ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
kulak burun boğaz
ve baş boyun cerrahisi dergisi
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ORIGINAL RESEARCH

The Changing Elective Surgery Profile During the COVID-19 Pandemic: Retrospective Comparative Cohort Analysis from an Otolaryngology Clinic
COVID-19 Pandemisinde Değişen Cerrahi Profili: Bir Otolaringoloji Kliniğinden Retrospektif Karşılaştırmalı Kohort Analizi
Received Date : 30 Mar 2021
Accepted Date : 05 Jun 2021
Available Online : 14 Jun 2021
Doi: 10.24179/kbbbbc.2021-83347 - Makale Dili: EN
KBB ve BBC Dergisi. 2021;29(3):203-9
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: The study aims to investigate the change in the profile of elective otorhinolaryngologic surgeries performed during the pandemic. Material and Methods: Ear nose throat surgical procedures performed in Fatih Sultan Mehmet Training and Research Hospital-Department of Otorhinolaryngology between March-December 2019 and March-December 2020 were retrospectively reviewed. No statistical methods were used in the study. All data were reported as percentages, numbers and bar charts on tables. Results: It was observed that the number of elective surgeries performed on 875 patients in the pre-pandemic period decreased to 243. The most common elective surgery performed in both periods was septoplasty. Septoplasty operation was 30.4% of all elective surgeries before the pandemic and 36.21% during the pandemic period. The rate of transoral surgeries was 25.37% before the pandemic and 18.1% during the pandemic. Transnasal surgeries comprised 45.71% of elective surgeries before the pandemic and 48.14% during the pandemic. Ear surgeries were 16% of elective surgeries before the pandemic and 16.87% during the pandemic period. While mastoidectomy among ear surgeries comprised 1.6% of all elective surgeries, this rate was 4.93% during the pandemic period. Facial plastic surgery operations comprised 21.02% of elective surgeries before the pandemic and 22.63% during the pandemic period. Conclusion: The coronavirus disease-2019 pandemic caused changes in the number and profile of otorhinolaryngology surgeries. The rates of facial cosmetic procedures and chronic otitis surgeries with a tendency for complications have increased. The incidence of vestibulitis has increased in the postoperative period in transnasal operations.
ÖZET
Amaç: Çalışmanın amacı, pandemi esnasında gerçekleştirilen elektif kulak-burun-boğaz (KBB) ameliyatlarının profilindeki değişimi araştırmaktır. Gereç ve Yöntemler: Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi Kulak Burun Boğaz Kliniği'nde Mart 2020 ve Aralık 2020 tarihleri arasında sıkça uygulanan KBB cerrahi prosedürleri ile Mart 2019 ve Aralık 2019 tarihleri arasında gerçekleştirilen cerrahi prosedürler retrospektif olarak incelendi. Herhangi bir istatistiksel yöntem kullanılmadı. Tüm veriler, tablolarda yüzdeler, sayılar ve çubuk grafikler olarak rapor edildi. Bulgular: Pandemi öncesi dönemde 875 hastaya uygulanan elektif cerrahi sayısının 243’e düştüğü görüldü. Her 2 dönemde de uygulanan en sık elektif cerrahi septoplastiydi. Pandemi öncesinde tüm elektif cerrahilerin %30,4’ünü, pandemi döneminde ise %36,21’ini septoplasti operasyonu oluşturmaktaydı. Transoral cerrahilerin oranı pandemi öncesi %25,37; pandemi esnasında ise %18,1 idi. Transnazal cerrahiler, pandemi öncesi elektif cerrahilerin %45,71’ini, pandemi esnasında ise %48,14’ünü oluşturmaktaydı. Kulak cerrahileri, pandemi öncesi elektif cerrahilerin %16’sını, pandemi döneminde ise %16,87’sini oluşturmaktaydı. Kulak cerrahileri içerisinde mastoidektomi, tüm elektif cerrahilerin %1,6’sını oluştururken, bu oran pandemi döneminde %4,93 idi. Fasiyal plastik cerrahi operasyonları, pandemi öncesinde elektif cerrahilerin %21,02’sini, pandemi döneminde ise %22,63’ünü oluşturmaktaydı. Sonuç: Koronavirüs hastalığı-2019 pandemisi, KBB ameliyatlarının sayı ve profilinde değişime neden olmuştur. Komplikasyon eğilimi olan kronik otitlere uygulanan cerrahilerin ve fasiyal plastik cerrahilerin oranları artmıştır. Transnazal cerrahilerde, postoperatif dönemde vestibülit görülme sıklığında artış söz konusudur.
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