UMMS Affiliation

Department of Otolaryngology

Publication Date


Document Type

Article Postprint


Health Services Administration | Infectious Disease | Otolaryngology | Otorhinolaryngologic Diseases | Patient Safety | Virus Diseases


The aims of this position statement are to provide guidance during the COVID-19 pandemic on 1) management of otologic and neurotologic patients in the office and operating room settings, and 2) optimal use of personal protective equipment. These recommendations are based on peer reviewed published articles, United States and international hospital policies on COVID-19,expert opinion,and recent rapid communications from Stanford University, Pennsylvania State University, the British Society of Otology, and the University of Antwerp. Access to otologic and neurotologic care during and after the COVID-19 pandemic is dependent upon adequate protection of providers within our subspecialty. Otologists and associated staff are at high risk for COVID-19 disease transmission based on close contact with mucosal surfaces of the upper aerodigestive tract during diagnostic evaluation and therapeutic procedures. Given the risk of COVID-19 transmission, the need for physical (social) distancing, and conservation of essential personal protective equipment (PPE), all non-urgent clinic visits and elective procedures should be postponed. For urgent clinical and operative cases, risk assessment with knowledge and utilization of effective PPE is essential to reduce inadvertent infection of providers,staff, and patients.


Coronavirus, COVID-19, otolaryngology, ENT, otology, neurotology, mastoidectomy, craniotomy, aerosolization, endoscopic ear surgery, exoscope, protective personal equipment, PPE, FFP, PAPR, N95

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Accepted manuscript posted after 12-month embargo with a Creative Commons BY-NC license as allowed by the publisher's author rights policy at


Kozin ED et al. (2020) American Neurotology Society Position Statement on Management of Otologic and Neurotologic Patients During the COVID-19 Pandemic. Otology & Neurotology. In Press.

Journal/Book/Conference Title

Otology and Neurotology

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Available for download on Friday, April 16, 2021