Skip to main content
eScholarship
Open Access Publications from the University of California

UC San Diego

UC San Diego Previously Published Works bannerUC San Diego

Head and neck surgical oncology in the time of a pandemic: Subsite-specific triage guidelines during the COVID-19 pandemic.

  • Author(s): MD Anderson Head and Neck Surgery Treatment Guidelines Consortium
  • Consortium members
  • Maniakas, Anastasios
  • Jozaghi, Yelda
  • Zafereo, Mark E
  • Sturgis, Erich M
  • Su, Shirley Y
  • Gillenwater, Ann M
  • Gidley, Paul W
  • Lewis, Carol M
  • Diaz, Eduardo
  • Goepfert, Ryan P
  • Kupferman, Michael E
  • Gross, Neil D
  • Hessel, Amy C
  • Pytynia, Kristen B
  • Nader, Marc-Elie
  • Wang, Jennifer R
  • Lango, Miriam N
  • Kiong, Kimberley L
  • Guo, Theresa
  • Zhao, Xiao
  • Yao, Christopher MKL
  • Appelbaum, Eric
  • Alpard, Jennifer
  • Garcia, Jose A
  • Terry, Shawn
  • Flynn, Jill E
  • Bauer, Sarah
  • Fournier, Danielle
  • Burgess, Courtlyn G
  • Wideman, Cayla
  • Johnston, Matthew
  • You, Chenxi
  • De Luna, Rolando
  • Joseph, Liza
  • Diersing, Julia
  • Prescott, Kaitlin
  • Heiberger, Katherine
  • Mugartegui, Lilian
  • Rodriguez, Jessica
  • Zendehdel, Sara
  • Sellers, Justin
  • Friddell, Rebekah A
  • Thomas, Ajay
  • Khanjae, Sonam J
  • Schwarzlose, Katherine B
  • Chambers, Mark S
  • Hofstede, Theresa M
  • Cardoso, Richard C
  • Wesson, Ruth Aponte
  • Won, Alex
  • Otun, Adegbenga O
  • Gombos, Dan S
  • Al-Zubidi, Nagham
  • Hutcheson, Katherine A
  • Gunn, G Brandon
  • Rosenthal, David I
  • Gillison, Maura L
  • Ferrarotto, Renata
  • Weber, Randal S
  • Hanna, Ehab Y
  • Myers, Jeffrey N
  • Lai, Stephen Y
  • et al.

Published Web Location

https://doi.org/10.1002/hed.26206
Abstract

Background

COVID-19 pandemic has strained human and material resources around the world. Practices in surgical oncology had to change in response to these resource limitations, triaging based on acuity, expected oncologic outcomes, availability of supportive resources, and safety of health care personnel.

Methods

The MD Anderson Head and Neck Surgery Treatment Guidelines Consortium devised the following to provide guidance on triaging head and neck cancer (HNC) surgeries based on multidisciplinary consensus. HNC subsites considered included aerodigestive tract mucosa, sinonasal, salivary, endocrine, cutaneous, and ocular.

Recommendations

Each subsite is presented separately with disease-specific recommendations. Options for alternative treatment modalities are provided if surgical treatment needs to be deferred.

Conclusion

These guidelines are intended to help clinicians caring for patients with HNC appropriately allocate resources during a health care crisis, such as the COVID-19 pandemic. We continue to advocate for individual consideration of cases in a multidisciplinary fashion based on individual patient circumstances and resource availability.

Many UC-authored scholarly publications are freely available on this site because of the UC's open access policies. Let us know how this access is important for you.

Main Content
Current View