Abstract

PurposeThe objective of this report is to outline our early experience with head and neck cancer patients in a tertiary referral center, during the SARS-Cov2 pandemic, and to describe the poor outcomes of patients who acquired the infection.MethodsIn this case series from a single-center, national tertiary referral center for head and neck cancer we describe three consecutive head and neck cancer patients who contracted SARS-Cov2 during their inpatient stay.ResultsOf the three patients described in our case series that contracted SARS-Cov2, two patients died from SARS-Cov2 related illness.ConclusionWe have demonstrated the significant implications that SARS-Cov2 has on head and neck cancer patients, with 3 patients acquiring SARS-Cov2 in hospital, and 2 deaths in our that cohort. We propose a complete separation in the location of where these patients are being managed, and also dedicated non-SARS-Cov2 staff for their peri-operative management.Level of evidenceIV.

Highlights

  • The SARS-Cov2 pandemic has major implications for the delivery of elective Otolaryngology—Head and Neck Surgery (ORL-HNS) oncology treatment internationally, with services in many jurisdictions coming largely to a standstill

  • We describe our early experience with three post-operative head and neck cancer patients at our institution, as it relates to the SARS-Cov2 pandemic, and the repercussions for future surgical practices

  • We describe our experience of three patients with advanced head and neck cancer that underwent treatment prior to the onset the SARS-Cov2 pandemic in Ireland, who subsequently contracted SARS-Cov2 during their post-operative hospital stay

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Summary

Introduction

The SARS-Cov pandemic has major implications for the delivery of elective Otolaryngology—Head and Neck Surgery (ORL-HNS) oncology treatment internationally, with services in many jurisdictions coming largely to a standstill. ORL-HNS surgeons were noted to be in a high-risk group for transmission in reports from Wuhan, China, the UK and Italy [1,2,3,4]. Very high mortality rates have been reported in a wide range of post-operative elective surgery patients who were operated on in the prodromal phase of SARS-Cov2 [5]. The post-operative implications for these high-risk patients are not yet clear. With this in mind, we describe our early experience with three post-operative head and neck cancer patients at our institution, as it relates to the SARS-Cov pandemic, and the repercussions for future surgical practices

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