Due to high chances of aerosol generation certain procedures in ent can be differed, Below is a list of Surgical Prioritization for ENT.

Surgical Prioritization – Priority 1a

Emergency procedures to be performed in <24 hours.

• Airway obstruction – Cancer / Foreign body / Sepsis
• Neck trauma with vascular / visceral / airway injury
• Nasal /ear button battery removal
• Life threatening middle ear conditions
• Orbital cellulitis.

Priority 1b

Urgent procedures to be performed in <72 hours.

• Uncontrolled epistaxis
• Sinus surgery for impending catastrophe
• Acute mastoiditis, or severe complications of cholesteatoma, not responding to conservative therapy
• Facial nerve palsy secondary to trauma / cholesteatoma
• Traumatic injury to the pinna
• Lymph node biopsy – lymphoma where core biopsy inadequate.
• Head and neck sepsis – not responding to conservative treatment.
• MDT directed Cancer debulking / biopsy – Microlaryngoscopy +/- laser
• Vocal Cord medialisation for severe aspiration

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