Prioritizing Cleft/Craniofacial Surgical Care after the COVID-19 Pandemic

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MARC

Breugem, CorstiaanNetherlands,Nederländerna (author)

Prioritizing Cleft/Craniofacial Surgical Care after the COVID-19 Pandemic

Article/chapterEnglish2020

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2020

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LIBRIS-ID:oai:researchportal.hkr.se/admin:publications/dfd7f1e8-03f7-4a44-9c3e-337c2b0efa08
oai:researchportal.hkr.se/admin:publications/dfd7f1e8-03f7-4a44-9c3e-337c2b0efa08URI
https://doi.org/10.1097/GOX.0000000000003080DOI

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Language:English
Summary in:English

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Background: It is anticipated that in due course the burden of emergency care due to COVID-19 infected patients will reduce sufficiently to permit elective surgical procedures to recommence. Prioritizing cleft/craniofacial surgery in the already overloaded medical system will then become an issue. The European Cleft Palate Craniofacial Association, together with the European Cleft and Craniofacial Initiative for Equality in Care, performed a brief survey to capture a current snapshot during a rapidly evolving pandemic. Methods: A questionnaire was sent to the 2242 participants who attended 1 of 3 recent international cleft/craniofacial meetings. Results: The respondents indicated that children with Robin sequence who were not responding to nonsurgical options should be treated as emergency cases. Over 70% of the respondents indicated that palate repair should be performed before the age of 15 months, an additional 22% stating the same be performed by 18 months. Placement of middle ear tubes, primary cleft lipsurgery, alveolar bone grafting, and velopharyngeal insufficiency surgery also need prioritization. Children with craniofacial conditions such as craniosynostosis and increased intracranial pressure need immediate care, whilst children with craniosynostosis and associated obstructive sleep apnea syndrome or proptosis need surgical care within 3 months of the typical timing. Craniosynostosis without signs of increased intracranial pressure needs correction before the age of 18 months. Conclusions: This survey indicates several areas of cleft and craniofacial conditions that need prioritization, but also certain areas where intervention is less urgent. We acknowledge that there will be differences in the post COVID-19 response according to circumstances and policies in individual countries.

Added entries (persons, corporate bodies, meetings, titles ...)

Smit, HansNetherlands,Nederländerna (author)
Mark, HansNetherlands,Nederländerna (author)
Davies, GarethNetherlands,Nederländerna (author)
Schachner, PeterAustria,Österrike (author)
Collard, MechelleSwansea Bay University Health Board (author)
Sell, DebbieEngland (author)
Autelitano, LucaItaly,Italien (author)
Rezzonico, AngelaItaly,Italien (author)
Mazzoleni, FabioItaly,Italien (author)
Novelli, GiorgioItaly,Italien (author)
Mossey, PeterUniversity of Dundee (author)
Persson, MartinDepartment of Nursing and Integrated Health Sciences,Patient Reported Outcomes - Clinical Assessment Research and Education (PROCARE),Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap (author)
Mehendale, FelicityUniversity of Edinburgh (author)
Gaggl, AlexanderAustria,Österrike (author)
van Gogh, ChristineNetherlands,Nederländerna (author)
Zuurbier, PetraNetherlands,Nederländerna (author)
Reinart, SiegmarGermany,Tyskland (author)
de Graaff, FeikeNetherlands,Nederländerna (author)
Meazzini, CostanzaItaly,Italien (author)
NetherlandsNederländerna (creator_code:org_t)

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In:PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN8:92169-7574

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oai:researchportal.hkr.se/admin:publications/dfd7f1e8-03f7-4a44-9c3e-337c2b0efa08
https://doi.org/10.1097/GOX.0000000000003080

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