Discussion with onco-surgeon
If the tumor needs excision then reconstructive procedure should not be
a limitation for completion of treatment. While certain rational
decisions for resection of tumor merit attention:-
- Only non-emergency or secondary reconstructions may be postponed.
Cancer surgery should not be postponed.22
- Non-surgical alternative maybe be considered if they give comparable
results.23
- Consent should include the risk of COVID-19 infection, associated
burden of disease, and points covering reconstructive procedures. It
should also be covered by the reconstructive team.9
- Case with uncertain tumor clearance or palliative surgery –
nonsurgical method of treatment to be encouraged.
- Avoidance of tracheostomy if possible. If tracheostomy performed small
size stoma should be done, small cuffed, nonfenestrated tube should be
used18,24
- Avoidance of rotatory tools, which increase the aerosol
generations.18