Iyer Subramania, Subramaniam Sobha, Ravikumar Beena, Pai Rajesh, Satyapalan Dipu, Moni Merlin, Thankappan Krishnakumar, Subash Pramod
Department of Head and Neck, Plastic and CMF Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala India.
Department of Pulmonology, Amrita Institute of Medical Sciences, Kochi, Kerala India.
J Maxillofac Oral Surg. 2020 Dec;19(4):630-637. doi: 10.1007/s12663-020-01444-6. Epub 2020 Sep 2.
COVID 19 pandemic has affected the delivery of surgical services as a part of management of head and neck cancers all over the world. Since it may affect the overall cure as well as quality of life of these patients, it is necessary to continue providing surgical treatment but with minimal additional health hazards to the patient or the health care worker. For this, a workflow was formulated in a university teaching hospital in India with large head and neck cancer workload and implemented during the period of national lockdown. 125 major head and neck cancer cases were operated during this period out of which 25 patients were of high-risk status. Emergency (10%) and semi-emergency (83%) cases predominated with few electives. The number of noncancer reconstructive and craniomaxillofacial cases operated was 81, out of which 25% was of emergency in nature. When compared to the data of similar period in the previous year, 60% of the workload in the cancer-related cases could be offered surgical treatment, whereas the noncancer cases operated were only 25%. The workflow may be useful for all surgical departments in safely performing procedures during this pandemic or similar situations in future with suitable refinements.
新冠疫情影响了全球头颈癌治疗中外科手术服务的提供。由于这可能影响这些患者的整体治愈情况以及生活质量，因此有必要继续提供手术治疗，但要将对患者或医护人员的额外健康危害降至最低。为此，印度一家大学教学医院制定了一个工作流程，该医院头颈癌工作量大，并在全国封锁期间实施。在此期间，共进行了125例主要的头颈癌手术，其中25例患者属于高危状态。急诊（10%）和半急诊（83%）病例占主导，择期手术较少。非癌性重建手术和颅颌面手术的例数为81例，其中25%为急诊性质。与上一年同期数据相比，癌症相关病例中60%的工作量能够接受手术治疗，而非癌性手术病例仅为25%。该工作流程可能对所有外科科室在此次疫情期间或未来类似情况下安全开展手术操作有用，只需进行适当改进即可。
