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COVID-19 screening protocols for preoperative assessment of head and neck cancer patients candidate for elective surgery in the midst of the pandemic: A narrative review with comparison between two Italian institutions.
Ferrari, Marco; Paderno, Alberto; Giannini, Lorenzo; Cazzador, Diego; Ciardiello, Cristina; Carretta, Giovanni; Piazza, Cesare; Nicolai, Piero.
  • Ferrari M; Section of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedaliera di Padova, University of Padua, Padua, Italy; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Spedali Civili di Brescia, University of Brescia, Brescia, Italy. Electronic address: 1990marcoferrari@gmail.com.
  • Paderno A; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Spedali Civili di Brescia, University of Brescia, Brescia, Italy.
  • Giannini L; Department of Otorhinolaryngology, Maxillofacial and Thyroid Surgery, Fondazione IRCCS, National Cancer Institute of Milan, Milan, Italy.
  • Cazzador D; Section of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedaliera di Padova, University of Padua, Padua, Italy.
  • Ciardiello C; Department of Otorhinolaryngology, Maxillofacial and Thyroid Surgery, Fondazione IRCCS, National Cancer Institute of Milan, Milan, Italy; Department of Maxillofacial Surgery, San Paolo Hospital, University of Milan, Milan, Italy.
  • Carretta G; Medical Direction, Azienda Ospedaliera di Padova, University of Padua, Padua, Italy.
  • Piazza C; Department of Otorhinolaryngology, Maxillofacial and Thyroid Surgery, Fondazione IRCCS, National Cancer Institute of Milan, Milan, Italy; Department of Oncology and Oncohematology, University of Milan, Milan, Italy.
  • Nicolai P; Section of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedaliera di Padova, University of Padua, Padua, Italy.
Oral Oncol ; 112: 105043, 2021 01.
Article in English | MEDLINE | ID: covidwho-857053
ABSTRACT

BACKGROUND:

Preoperative screening had a key role in planning elective surgical activity for head and neck cancer (HNC) during the COVID-19 pandemic.

METHODS:

All patients undergoing surgery for HNC at two Italian referral hospitals (University of Padua and National Cancer Institute [NCI]) during the peak of the COVID-19 epidemic in Italy were included. Accuracy of screening protocols was assessed.

RESULTS:

In the Padua protocol, 41 patients were screened by pharyngeal swab. The entire sample (100%) was admitted to surgery, diagnostic accuracy was 100%. In the NCI protocol, 23 patients underwent a telephone interview, blood test, and chest CT. Twenty patients (87%) were negative and were directly admitted to surgery. In the remaining 3 (13%), pharyngeal swab was performed. The screening was repeated until a negative chest CT was found. Diagnostic accuracy was 85%.

CONCLUSIONS:

Dedicated screening protocols for COVID-19 allow to safely perform elective HNC surgery.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Preoperative Care / COVID-19 Testing / SARS-CoV-2 / COVID-19 / Head and Neck Neoplasms Type of study: Diagnostic study / Observational study / Prognostic study / Reviews Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Oral Oncol Journal subject: Neoplasms Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Preoperative Care / COVID-19 Testing / SARS-CoV-2 / COVID-19 / Head and Neck Neoplasms Type of study: Diagnostic study / Observational study / Prognostic study / Reviews Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Oral Oncol Journal subject: Neoplasms Year: 2021 Document Type: Article