Conclusion
Though largely confined to simulated settings, the current body of evidence suggests that routine rhinological practice has the capacity to create significant aerosolisation of both droplets and smaller particles.13-24 Whilst several studies suggest this can be mitigated to a degree, primarily through use of suction,14,15,20,21,24 it is challenging to recommend specific mitigation strategies that will eliminate risk completely, particularly with use of the high-speed drill. Studies do indicate that close adherence to standard operating procedures,12,25-27 concerning both pre-operative patient testing and intraoperative PPE use for staff, can be effective at preventing spread of COVID-19 during rhinological surgery.