key: cord-0977934-1u7xieug
authors: Hao, Jing; Deng, Runzhi
title: Principles of management for patients with oral cancer during the COVID-19 pandemic
date: 2021-02-13
journal: nan
DOI: 10.1016/j.adoms.2021.100035
sha: edcffadab75934df8ee1e9543037c4150701f739
doc_id: 977934
cord_uid: 1u7xieug

The outbreak of coronavirus disease 2019 (COVID-19) affects the world. It is highly contagious and spreads quickly. COVID-19 severely increases the medical burden and interferes with our normal work. This article introduces our experience on treat oral cancer patients during the epidemic. The negative impact can be minimized through reasonable and orderly arrangement.

The recent outbreak of coronavirus disease 2019 (COVID-19) is a public health event that has worldwide spread affecting the whole society including the medical system. This article introduces our experiences on how to carry out treatment arrangements of oral cancer patients during the epidemic.

The need for COVID-19 prevention and control should be fully considered because the oral surgery itself and the anesthesia intubation may bring more droplet blood spatter as well as aerosol dissemination which are conducive to virus dissemination.

Surgery should be designed as reasonably as possible to reduce or avoid postoperative tracheotomy which destroys the natural barrier of the airway. Post-tracheotomy patients are more prone to airway secretions which increases the risk of lung infections and patients are more likely to produce airway droplets and aerosols.

Patients screening are strengthened before admission to avoid the spread of patients in hospital. Firstly, for patients ≥37.3℃, clinicians should pay attention to exclude the possibility of COVID-19. 1 Secondly, the blood routine test will exhibit normal or reduced white blood cell count, lymphocyte count decreased simultaneously visible.

Thirdly, a thin-layer chest CT scan should be performed. Although the chest CT findings are not specific for COVID-19, it still can detect early COVID-19 with high sensitivity, providing valuable information for further diagnosis. Blood transfusion is often required, but the safety of blood use must be fully considered. On one hand, we face the problem of insufficient blood supply for the number of voluntary blood donors actually decreased significantly under the influence of activity restriction and public's anxiety. On the other hand, we should consider whether the donated blood may be contaminated by the virus. After the virus infects the respiratory tract, it is common to find virus shedding in blood plasma or serum.

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