Awareness of an Primitive Art for Treating Otological Diseases in Present Covid-19 Scenario: Need of the Hour

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):449-452. doi: 10.1007/s12070-020-02232-x. Epub 2020 Oct 23.

Abstract

In current scenario of Covid-19 pandemic spread of virus via aerosol generating procedures has become a special concern in otorhinolaryngology community. Motive of this study is to spread awareness of an ancient forgotten method of performing mastoidectomy through which risk of virus infection can be greatly reduced among otologic surgeons. Retrospective Observational study. Three patients of chronic otitis media with complication were operatively intervened with combined approach of otorhinolaryngology and neurosurgeons. Mastoidectomies were performed without drilling. Instruments used were small, medium and large size gouge, chisel and hammer, curettes, kerrison punches and other microscopic ear instruments. All three patients recovered well without any residual disease or cavity problems. Referring ancient practices like above in this COVID era may prove an important tool in addressing surgical urgencies while combating transmission risks at the same time. One should be vigilant and versatile in surgical techniques in order to serve the needy and save the saviours simultaneously.

Keywords: Chisel and hammer mastoid surgery; Mastoidectomies in Covid era; Primitive mastoidectomy.