Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India
Abstract 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 durin...
Ausführliche Beschreibung
Autor*in: |
Panda, Smriti [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Schlagwörter: |
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Anmerkung: |
© Indian Association of Surgical Oncology 2021 |
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Übergeordnetes Werk: |
Enthalten in: Indian Journal of Surgical Oncology - Springer-Verlag, 2010, 12(2021), Suppl 2 vom: 12. Sept., Seite 279-289 |
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Übergeordnetes Werk: |
volume:12 ; year:2021 ; number:Suppl 2 ; day:12 ; month:09 ; pages:279-289 |
Links: |
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DOI / URN: |
10.1007/s13193-021-01424-3 |
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SPR04585405X |
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10.1007/s13193-021-01424-3 doi (DE-627)SPR04585405X (SPR)s13193-021-01424-3-e DE-627 ger DE-627 rakwb eng Panda, Smriti verfasserin aut Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2021 Abstract 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. COVID-19 (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 SARS-Cov-2 (dpeaa)DE-He213 Vig, Saurabh aut Singh, Chirom Amit (orcid)0000-0002-6481-8093 aut Konkimalla, Abhilash aut Thakar, Alok aut Sakthivel, Pirabu aut Sikka, Kapil aut Kumar, Rajeev aut Bhatnagar, Sushma aut Mohan, Anant aut Tiwari, Pavan aut Meena, Ved Prakash aut Garg, Rohit K. aut Bollu, Sumanth aut Thakur, Kuldeep aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 12(2021), Suppl 2 vom: 12. Sept., Seite 279-289 (DE-627)SPR030797241 nnns volume:12 year:2021 number:Suppl 2 day:12 month:09 pages:279-289 https://dx.doi.org/10.1007/s13193-021-01424-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 12 2021 Suppl 2 12 09 279-289 |
spelling |
10.1007/s13193-021-01424-3 doi (DE-627)SPR04585405X (SPR)s13193-021-01424-3-e DE-627 ger DE-627 rakwb eng Panda, Smriti verfasserin aut Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2021 Abstract 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. COVID-19 (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 SARS-Cov-2 (dpeaa)DE-He213 Vig, Saurabh aut Singh, Chirom Amit (orcid)0000-0002-6481-8093 aut Konkimalla, Abhilash aut Thakar, Alok aut Sakthivel, Pirabu aut Sikka, Kapil aut Kumar, Rajeev aut Bhatnagar, Sushma aut Mohan, Anant aut Tiwari, Pavan aut Meena, Ved Prakash aut Garg, Rohit K. aut Bollu, Sumanth aut Thakur, Kuldeep aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 12(2021), Suppl 2 vom: 12. Sept., Seite 279-289 (DE-627)SPR030797241 nnns volume:12 year:2021 number:Suppl 2 day:12 month:09 pages:279-289 https://dx.doi.org/10.1007/s13193-021-01424-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 12 2021 Suppl 2 12 09 279-289 |
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10.1007/s13193-021-01424-3 doi (DE-627)SPR04585405X (SPR)s13193-021-01424-3-e DE-627 ger DE-627 rakwb eng Panda, Smriti verfasserin aut Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2021 Abstract 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. COVID-19 (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 SARS-Cov-2 (dpeaa)DE-He213 Vig, Saurabh aut Singh, Chirom Amit (orcid)0000-0002-6481-8093 aut Konkimalla, Abhilash aut Thakar, Alok aut Sakthivel, Pirabu aut Sikka, Kapil aut Kumar, Rajeev aut Bhatnagar, Sushma aut Mohan, Anant aut Tiwari, Pavan aut Meena, Ved Prakash aut Garg, Rohit K. aut Bollu, Sumanth aut Thakur, Kuldeep aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 12(2021), Suppl 2 vom: 12. Sept., Seite 279-289 (DE-627)SPR030797241 nnns volume:12 year:2021 number:Suppl 2 day:12 month:09 pages:279-289 https://dx.doi.org/10.1007/s13193-021-01424-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 12 2021 Suppl 2 12 09 279-289 |
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10.1007/s13193-021-01424-3 doi (DE-627)SPR04585405X (SPR)s13193-021-01424-3-e DE-627 ger DE-627 rakwb eng Panda, Smriti verfasserin aut Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2021 Abstract 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. COVID-19 (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 SARS-Cov-2 (dpeaa)DE-He213 Vig, Saurabh aut Singh, Chirom Amit (orcid)0000-0002-6481-8093 aut Konkimalla, Abhilash aut Thakar, Alok aut Sakthivel, Pirabu aut Sikka, Kapil aut Kumar, Rajeev aut Bhatnagar, Sushma aut Mohan, Anant aut Tiwari, Pavan aut Meena, Ved Prakash aut Garg, Rohit K. aut Bollu, Sumanth aut Thakur, Kuldeep aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 12(2021), Suppl 2 vom: 12. Sept., Seite 279-289 (DE-627)SPR030797241 nnns volume:12 year:2021 number:Suppl 2 day:12 month:09 pages:279-289 https://dx.doi.org/10.1007/s13193-021-01424-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 12 2021 Suppl 2 12 09 279-289 |
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10.1007/s13193-021-01424-3 doi (DE-627)SPR04585405X (SPR)s13193-021-01424-3-e DE-627 ger DE-627 rakwb eng Panda, Smriti verfasserin aut Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2021 Abstract 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. COVID-19 (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 SARS-Cov-2 (dpeaa)DE-He213 Vig, Saurabh aut Singh, Chirom Amit (orcid)0000-0002-6481-8093 aut Konkimalla, Abhilash aut Thakar, Alok aut Sakthivel, Pirabu aut Sikka, Kapil aut Kumar, Rajeev aut Bhatnagar, Sushma aut Mohan, Anant aut Tiwari, Pavan aut Meena, Ved Prakash aut Garg, Rohit K. aut Bollu, Sumanth aut Thakur, Kuldeep aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 12(2021), Suppl 2 vom: 12. Sept., Seite 279-289 (DE-627)SPR030797241 nnns volume:12 year:2021 number:Suppl 2 day:12 month:09 pages:279-289 https://dx.doi.org/10.1007/s13193-021-01424-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 12 2021 Suppl 2 12 09 279-289 |
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Panda, Smriti Vig, Saurabh Singh, Chirom Amit Konkimalla, Abhilash Thakar, Alok Sakthivel, Pirabu Sikka, Kapil Kumar, Rajeev Bhatnagar, Sushma Mohan, Anant Tiwari, Pavan Meena, Ved Prakash Garg, Rohit K. Bollu, Sumanth Thakur, Kuldeep |
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head and neck surgery during covid-19 pandemic: experience from a tertiary care in india |
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Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India |
abstract |
Abstract 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. © Indian Association of Surgical Oncology 2021 |
abstractGer |
Abstract 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. © Indian Association of Surgical Oncology 2021 |
abstract_unstemmed |
Abstract 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. © Indian Association of Surgical Oncology 2021 |
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