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在新冠疫情期间,早期外伤性面神经手术是否应列为优先事项?

Is Early Traumatic Facial Nerve Surgery a Priority during the COVID-19 Pandemic?

作者信息

Faramarzi Mohammad, Faramarzi Ali, Hosseinialhashemi Milad

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Otolaryngology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Int Arch Otorhinolaryngol. 2021 Apr;25(2):e177-e178. doi: 10.1055/s-0041-1724089. Epub 2021 Mar 15.

DOI:10.1055/s-0041-1724089
PMID:33968216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8096494/
Abstract

As otolaryngologists are exposed to high risk of coronavirus disease 2019 (COVID-19) infection, logic and evidence-based prioritization for surgeries is essential to reduce the risk of infection amongst healthcare workers. Several clinical guidelines and surgery prioritizing recommendations have been published during the COVID-19 pandemic. They recommended the surgery in the setting of immediate facial nerve paralysis within 72 hours after trauma, but none of the previous studies in the literature suggests that the optimal timing of operation should be less than 2 weeks from injury.

摘要

由于耳鼻喉科医生面临2019冠状病毒病(COVID-19)感染的高风险,基于逻辑和证据的手术优先级划分对于降低医护人员的感染风险至关重要。在COVID-19大流行期间,已经发布了几项临床指南和手术优先级划分建议。它们建议在创伤后72小时内出现立即面神经麻痹的情况下进行手术,但文献中以前的研究均未表明最佳手术时机应在受伤后不到2周。

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本文引用的文献

1
International cooperation group of emergency surgery during the COVID-19 pandemic.国际新冠疫情紧急外科学合作组
Eur J Trauma Emerg Surg. 2021 Jun;47(3):621-629. doi: 10.1007/s00068-020-01521-y. Epub 2020 Oct 13.
2
Adapting to an unprecedented scenario: surgery during the COVID-19 outbreak.适应前所未有的情况:新冠疫情期间的手术
Rev Col Bras Cir. 2020;47:e20202701. doi: 10.1590/0100-6991e-20202701. Epub 2020 Aug 12.
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Alternatives for establishing a surgical airway during the COVID-19 pandemic.在新冠疫情期间建立手术气道的替代方法。
Rev Col Bras Cir. 2020 Jun 3;47:e20202549. doi: 10.1590/0100-6991e-20202549.
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Impact of Personal Protective Equipment on Surgical Performance During the COVID-19 Pandemic.新冠疫情期间个人防护装备对手术操作的影响。
World J Surg. 2020 Sep;44(9):2842-2847. doi: 10.1007/s00268-020-05648-2.
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COVID-19 and ENT Surgery.COVID-19 与耳鼻喉科手术
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 May;137(3):161-166. doi: 10.1016/j.anorl.2020.04.012. Epub 2020 Apr 23.
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Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection.新型冠状病毒肺炎感染潜伏期接受手术患者的临床特征及预后
EClinicalMedicine. 2020 Apr 5;21:100331. doi: 10.1016/j.eclinm.2020.100331. eCollection 2020 Apr.
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Surgery for post-traumatic facial paralysis: are we overdoing it?创伤后面瘫的手术治疗:我们做得过头了吗?
Eur Arch Otorhinolaryngol. 2018 Nov;275(11):2695-2703. doi: 10.1007/s00405-018-5141-y. Epub 2018 Sep 25.
8
Nonsurgical Treatment for Posttraumatic Complete Facial Nerve Paralysis.创伤性完全性面神经麻痹的非手术治疗。
JAMA Otolaryngol Head Neck Surg. 2018 Apr 1;144(4):315-321. doi: 10.1001/jamaoto.2017.3147.
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The timing of surgical treatment of traumatic facial paralysis: a systematic review.创伤性面瘫的手术治疗时机:一项系统评价
Acta Otolaryngol. 2016 Dec;136(12):1197-1200. doi: 10.1080/00016489.2016.1201862. Epub 2016 Jul 7.
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Acta Otolaryngol. 2014 Jun;134(6):656-60. doi: 10.3109/00016489.2014.892214. Epub 2014 Mar 25.