
Corresponding author: Dr Suetaka Nishiike; E-mail: [email protected]
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Abstract

Objective

This study aimed to quantitatively investigate airborne particle load in the operating room during endoscopic or microscopic epitympanectomy or mastoidectomy.

Method

In the transcanal endoscopic ear surgery group, drilling was performed underwater. A particle counter was used to measure the particle load before, during and after drilling during transcanal endoscopic ear surgery or microscopic ear surgery. The device counted the numbers of airborne particles of 0.3, 0.5 or 1.0 μm in diameter.

Results

The particle load during drilling was significantly higher in the microscopic ear surgery group (n = 5) than in the transcanal endoscopic ear surgery group (n = 11) for all particle sizes (p < 0.01). In the transcanal endoscopic ear surgery group, no significant differences among the particle load observed before, during and after drilling were seen for any of the particle sizes.

Conclusion

Bone dissection carries a lower risk of airborne infection if it is performed using the endoscopic underwater drilling technique.

Keywords

Covid-19mastoidectomyoperating roomsparticle size
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 4 , April 2024 , pp. 405 - 409
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr Suetaka Nishiike takes responsibility for the integrity of the content of the paper

References

Chen, JX, Workman, AD, Chari, DA, Jung, DH, Kozin, E, Lee, DJ et al. Improving barrier drapes for the mitigation of aerosol and particulate spread during mastoidectomy. Otol Neurotol 2021;42:347–9CrossRefGoogle ScholarPubMed
Chen, JX, Workman, AD, Chari, DA, Jung, DH, Kozin, ED, Lee, DJ et al. Demonstration and mitigation of aerosol and particle dispersion during mastoidectomy relevant to the COVID-19 Era. Otol Neurotol 2020;41:1230–9CrossRefGoogle Scholar
Anschuetz, L, Yacoub, A, Buetzer, T, Fernandez, IJ, Wimmer, W, Caversaccio, M. Quantification and comparison of droplet formation during endoscopic and microscopic ear surgery: a cadaveric model. Otolaryngol Head Neck Surg 2021;164:1208–13CrossRefGoogle ScholarPubMed
Nishiike, S, Oshima, K, Imai, T, Uetsuka, S. A novel endoscopic hydro-mastoidectomy technique for transcanal endoscopic ear surgery. J Laryngol Otol 2019;133:248–50CrossRefGoogle ScholarPubMed
Nishiike, S, Imai, T, Uetsuka, S, Michiba, T, Ashida, N, Otami, Y et al. An endoscopic hydro-mastoidectomy technique for cholesteatoma surgery. J Laryngol Otol 2023;137:496–500CrossRefGoogle ScholarPubMed
Kirschbaum, S, Hommel, H, Strache, P, Horn, R, Falk, R, Perka, C. Laminar air flow reduces particle load in TKA-even outside the LAF panel: a prospective, randomized cohort study. Knee Surg Sports Traumatol Arthrosc 2021;29:3641–7CrossRefGoogle Scholar
Patir, R, Sreenivasan, SA, Vaishya, S. Negative pressure assisted microenvironment surgical hood: a novel cost-effective device to minimize aerosol contamination during neurosurgical procedures in times of COVID-19. World Neurosurg 2021;150:153–60CrossRefGoogle Scholar
Simpson, JP, Wong, DN, Verco, L, Carter, R, Dzidowski, M, Chan, PY. Measurement of airborne particle exposure during simulated tracheal intubation using various proposed aerosol containment devices during the COVID-19 pandemic. Anaesthesia 2020;75:1587–95CrossRefGoogle ScholarPubMed
Ruiz Medina, L, Moshtaghi, O, Kuang, J, Schalch Lepe, P. Particle aerosolization with energy devices: a comparative study. Laryngoscope Investig Otolaryngol 2022;7:43–6CrossRefGoogle ScholarPubMed
Chari, DA, Workman, AD, Chen, JX, Jung, DH, Abdul-Aziz, D, Kozin, ED et al. Aerosol dispersion during mastoidectomy and custom mitigation strategies for otologic surgery in the COVID-19 Era. Otolaryngol Head Neck Surg 2021;164:67–73CrossRefGoogle ScholarPubMed
Norris, BK, Goodier, AP, Eby, TL. Assessment of air quality during mastoidectomy. Otolaryngol Head Neck Surg 2011;144:408–11CrossRefGoogle ScholarPubMed
Tarabichi, M. Endoscopic management of limited attic cholesteatoma. Laryngoscope 2004;114:1157–62CrossRefGoogle ScholarPubMed
Givi, B, Schiff, BA, Chinn, SB, Clayburgh, D, Iyer, NG, Jalisi, S et al. Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic. JAMA Otolaryngol Head Neck Surg 2020;146:579–84CrossRefGoogle ScholarPubMed
World Health Organization. Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. In: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations [10 June 2022]Google Scholar
Santarpia, JL, Rivera, DN, Herrera, VL, Morwitzer, MJ, Creager, HM, Santarpia, GW et al. Aerosol and surface contamination of SARS-CoV-2 observed in quarantine and isolation care. Sci Rep 2020;10:12732CrossRefGoogle ScholarPubMed
Santarpia, JL, Rivera, DN, Herrera, VL, Morwitzer, MJ, Creager, HM, Santarpia, GW et al. Author correction: aerosol and surface contamination of SARS-CoV-2 observed in quarantine and isolation care. Sci Rep 2020;10:13892CrossRefGoogle ScholarPubMed