Abstract: Current SARS-CoV-2 coronavirus pandemic is challenging medical and surgical activities.Specifically, within neurosurgery, endoscopic endonasal approaches pose a high risk of con-tagion for healthcare personnel involved in it. Initially, the recommendation was to avoidsuch surgeries. However, the pandemic has dragged on and new solutions must be proposedto continue carrying out these approaches safely. Given the lack of established protocols,we propose the following one, which concisely establishes the measures to be taken in bothurgent and scheduled surgery. In addition, a new protection-aspiration device (Maskpirator)is described.

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