The SARS-CoV-2 virus causing the COVID-19 disease created considerable complications and disruptions due to it's pandemic spread. The nature of the disease left certain clinical specialties more vulnerable than others, causing serious problems with organization of care of patients. Most studies concentrated on protocols and strategies to control the situation and reduce further spread amongst medical fields. Only few were designed to identify the various issues faced by doctors. We decided to design a questionnaire addressing relevant matters for doctors working in the field of ear, nose and throat (ENT). This was then sent to all the members of the Czech Society of Otorhinolaryngology. All ENT doctors were invited to fill out the survey within a stipulated time. The aim of the study was to evaluate the impact of a pandemic situation amongst such a high risk specialty. Our results showed a significant difference between the first cases of COVID-19 and progress of the disease during April 2020 in terms of workplace preparation, adequacy of personal protective equipment and other disposable aids. There was also inadequate support of medical personnel within the ENT practices. Furthermore, financial losses were also experienced due to mainly patient-related problems. In conclusion, the obtained results were used to formulate some recommendations for the public, patients, medical staff and employers. These suggestions will hopefully help avoid a repetition of the glitches if faced with another pandemic situation.

Department of Otorhinolaryngology Charles University 3rd Faculty of Medicine and University Hospital Kralovske Vinohrady Srobarova 1150 50 Prague 10034 Czech Republic

Department of Otorhinolaryngology Head and Neck Surgery Charles University 1st Faculty of Medicine and University Hospital Motol 5 Uvalu 84 1 Prague 15006 Czech Republic

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WHO (2020) Coronavirus disease (COVID-19) situation reports. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports

https://www.worldometers.info/coronavirus/. Accessed 20 May 2020

Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, Tan KS, Wang DY, Yan Y. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak-an update on the status. Mil Med Res. 2020;7(1):11. doi: 10.1186/s40779-020-00240-0. PubMed DOI PMC

GOV.UK (2020) https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control#history Accessed 19 May 2020

ENT UK (March 2020) Guidance for ENT during the COVID-19 pandemic. https://www.entuk.org/guidance-ent-during-covid-19-pandemic

ENT UK (April 2020) Clinical guide to surgical prioritisation during the coronavirus pandemic. https://www.entuk.org/clinical-guide-surgical-prioritisation-during-coronavirus-pandemic-ent-specific

Czech Society of Otorhinolaryngology and Head and Neck Surgery (2020) COVID-19 a ORL a chirurgie hlavy a krku v České republice. (Content in Czech language). https://www.otorinolaryngologie.cz/novinky/covid-19-a-orl-a-chirurgie-hlavy-a-krku-v-ceske-republice-377Accessed 20 May 2020

British Laryngological association (April 2020) COVID-19 tracheostomy guideline. https://www.britishlaryngological.org/news/tracheostomy-guideline-covid-19

McGrath BA, Brenner M, Warrillow SJ, et al. Tracheostomy in the COVID-19 era: global and multidisciplinary guidance. Lancet Respir Med. 2020 doi: 10.1016/s2213-2600(20)30230-7. PubMed DOI PMC

Leboulanger N, Sagardoy T, Akkari M, et al. COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL) [published online ahead of print, 2020 Apr 18]. Eur Ann Otorhinolaryngol Head Neck Dis. 2020 doi: 10.1016/j.anorl.2020.04.010. PubMed DOI PMC

Simon F. Ethical questions related to Covid-19 and ENT practice. Eur Ann Otorhinolaryngol Head Neck Dis. 2020;S1879–7296(20):30099. doi: 10.1016/j.anorl.2020.04.009. PubMed DOI PMC

Rosenbaum L. Facing Covid-19 in Italy—ethics, logistics, and therapeutics on the epidemic’s front line. N Engl J Med. 2020;382:1873–1875. doi: 10.1056/nejmp2005492. PubMed DOI

Mitura K, et al. Guidelines for the management of surgical departments in non-uniform hospitals during the COVID-19 pandemic. Pol Przegl Chir. 2020;92(2):42–53. doi: 10.5604/01.3001.0014.1039. PubMed DOI

Sullivan OED. PPE guidance for covid-19: be honest about resource shortages. BMJ. 2020;369:m1507. doi: 10.1136/bmj.m1507. PubMed DOI

Godlee F. Protect our healthcare workers. BMJ. 2020 doi: 10.1136/bmj.m1324. PubMed DOI

Ashcroft J. Keep older healthcare workers off the covid-19 front line. BMJ. 2020;369:m1511. doi: 10.1136/bmj.m1511. PubMed DOI

Yeo D, Yeo C, Kaushal S, Tan G. COVID-19 & the general surgical department–measures to reduce spread of SARS-COV-2 among surgeons. Ann Surg. 2020 doi: 10.1097/sla.0000000000003957. PubMed DOI PMC

Brooks SK, Dunn R, Amlot R, Rubin GJ, Greenberg N. A systematic, thematic review of social and occupational factors associated with psychological outcomes in healthcare employees during an infectious disease outbreak. J Occup Environ Med. 2018;60(3):248–257. doi: 10.1097/jom.0000000000001235. PubMed DOI

Tysome JR, Bhutta MF. COVID-19: protecting our ENT Workforce. Clin Otolaryngol. 2020;45:311–312. doi: 10.1111/coa.13542. PubMed DOI

Krajewska J, Krajewski W, Zub K, Zatoński T. COVID-19 in otolaryngologist practice: a review of current knowledge. Eur Arch Otorhinolaryngol. 2020;277:1885–1897. doi: 10.1007/s00405-020-05968-y. PubMed DOI PMC

Tas J, Dodson T, Buchbinder D, et al. The global impact of COVID-19 on Craniomaxillofacial surgeons. Craniomaxillofacial Trauma Reconstruction. 2020 doi: 10.1177/1943387520929809. PubMed DOI PMC

Maffia F, Fontanari V, Vellone P, et al. Impact of COVID-19 on maxillofacial surgery: a worldwide survey. Int J Maxillofac Surg. 2020 doi: 10.1016/j.ijom.2020.04.015. PubMed DOI PMC

Offeddu V, Yung CF, Low MSF, Tam CC. Effectiveness of masks and respirators against respiratory infections in healthcare workers: a systematic review and meta-analysis. Clin Infect Dis. 2017;65(11):1934–1942. doi: 10.1093/cid/cix681. PubMed DOI PMC

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