The SARS-CoV-2 pandemic has rapidly transformed health care delivery around the globe. Because of the heavy impact of COVID-19 spread, cancer treatments have necessarily been de-prioritized, thus exposing patients to increased risk of morbidity and mortality due to delayed care. In this scenario, cancer specialists need to assess critical oncology patients case by case to carefully balance risk vs benefit in treating tumors and preventing SARS-CoV-2 infection. Here, we report early insights into how the management of patients with sinonasal and anterior skull base cancer might be affected by the COVID-19 pandemic. We provide recommendations for preoperative tests, indications for immediate care vs possible delayed treatment, and warnings relating to dural resection and intracranial dissection, given the potential neurotropism of SARS-CoV2 and practical suggestions for managing cancer care in a period of limited resources. We also postulate some thoughts on the promising role of telemedicine in multidisciplinary case discussions and posttreatment surveillance.

Managing care for patients with sinonasal and anterior skull base cancers during the COVID-19 pandemic

Turri-Zanoni, Mario;Battaglia, Paolo;Karligkiotis, Apostolos;Locatelli, Davide;Castelnuovo, Paolo
2020

Abstract

The SARS-CoV-2 pandemic has rapidly transformed health care delivery around the globe. Because of the heavy impact of COVID-19 spread, cancer treatments have necessarily been de-prioritized, thus exposing patients to increased risk of morbidity and mortality due to delayed care. In this scenario, cancer specialists need to assess critical oncology patients case by case to carefully balance risk vs benefit in treating tumors and preventing SARS-CoV-2 infection. Here, we report early insights into how the management of patients with sinonasal and anterior skull base cancer might be affected by the COVID-19 pandemic. We provide recommendations for preoperative tests, indications for immediate care vs possible delayed treatment, and warnings relating to dural resection and intracranial dissection, given the potential neurotropism of SARS-CoV2 and practical suggestions for managing cancer care in a period of limited resources. We also postulate some thoughts on the promising role of telemedicine in multidisciplinary case discussions and posttreatment surveillance.
SARS-CoV-2 viral infection; anterior skull base; coronavirus; endoscopic endonasal surgery; sinonasal malignancy; COVID-19; Clinical Decision-Making; Coronavirus Infections; Health Services Accessibility; Humans; Infection Control; Infectious Disease Transmission, Patient-to-Professional; Pandemics; Patient Care Team; Personal Protective Equipment; Pneumonia, Viral; Referral and Consultation; SARS-CoV-2; Telecommunications; Telemedicine; Time-to-Treatment; Betacoronavirus; Nose Neoplasms; Paranasal Sinus Neoplasms; Skull Base Neoplasms
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11383/2103499
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