key: cord-1039416-drcc9knv
authors: Torretta, Sara; Capaccio, Pasquale; Gaffuri, Michele; Gaini, Lorenzo Maria; Borin, Marco; Maruca, Antonella; Battilocchi, Ludovica; Nitro, Letizia; Marchisio, Paola; Pignataro, Lorenzo
title: ENT management of children with adenotonsillar disease during COVID-19 Pandemic. Ready to start again?
date: 2020-05-28
journal: Int J Pediatr Otorhinolaryngol
DOI: 10.1016/j.ijporl.2020.110145
sha: a0582889a5e12697e00e3d7cad6f57d6ce0fd251
doc_id: 1039416
cord_uid: drcc9knv

Clinical manifestations of COVID-19 in children are milder, but the real burden of disease is unknown. After the lockdown, in our Region Lombardia we have been requested to progressively resume medical services including outpatient assessment and priority surgery. Therefore, we screened surgical waiting lists with identification of 47 children candidates to priority surgery (among 358). No homogeneous national health surveillance/screening programs are ongoing or have been conceived to test susceptible population among children/healthcare workers in preparation of coming down to routinely daily activities, and diagnostic strategies are not completely accurate in children. So, restoring medical services now might be untimely.

to be milder than in adults, given that fever, cough, and respiratory fatigue have been 46 reported in 73% of affected children compared to 93% of adults [1] , with severe/critical disease developing in 6% [2] . In Italy about 4% of affected children (mainly those younger 48 than two years) required requires hospital admission, and no fatal outcome occurred [3] . 49 Reasons for different susceptibility are unknown, and they may be possibly ascribable to aphthous stomatitis-pharyngitis-adenopathy syndrome; previous peritonsillar abscess. 86 To follow the national strategic plan [6], we screened our surgical waiting lists considering 

Coronavirus disease 2019 in children-2

Among Children in China

Epidemia COVID-19. Aggiornamento nazionale 7 142 maggio 2020

New York City Health Department. 2020 Health Alert #13: Pediatric Multi-System

Endoscopic Adenoidectomy in Children With Otitis Media With Effusion and Mild 163

Hearing Loss

European-African Hepato-Pancreato-Biliary Association (E-AHPBA)

Guideline. Preoperative work up on possible COVID-19 infection in asymptomatic 167 patients

Preoperative-work-up-on-possible-COVID-19-infection-in-asymptomatic-169 patients

Value of chest CT as COVID 19 screening tool in 171 children