Reddy, Priyanka D. BS1, Nguyen, Shaun A. MD FAPCR1, Deschler, Daniel MD FACS2

1 Department of Otolaryngology – Head and Neck Surgery, Medical University of South Carolina, Charleston, SC
2 Department of Otolaryngology – Head and Neck Surgery, Massachusetts Eye and Ear, Boston, MA
 Conflicts of Interest: None
Sources of Funding: None
Word Count: 939
 
Corresponding Author:
Priyanka Reddy 
Department of Otolaryngology – Head and Neck Surgery 
135 Rutledge Avenue, MSC 550, Charleston, SC 29425 
Phone: 843-876-0112 
Fax: 843-792-0546 
reddyp@musc.edu 
 
Abstract
Background: The United States now has the highest death toll due to COVID-19. Many otolaryngology procedures, including laryngoscopy, bronchoscopy, and esophagoscopy, place otolaryngologists at increased risk of coronavirus transmission due to close contact with respiratory droplets and aerosolization from the procedure. The aim of this paper is to provide an overview of guidelines on how to perform these procedures during the coronavirus pandemic.
Methods: Literature review was performed. Articles citing laryngoscopy, bronchoscopy, esophagoscopy use in regards to COVID-19 were included.
Results: Laryngoscopy, bronchoscopy, and esophagoscopy are all used in both emergent and elective situations. Understanding the risk stratification of cases and the varied necessity of personal protective equipment is important in protecting patients and healthcare workers. 
Conclusions: Summary guidelines based on the literature available at this time is presented in order to decrease transmission of the virus and protect those involved.