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Table 1 Recommended planning timeframes for various rhinologic surgeries during the COVID-19 era

From: CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic

Priority (Suggested Timeframe)

Surgical Procedure

Emergent (<  24 h)

- Lesion or disease process (e.g. mucocele, infection, inflammatory, neoplastic, bleed) with significant acute neurologic or ophthalmologic compromise

- Invasive fungal sinusitis

- Significant bleeding that cannot be managed by other means (e.g. packing, medical, interventional radiology)

Urgent (<  1 week)

- CSF leak repair (traumatic, iatrogenic)

- Control of recurrent significant epistaxis (e.g. SPA ligation after failed nasal packing)

- Severely displaced or open fracture

Semi-Urgent (<  4 weeks)

- Biopsy of concerning nasal mass

- Malignant sinonasal/skull base skull tumour resection

Expedited (<  3 months)

- Benign nasal tumour (ex. Juvenile nasopharyngeal angiofibroma, hemangioma, inverting papilloma)

- Mycetoma

- Odontogenic sinusitis

- CSF leak repair (spontaneous)

Standard (Regular Waitlist)

- Endoscopic sinus surgery for CRS or mucocele (without neurologic or ophthalmologic compromise)

- Other rhinologic procedures (e.g. septoplasty, septorhinoplasty, dacrocystorhinostomy, orbital decompression, functional nasal surgery)

- Skull base or orbital procedures for benign disease without neurologic compromise