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Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy
In COVID-19 pandemic era, one major concern is related to ensure optimal management to oncologic patients, even though a context of radical uncertainty. The aim of our effort is to guarantee high-quality and timely care, minimizing COVID-19 infection risk, according to our head and neck (HN) reconst...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Ltd.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837107/ https://www.ncbi.nlm.nih.gov/pubmed/33334689 http://dx.doi.org/10.1016/j.oraloncology.2020.105114 |
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author | Rauso, Raffaele Chirico, Fabrizio Federico, Francesco Francesco Nicoletti, Giovanni Colella, Giuseppe Fragola, Romolo Pafundi, Pia Clara Tartaro, Gianpaolo |
author_facet | Rauso, Raffaele Chirico, Fabrizio Federico, Francesco Francesco Nicoletti, Giovanni Colella, Giuseppe Fragola, Romolo Pafundi, Pia Clara Tartaro, Gianpaolo |
author_sort | Rauso, Raffaele |
collection | PubMed |
description | In COVID-19 pandemic era, one major concern is related to ensure optimal management to oncologic patients, even though a context of radical uncertainty. The aim of our effort is to guarantee high-quality and timely care, minimizing COVID-19 infection risk, according to our head and neck (HN) reconstructive mission, still more challenging because of the criticality of the period. Thus, our reconstructive decision algorithm is changed. Microvascular free flaps, reported to be the gold standard for surgical reconstruction, represent extremely specialized procedures necessitating an extended resource allocation not affordable in the adversities of the period. Therefore, we are obliged to define a paradigm shift in our approach, based on free-style reconstructive surgery principles of propeller flap concept. According to our experience, we believe that this viable and feasible surgical technique could represent a reconstructive landmark in this pandemic era, since any guideline is missing, besides HN reconstructive surgery is most likely heading towards a new reconstructive approach. |
format | Online Article Text |
id | pubmed-7837107 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78371072021-01-26 Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy Rauso, Raffaele Chirico, Fabrizio Federico, Francesco Francesco Nicoletti, Giovanni Colella, Giuseppe Fragola, Romolo Pafundi, Pia Clara Tartaro, Gianpaolo Oral Oncol Letter to the Editor In COVID-19 pandemic era, one major concern is related to ensure optimal management to oncologic patients, even though a context of radical uncertainty. The aim of our effort is to guarantee high-quality and timely care, minimizing COVID-19 infection risk, according to our head and neck (HN) reconstructive mission, still more challenging because of the criticality of the period. Thus, our reconstructive decision algorithm is changed. Microvascular free flaps, reported to be the gold standard for surgical reconstruction, represent extremely specialized procedures necessitating an extended resource allocation not affordable in the adversities of the period. Therefore, we are obliged to define a paradigm shift in our approach, based on free-style reconstructive surgery principles of propeller flap concept. According to our experience, we believe that this viable and feasible surgical technique could represent a reconstructive landmark in this pandemic era, since any guideline is missing, besides HN reconstructive surgery is most likely heading towards a new reconstructive approach. Elsevier Ltd. 2021-04 2020-12-09 /pmc/articles/PMC7837107/ /pubmed/33334689 http://dx.doi.org/10.1016/j.oraloncology.2020.105114 Text en © 2020 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Letter to the Editor Rauso, Raffaele Chirico, Fabrizio Federico, Francesco Francesco Nicoletti, Giovanni Colella, Giuseppe Fragola, Romolo Pafundi, Pia Clara Tartaro, Gianpaolo Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy |
title | Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy |
title_full | Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy |
title_fullStr | Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy |
title_full_unstemmed | Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy |
title_short | Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy |
title_sort | maxillo-facial reconstruction following cancer ablation during covid-19 pandemic in southern italy |
topic | Letter to the Editor |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837107/ https://www.ncbi.nlm.nih.gov/pubmed/33334689 http://dx.doi.org/10.1016/j.oraloncology.2020.105114 |
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