Charing Cross Hospital, London, United Kingdom.
Royal National ENT and Eastman Dental Hospitals, London, United Kingdom.
Facial Plast Surg Aesthet Med. 2020 Jul/Aug;22(4):233-237. doi: 10.1089/fpsam.2020.0258. Epub 2020 May 14.
The impact of the COVID-19 pandemic has resulted in widespread disruption to routine surgical services across the globe. As the peak of the initial pandemic passes, surgeons will increasingly resume elective work to address the backlog. Whilst urgent cases such as cancer work will be prioritized, the safe resumption of facial plastic surgery will remain an ongoing challenge; particularly if there are secondary waves of infection. Rhinoplasty and nasal reconstructive surgery in particular poses a unique challenge to address due to the due to the potential for aerosolizing the virus. A task force of facial plastic surgeons from the European Academy of Facial Plastic Surgery has collaborated to create this document detailing recommendations for resuming a safe facial plastic surgery practice. These include the need to embrace telemedicine, advice on surgical prioritization, planning of clinical area flow plans, advice on pre-/peri- and postoperative care as well as recommendations on training for residents and well-being for surgeons. The recommendations have been made in line with the best available evidence in the literature and are applicable to facial plastic surgery colleagues from around the world in order to resume a safe practice.
COVID-19 大流行的影响导致全球常规外科服务广泛中断。随着最初大流行高峰的过去,外科医生将越来越多地恢复选择性工作以解决积压问题。虽然癌症等紧急病例将被优先考虑,但面部整形手术的安全恢复仍然是一个持续的挑战;特别是如果有第二波感染。由于有将病毒雾化的潜力,隆鼻术和鼻重建手术尤其具有独特的挑战性。来自欧洲面部整形外科学会的一个面部整形外科医生工作组合作编写了这份文件,详细介绍了恢复安全的面部整形手术实践的建议。这些建议包括需要采用远程医疗、手术优先级建议、临床区域流程计划规划、术前/术后护理建议以及对住院医师的培训和外科医生的健康建议。这些建议是根据文献中现有最佳证据制定的,适用于世界各地的面部整形外科学者,以恢复安全的实践。