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\begin{document}

\title{British Society of Otology National Prospective COVID-19 Audit; Resuming
Otological Surgery}



\author[1]{Elinor Warner}%
\author[1]{Reshma Ghedia}%
\author[2]{Anton Alatsatianos}%
\author[3]{Simon Lloyd}%
\author[4]{Peter Rea}%
\author[5]{Felicity Seymour}%
\affil[1]{The Royal London Hospital}%
\affil[2]{Queen Elizabeth University Hospital}%
\affil[3]{Manchester Royal Infirmary}%
\affil[4]{LEICESTER ROYAL INFIRMARY}%
\affil[5]{Royal London Hospital}%


\vspace{-1em}



  
  \date{May 17, 2024}


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\begin{abstract}
Objectives To assess how otological surgery resumed following the UK's
first wave of the COVID-19 pandemic and what challenges clinicians faced
when operating. Design A multi-centre prospective audit of elective and
emergency otological surgery Participants 1130 cases from 79 hospital
sites across the UK (excluding Northern Ireland). Data was collected
over three, 4-week audit periods from 15th June to 6th September 2020.
Main outcome measures Which operations were being performed in England,
Scotland and Wales? What was the use of personal protective equipment
(PPE)? Were there a greater number of complications? What was the level
of trainee participation? Did any patients or patients contract
COVID-19? Results 85.8\% of operations took place in England. 69.1\% of
operations were middle ear procedures and 58\% of patients were adults.
83.2\% were Caucasian and 93.9\% of patients had minimal co-morbidities
(ASA 1 or 2). 91.1\% were for tested SARS-CoV-2 pre-operatively, none of
whom tested positive. 70.4\% isolated for 7-14 days pre-operatively.
28.2\% of surgeons wore full personal protective equipment (PPE),
compared with 66.6\% of anaesthetists and 68.2\% of scrub staff.
Trainees were present in 80.3\% of cases. Complications were reported in
4\% of cases; surgical site infection was the most common. No patients
or staff contracted SARS-CoV-2 during the audit. Conclusions Restarting
otology surgery after the first wave of the SARS-CoV-2 pandemic was
performed safely across the UK, with no increase in complication rates
or SARS-CoV-2 transmission. However, there were challenges to operating
with PPE and trainees have been affected by reduced exposure to surgical
cases.%
\end{abstract}%



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