Considerations for Continuing Semielective and Emergency Otolaryngological Procedures During the COVID-19 Pandemic

Müller, Sarina; Traxdorf, Maximilian; Mantsopoulos, Konstantinos; Gostian, Antoniu Oreste; Sievert, Matti; Koch, Michael; Huebner, M. J.; Iro, Heinrich

doi:10.1177/0145561320952506

Cited by 4 publications

(5 citation statements)

References 21 publications

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“…There may also be a risk of metastasis. [ 21 - 25 ] The pandemic has led to a backlog in the cases. This will put undue pressure on the fast movement of the cases and may hamper the attention of the surgeon.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Head and Neck Surgery During the Pandemic COVID-19: A Tertiary Care Center Study

Janapareddi,

Mansuri,

Khot

et al. 2023

Journal of Pharmacy and Bioallied Sciences

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Introduction: There is a notable shift in the attitude of the admission, review, diagnostics, and follow-up of patients for all the medical sectors and of particular interest of cancer patients. The present study aimed to elaborate on the identification of patients with head and neck cancers (HNCs); the diagnostics, the triage, and the best treatment plan were all evaluated and at the same time compared with the years before the pandemic at a tertiary care center that caters to various other patients also. Materials and Methods: A retrospective observational clinical study was conducted at the tertiary care center that catered to all the medical specialties. The demographics, the patient characteristics, the surgeries performed, complications, mortality, and readmissions were evaluated and compared with the pre-coronavirus disease (COVID) time. Results: There was a significant difference in the complications for the pre-COVID time when the groups were compared for the matched pair. Conclusion: The proper screening and triaging of the patients will help in the early intervention of the patients with the HNCs.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Head and Neck Surgery During the Pandemic COVID-19: A Tertiary Care Center Study

Janapareddi,

Mansuri,

Khot

et al. 2023

Journal of Pharmacy and Bioallied Sciences

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“…During the pandemic period, nasolacrimal and nasal surgical procedures were not recommended due to proximity to the nasal mucosa in the ophthalmology and otolaryngology guidelines. 5 However, some otolaryngology clinics reported that emergency surgeries can be performed by taking all precautions 10 . In addition, semielective cases were also taken by taking the necessary precautions.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it is also possible for nasal, real-time, reverse transcription-polymerase chain reaction (RT-PCR) tests taken before surgery to show false negativity 9 . However, it is recommended that all precautions be taken in patients requiring emergency surgery, even if the PCR tests are negative 10,11 . These measures include personal protective equipment, operating room conditions, and avoidance of high aerosol formation during surgery [10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

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Investigation of the presence of SARS-CoV-2 in the lacrimal sac and sustainability of lacrimal surgeries during the pandemic period

Alpogan

ASLAN

2022

Dicle Tıp Dergisi

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Objective: To investigate the reliability of dacryocystorhinostomy operations in terms of viral spread by examining the presence of severe acute respiratory syndrome (SARS) corona-virus type 2 (SARS-CoV-2) in the lacrimal sac. Methods: A total of 15 eyes in 14 patients of nasolacrimal duct obstruction that was scheduled for external dacryocystorhinostomy operation were prospectively included in the study. Patients who have coronavirus disease 2019 (COVID-19), had recovered from COVID-19, have a history of close contact with COVID-19 infected persons, and are with vaccination were not included in the study. A nasopharyngeal swab was taken from the surgery planned side of each patient 24 hours before their operation. All cases were real-time, reverse transcription-polymerase chain reaction (RT-PCR) negative. Lacrimal swabs were taken from the lacrimal sac during surgery in these cases. The compatibility of the RT-PCR test results from the lacrimal sac and nasopharyngeal swab was evaluated. Results: The mean age of the patients was 56.04 ± 14.91 years. The mean duration of nasolacrimal duct occlusion was 3.93 ± 3.40 years. RT-PCR was negative in the swabs taken from the lacrimal sac of all cases (100%). This result showed agreement with the RT-PCR test results of the nasopharyngeal swabs. Conclusions: Viral RNA of SARS-CoV-2 was not detected in the lacrimal sac in this study. Lacrimal sac surgeries can be performed by taking the necessary precautions.

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“…We have compared the results of our study with other publications reporting on the surgical outcomes in HNC operated during the period of the pandemic in Table 4 [24][25][26][27][28]. Currently, we only have single institution experience reporting on retrospective data.…”

Section: Discussionmentioning

confidence: 99%

Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India

Panda

Vig

Singh

et al. 2021

Indian J Surg Oncol

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Head and neck pathologies requiring surgical intervention are considered a high-risk subsite in the context of COVID-19 pandemic by virtue of its close proximity to the mucosa of the upper aerodigestive tract. Retrospective review of all head and neck surgical procedures is undertaken during the pandemic from 23rd April 2020 to 30th September 2020. One hundred procedures were performed on 98 patients. COVID-19 status determined by SARS-Cov-2 RT-PCR at baseline was negative for 81, positive in 8 and unknown in 11. The RT-PCR negative subgroup included 40 diagnostic procedures and 41 ablative and or reconstructive procedures for head and neck neoplasms. None of the patients or health-care workers converted to COVID-19-positive status during the duration of the hospital stay. There were no cases with 30-day mortality. Clavien-Dindo grading for postoperative complications was as follows: 1–4, 2–12, 3a-2, 3b-1. Eleven patients with unknown COVID-19 status at baseline underwent emergency tracheostomy in a COVID-19 designated operating room for upper airway obstruction secondary to head and neck cancer. Of the 8 procedures conducted on known cases of COVID-19, 6 were tracheostomies performed for COVID-19 ARDS. The rest were maxillectomy for acute invasive mucormycosis and incision and drainage for parotid abscess. A matched-pair analysis was performed with similarly staged historical cohort operated during January to December 2016 to compare peri-operative complication rates (Clavien-Dindo Score). Incidence of complication with higher Clavien Dindo Score (>/=3a) was found to be lower in those patients operated during the pandemic (p=0.007). By meticulous preoperative COVID-19 screening and isolation, head and neck surgical procedures can be continued to avoid delay in diagnosis and treatment without jeopardising the risk of transmission of COVID-19 to the patients or health-care workers.

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Considerations for Continuing Semielective and Emergency Otolaryngological Procedures During the COVID-19 Pandemic

Cited by 4 publications

References 21 publications

Evaluation of the Head and Neck Surgery During the Pandemic COVID-19: A Tertiary Care Center Study

Evaluation of the Head and Neck Surgery During the Pandemic COVID-19: A Tertiary Care Center Study

Investigation of the presence of SARS-CoV-2 in the lacrimal sac and sustainability of lacrimal surgeries during the pandemic period

Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India

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