Managing head and neck cancer patients with tracheostomy or laryngectomy during the <scp>COVID</scp>‐19 pandemic

Kligerman, Maxwell P.; Vukkadala, Neelaysh; Tsang, Raymond K. Y.; Sunwoo, John B.; Holsinger, F. Christopher; Chan, Jason Y. K.; Damrose, Edward J.; Kearney, Ann; Starmer, Heather M.

doi:10.1002/hed.26171

Cited by 53 publications

(121 citation statements)

References 17 publications

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“…The current advice from UK surgical professional bodies is summarized in Table 2 . Emerging evidence has highlighted that certain subspecialties are at higher risk based on their potential exposure to high viral loads in mucosal membranes of the nasopharynx and oropharynx, such as ear, nose and throat (ENT), maxillofacial, and plastic and reconstructive surgery of the head and neck 52,53 . Most specialty guidelines recommend avoidance of AGPs wherever possible, but full PPE is advised if this is required.…”

Section: Resultsmentioning

confidence: 99%

Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing

Jessop

Dobbs

Ali

et al. 2020

British Journal of Surgery

132

136

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Section: Resultsmentioning

confidence: 99%

Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing

Jessop

Dobbs

Ali

et al. 2020

British Journal of Surgery

132

136

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“…Patients who undergo tracheostomy and laryngectomy represent significant source of aerosolization and high potential for viral transmission based on studies performed during the 2013 SARS outbreak 33,34 . Droplet precautions are recommended for all patients with tracheostomy or open airway during this pandemic period, with the addition of N95 masks and protective eyewear for any staff performing airway manipulation including suctioning, tracheostomy exchange, or nebulizer treatment 33,35 . To reduce droplet production during spontaneous cough, laryngectomy stomas and tracheostomies should be covered when possible with a heat and moisture exchanger which provides significant viral filtration, 34 or cap when possible.…”

Section: Perioperative Considerationsmentioning

confidence: 99%

Changing practice patterns in head and neck oncologic surgery in the early COVID‐19 era

et al. 2020

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Background: The novel coronavirus 2019 (COVID-19) pandemic has changed health care, challenged by resource constraints and fears of transmission. We report the surgical practice pattern changes in a Head and Neck Surgery department of a tertiary cancer care center and discuss the issues surrounding multidisciplinary care during the pandemic. Methods:We report data regarding outpatient visits, multidisciplinary treatment planning conference, surgical caseload, and modifications of oncologic therapy during this pandemic and compared this data to the same interval last year. Results: We found a 46.7% decrease in outpatient visits and a 46.8% decrease in surgical caseload, compared to 2019. We discuss the factors involved in the decision-making process and perioperative considerations.Conclusions: Surgical practice patterns in head and neck oncologic surgery will continue to change with the evolving pandemic. Despite constraints, we strive to prioritize and balance the oncologic and safety needs of patients with head and neck cancer in the face of COVID-19. K E Y W O R D S oncology, otolaryngology, SARS-CoV2

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“…Selection Diagram Six papers that were included in our main results have not been specifically cited in our findings but were considered in our main results. [13][14][15][16][17][18] International Archives of Otorhinolaryngology Vol. 24 No.…”

Section: Cancer Managementmentioning

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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Managing head and neck cancer patients with tracheostomy or laryngectomy during the COVID‐19 pandemic

Cited by 53 publications

References 17 publications

Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing

Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing

Changing practice patterns in head and neck oncologic surgery in the early COVID‐19 era

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

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