ENT (Ear Nose Throat) Manifestation of COVID-19

Incidence

Higher risk in otolaryngologist

Pathology

Inhaled virus binds to epithelial cells in the nasal cavity and start replicating.

ACE-2 is the main receptor

In some research it is found that ciliated cells are infected in the conducting airways.

In research it shown that COVID-19 Infection have deleterious effects on Cochlear hair cell functions despite being asymptomatic.

Presentation

  • Rhinorrhoea
  • Nasal congestion
  • Sore throat
  • Anosmia/ Hyposmia
  • Vertigo / dizziness
  • Hearing loss
  • Tinnitus

Investigations

  • Naso pharyngeal swab / wash
  • Oropharyngeal swab
  • Nasal mid turbinate swab
  • Anterior nares swab/ wash
  • Endoscopy of nose, pharynx and larynx