High Risk of COVID-19 Infection for Head and Neck Surgeons

Kulcsar, Marco Aurélio Vamondes; Montenegro, Fábio Luiz de Menezes; Arap, S; Tavares, Marcos Roberto; Kowalski, Luiz Paulo

doi:10.1055/s-0040-1709725

Cited by 41 publications

(43 citation statements)

References 7 publications

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“…20,35 It is also necessary to emphasize the importance of correct use and disposal of PPE, as some literature brings to evidence that failure in these steps can be related to high infection rates in health care workers. 39 An article even advised doing specific training to perform a surgery using PPE. 24 It is our understanding that these precautions should become a habit until there is Telemedicine Recommendations The graphic divides into categories the articles that recommended the use of telemedicine specifically for triage, routine consults, and patient revaluation (n ¼ 15); the ones that recommended the use of telemedicine, but did not specify for what situations (n ¼ 4), and those that did not have any comment related to telemedicine (n ¼ 16).…”

Section: Surgical Routinementioning

confidence: 99%

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Hojaij

Chinelatto

Boog

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Head and neck specialists and otorhinolaryngologists are greatly exposed to coronavirus disease 2019 (COVID-19) transmission in their everyday praxis. Many articles are being published regarding medical staff protection and patient management during the pandemic. Objective To provide an easy access to and a trustful review of the main aspects that have changed in the head and neck surgery and otorhinolaryngology practice due to the COVID-19 pandemic. Data Synthesis The search terms used were: (head and neck or otorhinolaryngology or ORL or thyroid) AND (severe acute respiratory syndrome coronavirus 2 [SARS-COV-2] or COVID-19 or CORONAVIRUS). The results were limited to the year of 2020. Articles were read in English, Portuguese, French, German, and Spanish or translated from Chinese. All included articles were read by at least two authors. Thirty-five articles were included. Most articles suggest postponing elective surgeries, with exception to cancer surgeries, which should be evaluated separately. Twenty-five articles recommended some kind of screening prior to surgery, using polymerase chain reaction (PCR) tests and epidemiological data. Extra precautions, such as use of personal protective equipment (PPE), are suggested for both tracheostomies and endoscopies. Fifteen articles give recommendation on how to use telemedicine. Conclusion The use of PPE (N95 or powered air-purifying respirator [PAPR]) during procedures should be mandatory. Patients should be evaluated about their COVID-19 status before hospital admission. Cancer should be treated. Tracheostomy tube cuff should be inflated inside the tracheal incision. All COVID-19 precautions should be kept until there is a validated antiviral treatment or an available vaccine.

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Section: Surgical Routinementioning

confidence: 99%

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Hojaij

Chinelatto

Boog

et al. 2020

Int Arch Otorhinolaryngol

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“…26 In cancer cases, especially in patients with carcinomas of the upper airways and digestive tract, for which the treatment of choice is surgical, COVID-19 infection should be investigated at between 24 and 48 hours before surgery. 27 Lei et al conducted a study with 34 surgery patients, 20 (58.5%) of whom were women and whose median age was 55 years old (interquartile range [IQR], 43-63 years old). All patients developed COVID-19 pneumonia shortly after surgery with abnormal findings on chest CT scans.…”

Section: Discussionmentioning

confidence: 99%

The COVID-19 Pandemic and Planetary Health. A Critical Review of Epidemiology, Prevention, Clinical Characteristics and Treatments for Oral, Head and Neck Health Professionals. Do We Have a Roadmap?

Jotz

Stein

Sirena

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Coronavirus disease 19 (COVID-19) is potentially the greatest global public health crisis of this century. This disease emerged as an outbreak of pneumonia of unknown cause in Wuhan, the capital city of the Hubei province in China, in December 2019. Otolaryngologists, head and neck surgeons and dentists are at an increased risk of occupational disease. Objective The present review summarizes currently published evidence of Covid-19 epidemiology, clinical characteristics, treatment and prevention. No proven effective treatments for this disease currently exist. Data Synthesis COVID-19 started from a zoonotic transmission event associated with a large seafood market that also traded in live wild animals, and it soon became clear that efficient person-to-person transmission was also occurring. Symptoms are varied, and not all patients develop all of them. Conclusion Social distancing seems to have been successful in several places in the world. However, this recommendation alone is not enough to contain the disease, and it is not a long-term solution. Large-scale testing by health professionals of representative samples of the population may give an estimate of the progression of the disease. Different treatments are under test and bring hope of a cure to the population. However, no current treatments (April 27, 2020) have been proven to be the key to success in the treatment of patients with COVID-19. Planetary health is a useful concept to understand the current drivers of this pandemic and to draw a roadmap for science and healthcare that may guide actions to fight economic depression and ensure a healthy recovery.

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“…23,24 These innovations have been valuable for those involved in patient care during the pandemic; healthcare personnel, specifically those who routinely participate in aerosol-generating procedures (e.g., endotracheal intubation, nasal endoscopy) such as otolaryngologists and anesthesiologists, reportedly suffered a high rate of infection and death during the initial outbreak in Wuhan, China. 25,26 The large impact that COVID-19 has had on otolaryngology practice has led to a notable influx of submissions to The Laryngoscope during the first 4 months of the pandemic. Overall, the publication trends and practices of The Laryngoscope have enabled the journal to transparently bring its audience the best possible information available in an expedited manner.…”

Section: Discussionmentioning

confidence: 99%

Dissemination of Information During Public Health Crises: Early COVID‐19 Data From The Laryngoscope

Chern

Selesnick

2020

The Laryngoscope

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Objectives: During a public health crisis, it is important for medical journals to share information in a timely manner while maintaining a robust peer-review process. This review reports and analyzes The Laryngoscope's publication trends and practices during the COVID-19 pandemic, before the COVID-19 pandemic, and during previous pandemics. Methods: Comprehensive review of two databases (PubMed and The Laryngoscope) was performed. COVID-19 manuscripts (published in The Laryngoscope during the first 4 months of the pandemic) were identified and compared to manuscripts pertaining to historic pandemics (published in The Laryngoscope during the first 2 years of each outbreak). Keywords included "Laryngoscope", "flu", "pandemic", "influenza", "SARS", "severe acute respiratory syndrome", "coronavirus", "COVID-19", and "SARS-CoV-2". Data were obtained from The Laryngoscope to characterize publication trends during and before the COVID-19 pandemic.

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High Risk of COVID-19 Infection for Head and Neck Surgeons

Abstract: Int Arch Otorhinolaryngol 2020;24(2):e129-e130.

Cited by 41 publications

References 7 publications

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

The COVID-19 Pandemic and Planetary Health. A Critical Review of Epidemiology, Prevention, Clinical Characteristics and Treatments for Oral, Head and Neck Health Professionals. Do We Have a Roadmap?

Dissemination of Information During Public Health Crises: Early COVID‐19 Data From The Laryngoscope

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