Impact of the COVID-19 epidemic on ENT surgical volume

The purpose of this study was to assess the impact of the COVID-19 pandemic on the surgical volume of three ENT departments in Ile-de-France, a region severely affected by the epidemic. The number and nature of surgeries was collected from three university hospital ENT departments from 17/03/2020 to...

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Bibliographic Details
Published in:European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2020-09, Vol.137 (4), p.269-271
Main Authors: Hervochon, R., Atallah, S., Levivien, S., Teissier, N., Baujat, B., Tankere, F.
Format: Article
Language:English
Subjects:
Adult
Coronavirus Infections - epidemiology
COVID-19
ENT surgery
Female
France - epidemiology
Humans
Life Sciences
Male
Otorhinolaryngologic Surgical Procedures - statistics & numerical data
Pandemics
Pneumonia, Viral - epidemiology
Retrospective Studies
Surgical volume
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Summary:The purpose of this study was to assess the impact of the COVID-19 pandemic on the surgical volume of three ENT departments in Ile-de-France, a region severely affected by the epidemic. The number and nature of surgeries was collected from three university hospital ENT departments from 17/03/2020 to 17/04/2020 and from 18/03/2019 to 18/04/2019. Centre 1 is a general adult ENT department specialized in otology, centre 2 is a general adult ENT department specialized in cancer and centre 3 is a paediatric ENT department. Comparative analysis of the decreased surgical volume was conducted between 2019 and 2020. To analyse the reduction of ENT surgical volume. The three centres operated on 540 patients in 2019, versus 89 in 2020, i.e. an 84% decrease: 89% in Centre 1, 61% in Centre 2, and 95% in the paediatric centre. Otological surgery decreased by 97%, endonasal surgery decreased by 91%, head and neck surgery decreased by 54%, plastic surgery decreased by 82%, and transoral surgery decreased by 85%. The number of surgical operations for skin cancer decreased (24 vs. 9), while the total number of head and neck cancer surgeries remained stable (18 vs. 22). The number of planned tracheostomies increased from 8 to 22. The number of ENT surgeries decreased by 84% during the first month of the COVID-19 epidemic. This decreased surgical volume mainly concerned functional surgery, while the level of cancer surgery remained stable. Hospital units will need to absorb a marked excess surgical volume after the epidemic.
ISSN:1879-7296
1879-730X
DOI:10.1016/j.anorl.2020.08.006