Head and neck surgery during the coronavirus‐19 pandemic: The University of California San Francisco experience
| Autor: | P. Daniel Knott, Chase M. Heaton, Rahul Seth, Ivan H. El-Sayed, William R. Ryan, Katherine C. Wai, Patrick K. Ha, Jonathan R. George, Andrea M. Park, Mary Jue Xu, Rex H. Lee |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Reconstructive surgery medicine.medical_specialty Databases Factual Otorhinolaryngologic Surgical Procedures medicine.medical_treatment Operative Time 03 medical and health sciences 0302 clinical medicine medicine Humans Parotid Gland 030223 otorhinolaryngology Aged Retrospective Studies business.industry Head and neck cancer Thyroidectomy COVID-19 Neck dissection Retrospective cohort study Perioperative Middle Aged Plastic Surgery Procedures medicine.disease Surgery Treatment Outcome Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Neck Dissection Female San Francisco Complication business |
| Zdroj: | Head & Neck |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.26514 |
| Popis: | Background Guidelines regarding head and neck surgical care have evolved during the coronavirus-19 (COVID-19) pandemic. Data on operative management have been limited. Methods We compared two cohorts of patients undergoing head and neck or reconstructive surgery between March 16, 2019 and April 16, 2019 (pre-COVID-19) and March 16, 2020 and April 16, 2020 (COVID-19) at an academic center. Perioperative, intraoperative, and postoperative outcomes were recorded. Results There were 63 operations during COVID-19 and 84 operations during pre-COVID-19. During COVID-19, a smaller proportion of patients had benign pathology (12% vs 20%, respectively) and underwent thyroid procedures (2% vs 23%) while a greater proportion of patients underwent microvascular reconstruction±ablation (24% vs 12%,). Operative times increased, especially among patients undergoing microvascular reconstruction±ablation (687 ± 112 vs 596 ± 91 minutes, P = .04). Complication rates and length of stay were similar. Conclusions During COVID-19, perioperative outcomes were similar, operative time increased, and there were no recorded transmissions to staff or patients. Continued surgical management of head and neck cancer patients can be provided safely. |
| Databáze: | OpenAIRE |
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