Department of otorhinolaryngology, head and neck surgery, centre hospitalier universitaire (CHU) la Conception, Aix Marseille université, Assistance publique-Hôpitaux de Marseille, Marseille, France.
Department of otorhinolaryngology, head and neck surgery, CHU, Strasbourg, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 May;137(3):159-160. doi: 10.1016/j.anorl.2020.04.008. Epub 2020 Apr 11.
In the context of the current pandemic, there is a need for specific advice concerning treatment of patients with Head and Neck cancers. The rule is to limit as much as possible the number of patients in order to reduce the risks of contamination by the SARS-Cov-2 virus for both patients and the caregivers, who are particularly exposed in ENT. The aim is to minimize the risk of loss of opportunity for patients and to anticipate the increased number of cancer patients to be treated at the end of the pandemic, taking into account the degree of urgency, the difficulty of the surgery, the risk of contaminating the caregivers (tracheotomy) and the local situation (whether or not the hospital and intensive care departments are overstretched).
在当前大流行的背景下,需要就头颈部癌症患者的治疗提供具体建议。原则是尽可能减少患者数量,以降低 SARS-CoV-2 病毒对患者和护理人员的污染风险,因为耳鼻喉科的护理人员接触病毒的风险特别高。目的是尽量减少患者错失治疗机会的风险,并考虑到紧迫性程度、手术难度、污染护理人员的风险(气管切开术)和当地情况(医院和重症监护部门是否超负荷运转),为大流行结束后需要治疗的癌症患者数量的增加做好准备。