Otolaryngology: Open Access
Open Access

COVID-19; pandemic; Head and neck surgical oncology; Acute extreme aid constraint: international consensus; Recommendations

Introduction

The COVID-19 pandemic has disrupted healthcare systems globally, leading to acute extreme aid constraints in many regions. These constraints pose significant challenges to the management of head and neck cancer patients, who require timely and specialized care. The intricate nature of head and neck surgical oncology procedures, combined with the need for multidisciplinary management, exacerbates these challenges. In response to this unprecedented situation, an international consensus has been established to provide recommendations for head and neck surgical oncology practice during the COVID-19 pandemic [1-3].

Patient prioritization: During periods of acute extreme aid constraint, the prioritization of head and neck cancer patients is essential to optimize resource allocation and ensure the best possible outcomes [4]. Priority should be given to patients with rapidly progressing or symptomatic tumors, those at high risk of complications, and those requiring urgent interventions to preserve vital functions. Multidisciplinary tumor boards should play a central role in the triage process, considering factors such as tumor stage, comorbidities, and available resources [5].

Surgical decision-making: In the setting of acute extreme aid constraint, surgical decision-making for head and neck cancer patients must be guided by the principles of oncologic efficacy, preservation of function, and resource conservation [6]. Whenever possible, less invasive or non-surgical treatment modalities, such as radiotherapy or systemic therapy, should be considered as alternatives to surgery. For patients requiring surgical intervention, procedures should be prioritized based on the urgency of the clinical situation and the availability of resources, with a focus on maximizing oncologic outcomes while minimizing postoperative complications [7].

Utilization of telemedicine: Telemedicine offers a valuable tool for delivering care to head and neck cancer patients while minimizing the risk of exposure to COVID-19. Virtual consultations can be used for preoperative assessments, postoperative follow-up and multidisciplinary tumor board meetings. Telemedicine platforms should be integrated into existing healthcare systems to facilitate remote patient monitoring, education, and support. However, it is essential to ensure patient privacy, data security, and equitable access to telemedicine services [8].

Optimization of resources: In resource-constrained settings, the optimization of resources is critical to ensuring the continuity of care for head and neck cancer patients. This may involve reallocating staff and equipment from non-essential services to support oncologic care, implementing protocols to streamline surgical workflows, and adopting innovative strategies to conserve supplies and minimize waste [9]. Collaboration with local and regional healthcare providers, as well as government agencies and non-governmental organizations, can help to mobilize additional resources and support the delivery of care to those in need.

Safeguarding healthcare personnel: The safety and well-being of healthcare personnel are paramount during the COVID-19 pandemic. Measures should be implemented to minimize the risk of exposure to COVID-19 in healthcare settings, including the use of personal protective equipment (PPE), adherence to strict infection control protocols, and regular testing and screening of staff for COVID-19. Additionally, support services such as counseling and mental health resources should be made available to healthcare workers experiencing stress or burnout [10].

Conclusion

The COVID-19 pandemic has presented unprecedented challenges to head and neck surgical oncology practice, necessitating innovative approaches to patient care and resource management. Through international collaboration and consensus, recommendations have been developed to guide the delivery of care to head and neck cancer patients during periods of acute extreme aid constraint. By implementing these recommendations, healthcare providers can strive to maintain the quality of care for head and neck cancer patients amidst the challenges posed by the COVID-19 pandemic.

Acknowledgment

None

Conflict of Interest

None

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