Serveur d'exploration sur la COVID en France

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Objective olfactory evaluation of self-reported loss of smell in a case series of 86 COVID-19 patients.

Identifieur interne : 000A35 ( Main/Exploration ); précédent : 000A34; suivant : 000A36

Objective olfactory evaluation of self-reported loss of smell in a case series of 86 COVID-19 patients.

Auteurs : Jerome R. Lechien [France, Belgique] ; Pierre Cabaraux [France, Belgique] ; Carlos M. Chiesa-Estomba [France, Espagne] ; Mohamad Khalife [France, Belgique] ; Stéphane Hans [France] ; Christian Calvo-Henriquez [France, Espagne] ; Delphine Martiny [Belgique] ; Fabrice Journe [France, Belgique] ; Leigh Sowerby [France, Canada] ; Sven Saussez [Belgique]

Source :

RBID : pubmed:32437033

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To investigate olfactory dysfunction (OD) in patients with mild coronavirus disease 2019 (COVID-19) through patient-reported outcome questionnaires and objective psychophysical testing.

METHODS

COVID-19 patients with self-reported sudden-onset OD were recruited. Epidemiological and clinical data were collected. Nasal complaints were evaluated with the sinonasal outcome-22. Subjective olfactory and gustatory status was evaluated with the National Health and Nutrition Examination Survey. Objective OD was evaluated using psychophysical tests.

RESULTS

Eighty-six patients completed the study. The most common symptoms were fatigue (72.9%), headache (60.0%), nasal obstruction (58.6%), and postnasal drip (48.6%). Total loss of smell was self-reported by 61.4% of patients. Objective olfactory testings identified 41 anosmic (47.7%), 12 hyposmic (14.0%), and 33 normosmic (38.3%) patients. There was no correlation between the objective test results and subjective reports of nasal obstruction or postnasal drip.

CONCLUSION

A significant proportion of COVID-19 patients reporting OD do not have OD on objective testing.


DOI: 10.1002/hed.26279
PubMed: 32437033
PubMed Central: PMC7280665


Affiliations:


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<name sortKey="Martiny, Delphine" sort="Martiny, Delphine" uniqKey="Martiny D" first="Delphine" last="Martiny">Delphine Martiny</name>
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<nlm:affiliation>Department of Dean, Faculté de Médecine et Pharmacie, Université de Mons (UMONS), Mons, Belgium.</nlm:affiliation>
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<nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ontario, Canada.</nlm:affiliation>
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<name sortKey="Saussez, Sven" sort="Saussez, Sven" uniqKey="Saussez S" first="Sven" last="Saussez">Sven Saussez</name>
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<nlm:affiliation>Department of Neurology, CHU de Charleroi, Charleroi, Belgium.</nlm:affiliation>
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<name sortKey="Chiesa Estomba, Carlos M" sort="Chiesa Estomba, Carlos M" uniqKey="Chiesa Estomba C" first="Carlos M" last="Chiesa-Estomba">Carlos M. Chiesa-Estomba</name>
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<nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian</wicri:regionArea>
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<country xml:lang="fr">France</country>
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<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
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<nlm:affiliation>Department of Head and Neck Surgery, EpiCURA Hospital, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
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<author>
<name sortKey="Hans, Stephane" sort="Hans, Stephane" uniqKey="Hans S" first="Stéphane" last="Hans">Stéphane Hans</name>
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<nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea>
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<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
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<affiliation wicri:level="3">
<nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Calvo Henriquez, Christian" sort="Calvo Henriquez, Christian" uniqKey="Calvo Henriquez C" first="Christian" last="Calvo-Henriquez">Christian Calvo-Henriquez</name>
<affiliation wicri:level="3">
<nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Otolaryngology-Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Otolaryngology-Hospital Complex of Santiago de Compostela, Santiago de Compostela</wicri:regionArea>
<wicri:noRegion>Santiago de Compostela</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Martiny, Delphine" sort="Martiny, Delphine" uniqKey="Martiny D" first="Delphine" last="Martiny">Delphine Martiny</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Microbiology, Laboratoire Hospitalier Universitaire de Bruxelles-Universitair Laboratorium Brussel (LHUB-ULB), Brussels, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Microbiology, Laboratoire Hospitalier Universitaire de Bruxelles-Universitair Laboratorium Brussel (LHUB-ULB), Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Dean, Faculté de Médecine et Pharmacie, Université de Mons (UMONS), Mons, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Dean, Faculté de Médecine et Pharmacie, Université de Mons (UMONS), Mons</wicri:regionArea>
<orgName type="university">Université de Mons</orgName>
<placeName>
<settlement type="city">Liège</settlement>
<region type="region" nuts="1">Région wallonne</region>
<region type="province" nuts="1">Province de Hainaut</region>
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</affiliation>
</author>
<author>
<name sortKey="Journe, Fabrice" sort="Journe, Fabrice" uniqKey="Journe F" first="Fabrice" last="Journe">Fabrice Journe</name>
<affiliation wicri:level="3">
<nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons</wicri:regionArea>
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<placeName>
<settlement type="city">Liège</settlement>
<region type="region" nuts="1">Région wallonne</region>
<region type="province" nuts="1">Province de Hainaut</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Sowerby, Leigh" sort="Sowerby, Leigh" uniqKey="Sowerby L" first="Leigh" last="Sowerby">Leigh Sowerby</name>
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<nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Saussez, Sven" sort="Saussez, Sven" uniqKey="Saussez S" first="Sven" last="Saussez">Sven Saussez</name>
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<nlm:affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons</wicri:regionArea>
<orgName type="university">Université de Mons</orgName>
<placeName>
<settlement type="city">Liège</settlement>
<region type="region" nuts="1">Région wallonne</region>
<region type="province" nuts="1">Province de Hainaut</region>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels</wicri:regionArea>
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<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
<orgName type="university">Université libre de Bruxelles</orgName>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Head and Neck Surgery, EpiCURA Hospital, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Head and Neck Surgery, EpiCURA Hospital</wicri:regionArea>
<wicri:noRegion>EpiCURA Hospital</wicri:noRegion>
</affiliation>
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<title level="j">Head & neck</title>
<idno type="eISSN">1097-0347</idno>
<imprint>
<date when="2020" type="published">2020</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Coronavirus Infections (complications)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Olfaction Disorders (diagnosis)</term>
<term>Olfaction Disorders (virology)</term>
<term>Pandemics (MeSH)</term>
<term>Patient Reported Outcome Measures (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Self Report (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Autorapport (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Mesures des résultats rapportés par les patients (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Troubles de l'olfaction (diagnostic)</term>
<term>Troubles de l'olfaction (virologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Olfaction Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Troubles de l'olfaction</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Troubles de l'olfaction</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Olfaction Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Betacoronavirus</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Patient Reported Outcome Measures</term>
<term>Self Report</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autorapport</term>
<term>Betacoronavirus</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Mesures des résultats rapportés par les patients</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To investigate olfactory dysfunction (OD) in patients with mild coronavirus disease 2019 (COVID-19) through patient-reported outcome questionnaires and objective psychophysical testing.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>COVID-19 patients with self-reported sudden-onset OD were recruited. Epidemiological and clinical data were collected. Nasal complaints were evaluated with the sinonasal outcome-22. Subjective olfactory and gustatory status was evaluated with the National Health and Nutrition Examination Survey. Objective OD was evaluated using psychophysical tests.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Eighty-six patients completed the study. The most common symptoms were fatigue (72.9%), headache (60.0%), nasal obstruction (58.6%), and postnasal drip (48.6%). Total loss of smell was self-reported by 61.4% of patients. Objective olfactory testings identified 41 anosmic (47.7%), 12 hyposmic (14.0%), and 33 normosmic (38.3%) patients. There was no correlation between the objective test results and subjective reports of nasal obstruction or postnasal drip.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>A significant proportion of COVID-19 patients reporting OD do not have OD on objective testing.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">32437033</PMID>
<DateCompleted>
<Year>2020</Year>
<Month>07</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>09</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1097-0347</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>42</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2020</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Head & neck</Title>
<ISOAbbreviation>Head Neck</ISOAbbreviation>
</Journal>
<ArticleTitle>Objective olfactory evaluation of self-reported loss of smell in a case series of 86 COVID-19 patients.</ArticleTitle>
<Pagination>
<MedlinePgn>1583-1590</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/hed.26279</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate olfactory dysfunction (OD) in patients with mild coronavirus disease 2019 (COVID-19) through patient-reported outcome questionnaires and objective psychophysical testing.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">COVID-19 patients with self-reported sudden-onset OD were recruited. Epidemiological and clinical data were collected. Nasal complaints were evaluated with the sinonasal outcome-22. Subjective olfactory and gustatory status was evaluated with the National Health and Nutrition Examination Survey. Objective OD was evaluated using psychophysical tests.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighty-six patients completed the study. The most common symptoms were fatigue (72.9%), headache (60.0%), nasal obstruction (58.6%), and postnasal drip (48.6%). Total loss of smell was self-reported by 61.4% of patients. Objective olfactory testings identified 41 anosmic (47.7%), 12 hyposmic (14.0%), and 33 normosmic (38.3%) patients. There was no correlation between the objective test results and subjective reports of nasal obstruction or postnasal drip.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A significant proportion of COVID-19 patients reporting OD do not have OD on objective testing.</AbstractText>
<CopyrightInformation>© 2020 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Lechien</LastName>
<ForeName>Jerome R</ForeName>
<Initials>JR</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0002-0845-0845</Identifier>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cabaraux</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Neurology, CHU de Charleroi, Charleroi, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chiesa-Estomba</LastName>
<ForeName>Carlos M</ForeName>
<Initials>CM</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0001-9454-9464</Identifier>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Khalife</LastName>
<ForeName>Mohamad</ForeName>
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<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Head and Neck Surgery, EpiCURA Hospital, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Hans</LastName>
<ForeName>Stéphane</ForeName>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France.</Affiliation>
</AffiliationInfo>
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<LastName>Calvo-Henriquez</LastName>
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<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology-Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Martiny</LastName>
<ForeName>Delphine</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Microbiology, Laboratoire Hospitalier Universitaire de Bruxelles-Universitair Laboratorium Brussel (LHUB-ULB), Brussels, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Dean, Faculté de Médecine et Pharmacie, Université de Mons (UMONS), Mons, Belgium.</Affiliation>
</AffiliationInfo>
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<LastName>Journe</LastName>
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<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Sowerby</LastName>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
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<LastName>Saussez</LastName>
<ForeName>Sven</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Head and Neck Surgery, EpiCURA Hospital, Belgium.</Affiliation>
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