ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
kulak burun boğaz
ve baş boyun cerrahisi dergisi
http://dergi.kbb-bbc.org.tr
Koşulsuz Destek Verenler

Kayıtlı İndeksler








ORIGINAL RESEARCH

Impact of the COVID-19 Pandemic on the Surgical Volume of Otolaryngology: Experience of a Tertiary Referral Center
COVID-19 Pandemisinin Kulak Burun Boğaz Cerrahi Hacimine Etkisi, Üçüncü Basamak Merkez Deneyimi
Received Date : 12 Jan 2021
Accepted Date : 21 Jan 2021
Available Online : 23 Mar 2021
Doi: 10.24179/kbbbbc.2021-81258 - Makale Dili: EN
KBB ve BBC Dergisi. 2021;29(2):127-35
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: In order to prepare for the post-coronavirus disease era, the aim of this study was to analyze our surgical volume in otolaryngology (ORL) during the first 6 months of the pandemic compared with the equivalent period of the previous year. Material and Methods: A retrospective review of surgical archives was performed. Analysis was made both gross and in detail for each specific subdivision. Results: A total of 1,586 patients were identified. During the first time period (March-May) in 2019, 486 patients were operated, which declined to 173 in the same period of 2020 (65% reduction). In the second time period (June-August) this reduction was 39% (from 573 to 354 cases). The greatest decline was in pediatric ORL cases (75%). In the second three months of the pandemic, the decrease in surgical volume continued in functional surgeries except in the septorhinoplasty group. However, head and neck surgeries increased by 24% in the second time period and in spite of the decrease in the number of early stage tumors, advanced stage tumors increased 59%. Conclusion: All of the ORL subdivisions were affected in the first wave of the pandemic, with pediatric cases affected most profoundly. The delayed admissions of early stage head and neck tumors in the first 3 months resulted in an increase at the number of operations for advanced stage tumors surgery cases. A nationwide management strategy should be prepared to alleviate the acute and chronic consequences of the reduction in the number of ORL patient admissions and operations during the pandemic period.
ÖZET
Amaç: Koronavirüs hastalığı sonrası döneme hazırlanmak amacıyla pandeminin ilk 6 ayında (2020’de Mart ve Ağustos) kliniğimizdeki Kulak Burun Boğaz (KBB) ameliyat hacmimiz, bir önceki yılın aynı dönemine kıyas edilerek analiz edilmesi hedeflendi. Gereç ve Yöntemler: Cerrahi arşivlerin retrospektif bir incelemesi yapıldı. Analizler, her bir alt bölüm için hem kaba hem de ayrıntılı olarak yapıldı. Bulgular: Toplam 1.586 hasta tespit edildi. 2019 yılının ilk zaman diliminde (Mart-Mayıs) 486 hasta ameliyat edildi ve bu sayı, 2020’nin aynı döneminde 173’e geriledi (%65 azalma). İkinci zaman diliminde (Haziran-Ağustos) bu azalma %39 (573’ten 354’e) idi. En büyük düşüş, pediatrik KBB vakalarında (%75) oldu. Pandeminin 2. 3 ayında ise septorinoplasti grubu dışındaki fonksiyonel ameliyatlarda, cerrahi hacimdeki azalma devam etti. Ancak 2. dönemde baş ve boyun ameliyatları %24 artarken, erken evre tümör sayısındaki azalmaya rağmen ileri evre tümörlerde %59 artış görüldü. Sonuç: Pandeminin ilk dalgasından tüm KBB alt bölümleri etkilenirken, en ağır olarak pediatrik KBB vakaları etkilenmiştir. Pandeminin ilk 3 ayında geciken erken evre baş-boyun tümör başvuruları, ileri evre tümör cerrahisi vakalarının ameliyat sayısında artışa neden olmuştur. Pandemi döneminde KBB hasta kabullerinin ve ameliyatlarının sayısındaki azalmanın akut ve kronik sonuçlarını hafifletmek için ülke çapında bir yönetim stratejisi hazırlanmalıdır.
KAYNAKLAR
  1. Mannelli G, Ralli M, Bonali M, Capasso P, Guarino P, Iannini V, et al. Impact of COVID-19 pandemic on Italian Otolaryngology Units: a nationwide study. Acta Otorhinolaryngol Ital. 2020;40(5):325-31. [Crossref] [PubMed] [PMC] 
  2. Requia WJ, Kondo EK, Adams MD, Gold DR, Struchiner CJ. Risk of the Brazilian health care system over 5572 municipalities to exceed health care capacity due to the 2019 novel coronavirus (COVID-19). Sci Total Environ. 2020;730:139144. [Crossref] [PubMed] [PMC] 
  3. T.C. Sağlık Bakanlığı COVID-19 Bilgilendirme Sayfası [Internet]. Copyright © 2020 T.C. Sağlık Bakanlığı [cited 23.12.2020]. Available from: [Link] 
  4. Patel ZM, Fernandez-Miranda J, Hwang PH, Nayak JV, Dodd R, Sajjadi H, et al. Letter: Precautions for endoscopic transnasal skull base surgery during the COVID-19 pandemic. Neurosurgery. 2020;87(1):E66-7. [Crossref] [PubMed] [PMC] 
  5. Mahase E. Covid-19: Pfizer and BioNTech submit vaccine for US authorisation. BMJ. 2020;371:m4552. [Crossref] [PubMed] 
  6. Mahase E. Covid-19: Oxford vaccine is up to 90% effective, interim analysis indicates. BMJ. 2020;371:m4564. [Crossref] [PubMed] 
  7. Ralli M, Greco A, de Vincentiis M. The effects of the COVID-19/SARS-CoV-2 pandemic outbreak on otolaryngology activity in Italy. Ear Nose Throat J. 2020;99(9):565-6. [Crossref] [PubMed] 
  8. Ralli M, Minni A, Candelori F, Cialente F, Greco A, de Vincentiis M. Effects of COVID-19 pandemic on otolaryngology surgery in Italy: the experience of our university hospital. Otolaryngol Head Neck Surg. 2020;163(1):86-8. [Crossref] [PubMed] 
  9. Morrison DR, Gentile C, McCammon S, Buczek E. Head and neck oncologic surgery in the COVID-19 pandemic: Our experience in a deep south tertiary care center. Head Neck. 2020;42(7):1471-6. [Crossref] [PubMed] [PMC] 
  10. Izreig S, Zogg CK, Kasle DA, Torabi SJ, Manes RP. Resumption of otolaryngology surgical practice in the setting of regionally receding COVID-19. Otolaryngol Head Neck Surg. 2020:194599820959671. [Crossref] [PubMed] 
  11. Hervochon R, Atallah S, Levivien S, Teissier N, Baujat B, Tankere F. Impact of the COVID-19 epidemic on ENT surgical volume. Eur Ann Otorhinolaryngol Head Neck Dis. 2020;137(4):269-71. [Crossref] [PubMed] [PMC] 
  12. Galli J, Settimi S, Tricarico L, Almadori G, Paludetti G. Clinical and surgical management of patients with head and neck cancer in a COVID-19 dedicated center in Italy. Head Neck. 2020;42(7):1466-70. [Crossref] [PubMed] [PMC] 
  13. Taylor R, Omakobia E, Sood S, Glore RJ. The impact of coronavirus disease 2019 on head and neck cancer services: a UK tertiary centre study. J Laryngol Otol. 2020;134(8):684-7. [Crossref] [PubMed] [PMC] 
  14. Zaffanello M, Piacentini G, La Grutta S. The cardiovascular risk in paediatrics: the paradigm of the obstructive sleep apnoea syndrome. Blood Transfus. 2020;18(3):217-25. [PubMed] [PMC] 
  15. Borges LR, Donadon C, Sanfins MD, Valente JP, Paschoal JR, Colella-Santos MF. The effects of otitis media with effusion on the measurement of auditory evoked potentials. Int J Pediatr Otorhinolaryngol. 2020;133:109978. [Crossref] [PubMed] 
  16. Heidekrueger PI, Juran S, Patel A, Tanna N, Broer PN. Plastic surgery statistics in the US: evidence and implications. Aesthetic Plast Surg. 2016;40(2):293-300. [Crossref] [PubMed]