• Stephane Ayache, Walter Kutz, Brandon Isaacson, Mohamed Badr-El-Dine, Joao Flavio Nogueira, Daniele Marchioni, and Livio Presutti.
• Otology and Neurotology Unit, Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Centre Simone Veil, Cannes, France. s.ayache@ch-cannes.fr.
• Eur Arch Otorhinolaryngol. 2021 Jun 1; 278 (6): 2133-2135.

PurposeOtolaryngologists have had to postpone the majority of surgical procedures in the current COVID-19 pandemic. Airborne transmission, beyond the projection of droplets from upper airways, expose healthcare workers to a risk of viral infection. Aerosol generating procedures (AGP) increase the risk of viral transmission to staff within the operating room.MethodsSurgery of middle ear and mastoid is also considered an AGP, particularly mastoidectomy performed using a high-speed drill. The authors report their experience in endoscopic ear surgery as an alternative technique to reduce AGP in otologic procedures.ResultsTranscanal endoscopic ear surgery is a reliable technique used to manage many otologic conditions.ConclusionThe endoscopic approach may reduce the risk of viral transmission to operating room staff by reducing the need for mastoidectomy.

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