Changing paradigms in sinus and skull base surgery as the COVID-19 pandemic evolves: Preliminary experience from a single Italian tertiary care center.
Adolescent
Adult
Aged
Aged, 80 and over
Betacoronavirus
COVID-19
Child
Coronavirus Infections
/ diagnosis
Female
Humans
Infection Control
Italy
/ epidemiology
Male
Middle Aged
Occupational Exposure
/ prevention & control
Otorhinolaryngologic Diseases
/ surgery
Otorhinolaryngologic Surgical Procedures
/ statistics & numerical data
Pandemics
Pneumonia, Viral
/ diagnosis
Retrospective Studies
SARS-CoV-2
Tertiary Care Centers
Young Adult
COVID-19
SARS-Cov-2
endoscopy
skull base
surgery
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
11
05
2020
accepted:
18
05
2020
pubmed:
9
6
2020
medline:
21
7
2020
entrez:
9
6
2020
Statut:
ppublish
Résumé
Italy was the first European country suffering from COVID-19. Health care resources were redirected to manage the pandemic. We present our initial experience with the management of urgent and nondeferrable surgeries for sinus and skull base diseases during the COVID-19 pandemic. A retrospective review of patients treated in a single referral center during the first 2 months of the pandemic was performed. A comparison between the last 2-month period and the same period of the previous year was carried out. Twenty-four patients fulfilled the inclusion criteria. A reduction of surgical activity was observed (-60.7%). A statistically significant difference in pathologies treated was found (P = .016), with malignancies being the most frequent indication for surgery (45.8%). Although we feel optimistic for the future, we do not feel it is already time to restart elective surgeries. Our experience may serve for other centers who are facing the same challenges.
Sections du résumé
BACKGROUND
BACKGROUND
Italy was the first European country suffering from COVID-19. Health care resources were redirected to manage the pandemic. We present our initial experience with the management of urgent and nondeferrable surgeries for sinus and skull base diseases during the COVID-19 pandemic.
METHODS
METHODS
A retrospective review of patients treated in a single referral center during the first 2 months of the pandemic was performed. A comparison between the last 2-month period and the same period of the previous year was carried out.
RESULTS
RESULTS
Twenty-four patients fulfilled the inclusion criteria. A reduction of surgical activity was observed (-60.7%). A statistically significant difference in pathologies treated was found (P = .016), with malignancies being the most frequent indication for surgery (45.8%).
CONCLUSIONS
CONCLUSIONS
Although we feel optimistic for the future, we do not feel it is already time to restart elective surgeries. Our experience may serve for other centers who are facing the same challenges.
Identifiants
pubmed: 32510716
doi: 10.1002/hed.26320
pmc: PMC7300474
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1610-1620Informations de copyright
© 2020 Wiley Periodicals, Inc.
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