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Conservation of personal protective equipment for head and neck cancer surgery during COVID-19 pandemic #MMPMID32342543
Chow VLY; Chan JYW; Ho VWY; Lee GCC; Wong MMK; Wong STS; Gao W
Head Neck 2020[Jun]; 42 (6): 1187-1193 PMID32342543show ga
BACKGROUND: COVID-19 pandemic has led to a global shortage of personal protective equipment (PPE). This study aims to stratify face shield needs when performing head and neck cancer surgery. METHODS: Fifteen patients underwent surgery between March 1, 2020 and April 9, 2020. Operative diagnosis and procedure; droplet count and distribution on face shields were documented. RESULTS: Forty-five surgical procedures were performed for neck nodal metastatic carcinoma of unknown origin (n = 3); carcinoma of tonsil (n = 2), tongue (n = 2), nasopharynx (n = 3), maxilla (n = 1), and laryngopharynx (n = 4). Droplet contamination was 57.8%, 59.5%, 8.0%, and 0% for operating, first and second assistant surgeons, and scrub nurse respectively. Droplet count was highest and most widespread during osteotomies. No droplet splash was noted for transoral robotic surgery. CONCLUSION: Face shield is not a mandatory adjunctive PPE for all head and neck surgical procedures and health care providers. Judicious use helps to conserve resources during such difficult times.
|*Occupational Health[MESH]
|COVID-19[MESH]
|Centers for Disease Control and Prevention, U.S./standards[MESH]
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Head+Neck 2020 ; 42 (6): 1187-1193
