Changing trend in the management of head neck cancers during the COVID-19 pandemic.
Eur Arch Otorhinolaryngol
; 279(3): 1453-1460, 2022 Mar.
Article
in English
| MEDLINE | ID: covidwho-1265494
ABSTRACT
BACKGROUND:
In the present study, we have shared our experience in managing head neck cancers, especially the oral malignancies, during the crisis of COVID 19. MATERIALS ANDMETHODS:
Patients with oral cancers underwent pedicle/local flaps and free flaps reconstruction based on the availability of intensive care unit and comorbidities of the patients. The clinical outcomes were compared at the end of one week, one month, and three months after the primary surgery.RESULTS:
Pedicle/local flaps were used in 25 cases and radial/fibular free flaps were used in 8 cases for the reconstruction of soft tissue defects. Patients with pedicle flap reconstruction had better clinical outcomes, including lesser ICU stay as compared to free flaps.CONCLUSION:
Pedicle flap can be a valid alternative to the free flap for the soft tissue reconstruction in advanced oral malignancies during the COVID pandemic period in the Indian subcontinent, especially with limited infrastructure of the hospitals.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Plastic Surgery Procedures
/
Free Tissue Flaps
/
COVID-19
/
Head and Neck Neoplasms
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Eur Arch Otorhinolaryngol
Journal subject:
Otolaryngology
Year:
2022
Document Type:
Article
Affiliation country:
S00405-021-06898-z
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