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Conservation of personal protective equipment for head and neck cancer surgery during COVID ‐19 pandemic
Author(s) -
Chow Velda Ling Yu,
Chan Jimmy Yu Wai,
Ho Valerie Wai Yee,
Lee George Chung Ching,
Wong Melody Man Kuen,
Wong Stanley Thian Sze,
Gao Wei
Publication year - 2020
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26215
Subject(s) - personal protective equipment , medicine , face shield , head and neck cancer , surgery , covid-19 , pandemic , head and neck , economic shortage , general surgery , health care , disease , infectious disease (medical specialty) , radiation therapy , linguistics , philosophy , government (linguistics) , economics , economic growth
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.