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Article: High Risk of COVID-19 Infection for Head and Neck Surgeons.

Kulcsar, Marco Aurélio / Montenegro, Fabio L / Arap, Sergio S / Tavares, Marcos Roberto / Kowalski, Luiz Paulo

International archives of otorhinolaryngology

2020 Volume 24, Issue 2, Page(s) e129–e130

Keywords	covid19
Language	English
Publishing date	2020-04-13
Publishing country	Brazil
Document type	Editorial
ZDB-ID	2578584-9
ISSN	1809-4864 ; 1809-9777
ISSN (online)	1809-4864
ISSN	1809-9777
DOI	10.1055/s-0040-1709725
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Recommendations for head and neck surgical procedures during the COVID-19 pandemic.

Kulcsar, Marco A V / Montenegro, Fabio L M / Santos, André B O / Tavares, Marcos R / Arap, Sergio S / Kowalski, Luiz P

Clinics (Sao Paulo, Brazil)

2020 Volume 75, Page(s) e2084

Abstract: The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread exponentially worldwide. In Brazil, the number of infected people diagnosed has been increasing and, as in other countries, it ...

Abstract	The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread exponentially worldwide. In Brazil, the number of infected people diagnosed has been increasing and, as in other countries, it has been associated with a high risk of contamination in healthcare teams. For healthcare professionals, the full use of personal protective equipment (PPE) is mandatory, such as wearing surgical or filtering facepiece class 2 (FFP2) masks, waterproof aprons, gloves, and goggles, in addition to training in care processes. A reduction in the number of face-to-face visits and non-essential elective procedures is also recommended. However, surgery should not be postponed in the case of the most essential elective indications (mostly associated with head and neck cancers). As malignant tumors of the head and neck are clinically time sensitive, neither consultations for these tumors nor their treatment should be postponed. Postponing surgical treatment can result in a change in the disease stage and alter an individual's chance of survival. In this situation, planning of all treatments must begin with the request for, in addition to routine examinations, a nasal swab polymerase chain reaction for SARS-CoV-2 and chest computed tomography. Only if the results of these tests are positive or if fever or other symptoms suggestive of COVID-19 are present should the surgical procedure be postponed until the patient completely recovers. This is mandatory not only because of the risk of contamination of the surgical team but also because of the increased risk of postoperative complications and high risk of death. During this pandemic, the most effective safety measures are social distancing for the general public and the adequate availability and use of PPE in the healthcare field. The treatment of other chronic diseases, such as cancer, should be continued, as the damming of cases of these diseases will have a deleterious effect on the public healthcare system.
MeSH term(s)	Betacoronavirus ; Brazil ; COVID-19 ; Coronavirus ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Infectious Disease Transmission, Professional-to-Patient/prevention & control ; Pandemics ; Patient Safety ; Personal Protective Equipment ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Practice Guidelines as Topic ; Protective Devices ; SARS-CoV-2 ; Surgeons
Keywords	covid19
Language	English
Publishing date	2020-07-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2182801-5
ISSN	1980-5322 ; 1807-5932
ISSN (online)	1980-5322
ISSN	1807-5932
DOI	10.6061/clinics/2020/e2084
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: High Risk of COVID-19 Infection for Head and Neck Surgeons

Kulcsar, Marco Aurélio / Montenegro, Fabio L. / Arap, Sergio S. / Tavares, Marcos Roberto / Kowalski, Luiz Paulo

International Archives of Otorhinolaryngology

2020 Volume 24, Issue 02, Page(s) e129–e130

Keywords	Otorhinolaryngology ; covid19
Language	English
Publisher	Georg Thieme Verlag KG
Publishing country	de
Document type	Article ; Online
ZDB-ID	2578584-9
ISSN	1809-4864 ; 1809-9777
ISSN (online)	1809-4864
ISSN	1809-9777
DOI	10.1055/s-0040-1709725
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: High risk of covid-19 infection for head and neck surgeons

Kulcsar, Marco Aurélio / Montenegro, Fabio L. / Arap, Sergio S. / Tavares, Marcos Roberto / Kowalski, Luiz Paulo

Int. Arch. Otorhinolaryngol.

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #75786
Database	COVID19

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Article: High Risk of COVID-19 Infection for Head and Neck Surgeons

Kulcsar, Marco Aurélio / Montenegro, Fabio L. / Arap, Sergio S. / Tavares, Marcos Roberto / Kowalski, Luiz Paulo

International Archives of Otorhinolaryngology

2020 Volume 24, Issue 02, Page(s) e129–e130

Language	English
Publishing date	2020-04-01
Publisher	Thieme Revinter Publicações Ltda
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2578584-9
ISSN	1809-4864 ; 1809-9777
ISSN (online)	1809-4864
ISSN	1809-9777
DOI	10.1055/s-0040-1709725
Database	Thieme publisher's database

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Article ; Online: Recommendations for head and neck surgical procedures during the COVID-19 pandemic

Kulcsar, Marco A.V. / Montenegro, Fabio L.M. / Santos, André B.O. / Tavares, Marcos R. / Arap, Sergio S. / Kowalski, Luiz P.

Clinics v.75 2020

2020

Abstract	The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread exponentially worldwide. In Brazil, the number of infected people diagnosed has been increasing and, as in other countries, it has been associated with a high risk of contamination in healthcare teams. For healthcare professionals, the full use of personal protective equipment (PPE) is mandatory, such as wearing surgical or filtering facepiece class 2 (FFP2) masks, waterproof aprons, gloves, and goggles, in addition to training in care processes. A reduction in the number of face-to-face visits and non-essential elective procedures is also recommended. However, surgery should not be postponed in the case of the most essential elective indications (mostly associated with head and neck cancers). As malignant tumors of the head and neck are clinically time sensitive, neither consultations for these tumors nor their treatment should be postponed. Postponing surgical treatment can result in a change in the disease stage and alter an individual's chance of survival. In this situation, planning of all treatments must begin with the request for, in addition to routine examinations, a nasal swab polymerase chain reaction for SARS-CoV-2 and chest computed tomography. Only if the results of these tests are positive or if fever or other symptoms suggestive of COVID-19 are present should the surgical procedure be postponed until the patient completely recovers. This is mandatory not only because of the risk of contamination of the surgical team but also because of the increased risk of postoperative complications and high risk of death. During this pandemic, the most effective safety measures are social distancing for the general public and the adequate availability and use of PPE in the healthcare field. The treatment of other chronic diseases, such as cancer, should be continued, as the damming of cases of these diseases will have a deleterious effect on the public healthcare system.
Keywords	COVID-19 ; Surgery ; Head and Neck ; Prevention ; Complications ; covid19
Language	English
Publishing date	2020-01-01
Publisher	Faculdade de Medicina / USP
Publishing country	br
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Recommendations for head and neck surgical procedures during the COVID-19 pandemic

Kulcsar, Marco A. V. / Montenegro, Fabio L. M. / Santos, Andre B. O. / Tavares, Marcos R. / Arap, Sergio S. / Kowalski, Luiz P.

Clinics (Sao Paulo, Brazil)

Abstract: The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread exponentially worldwide In Brazil, the number of infected people diagnosed has been increasing and, as in other countries, it ... ...

Abstract	The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread exponentially worldwide In Brazil, the number of infected people diagnosed has been increasing and, as in other countries, it has been associated with a high risk of contamination in healthcare teams For healthcare professionals, the full use of personal protective equipment (PPE) is mandatory, such as wearing surgical or filtering facepiece class 2 (FFP2) masks, waterproof aprons, gloves, and goggles, in addition to training in care processes A reduction in the number of face-to-face visits and non-essential elective procedures is also recommended However, surgery should not be postponed in the case of the most essential elective indications (mostly associated with head and neck cancers) As malignant tumors of the head and neck are clinically time sensitive, neither consultations for these tumors nor their treatment should be postponed Postponing surgical treatment can result in a change in the disease stage and alter an individual's chance of survival In this situation, planning of all treatments must begin with the request for, in addition to routine examinations, a nasal swab polymerase chain reaction for SARS-CoV-2 and chest computed tomography Only if the results of these tests are positive or if fever or other symptoms suggestive of COVID-19 are present should the surgical procedure be postponed until the patient completely recovers This is mandatory not only because of the risk of contamination of the surgical team but also because of the increased risk of postoperative complications and high risk of death During this pandemic, the most effective safety measures are social distancing for the general public and the adequate availability and use of PPE in the healthcare field The treatment of other chronic diseases, such as cancer, should be continued, as the damming of cases of these diseases will have a deleterious effect on the public healthcare system
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #637684
Database	COVID19

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Article ; Online: Recommendations for head and neck surgical procedures during the COVID-19 pandemic

Kulcsar, Marco A.V. / Montenegro, Fabio L. M. / Santos, André B. O. / Tavares, Marcos R. / Arap, Sergio S. / Kowalski, Luiz P.

Clinics; v.; e2084 ; Clinics; Vol. 75 (2020); e2084 ; Clinics; Vol 75 (2020); e2084 ; 1980-5322 ; 1807-5932

2020 Volume 75

Abstract	The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread exponentially worldwide. In Brazil, the number of infected people diagnosed has been increasing and, as in other countries, it has been associated with a high risk of contamination in healthcare teams. For healthcare professionals, the full use of personal protective equipment (PPE) is mandatory, such as wearing surgical or filtering facepiece class 2 (FFP2) masks, waterproof aprons, gloves, and goggles, in addition to training in care processes. A reduction in the number of face-to-face visits and non-essential elective procedures is also recommended. However, surgery should not be postponed in the case of the most essential elective indications (mostly associated with head and neck cancers). As malignant tumors of the head and neck are clinically time sensitive, neither consultations for these tumors nor their treatment should be postponed. Postponing surgical treatment can result in a change in the disease stage and alter an individual’s chance of survival. In this situation, planning of all treatments must begin with the request for, in addition to routine examinations, a nasal swab polymerase chain reaction for SARS-CoV-2 and chest computed tomography. Only if the results of these tests are positive or if fever or other symptoms suggestive of COVID-19 are present should the surgical procedure be postponed until the patient completely recovers. This is mandatory not only because of the risk of contamination of the surgical team but also because of the increased risk of postoperative complications and high risk of death. During this pandemic, the most effective safety measures are social distancing for the general public and the adequate availability and use of PPE in the healthcare field. The treatment of other chronic diseases, such as cancer, should be continued, as the damming of cases of these diseases will have a deleterious effect on the public healthcare system.
Keywords	COVID-19 ; Surgery ; Head and Neck ; Prevention ; Complications ; covid19
Language	English
Publishing date	2020-07-31
Publisher	Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
Publishing country	br
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Successful parathyroid tissue autograft after 3 years of cryopreservation: a case report.

Leite, Ana K N / Junior, Climério P do N / Arap, Sérgio S / Massoni, Ledo / Lourenço, Delmar M / Brandão, Lenine Garcia / Montenegro, Fábio L de M

Arquivos brasileiros de endocrinologia e metabologia

2014 Volume 58, Issue 3, Page(s) 313–316

Abstract: After a total parathyroidectomy, well-established protocols for the cryopreservation of parathyroid tissue and for the delayed autograft of this tissue exist, especially in cases of secondary hiperparathyroidism (HPT) or familial or sporadic parathyroid ... ...

Abstract	After a total parathyroidectomy, well-established protocols for the cryopreservation of parathyroid tissue and for the delayed autograft of this tissue exist, especially in cases of secondary hiperparathyroidism (HPT) or familial or sporadic parathyroid hyperplasia. Although delayed autografts are effective, the published success rates vary from 10% to 83%. There are numerous factors that influence the viability, and therefore the success, of an autograft, including cryopreservation time. Certain authors believe that the tissue is only viable for 24 months, but there is no consensus on how long the parathyroid tissue can be preserved. A 63-year-old male who was diagnosed with sporadic multiple endocrine neoplasia type 1 and primary hyperparathyroidism, and was submitted to a total parathyroidectomy and an autograft in the forearm. The implant failed, and the patient developed severe hypoparathyroidism in the months following the surgery. Thirty-six months after the total parathyroidectomy, the cryopreserved autograft was successfully transplanted, and hypoparathyroidism was reversed (most recent systemic parathyroid hormone, PTH, of 36 pg/mL, and total calcium of 9.1 mg/dL; no oral calcium supplementation). The case presented here indicates that cryopreserved parathyroid tissue may remain viable after 24 months in storage, and may retain the capacity to reverse permanent postsurgical hypoparathyroidism. These data provide reasonable evidence that the time limit for cryopreservation remains undetermined and that additional research would be valuable.
MeSH term(s)	Autografts/growth & development ; Cryopreservation/methods ; Forearm/surgery ; Humans ; Hypoparathyroidism/therapy ; Male ; Middle Aged ; Parathyroid Glands/transplantation ; Parathyroidectomy ; Time Factors ; Tissue Survival
Language	English
Publishing date	2014-05-22
Publishing country	Brazil
Document type	Case Reports ; Journal Article
ZDB-ID	603919-4
ISSN	1677-9487 ; 0004-2730
ISSN (online)	1677-9487
ISSN	0004-2730
DOI	10.1590/0004-2730000002850
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Quality of life after surgery in secondary hyperparathyroidism, comparing subtotal parathyroidectomy with total parathyroidectomy with immediate parathyroid autograft: Prospective randomized trial.

Filho, Wellington Alves / van der Plas, Willemijn Y / Brescia, Marilia D G / Nascimento, Climerio P / Goldenstein, Patricia T / Neto, Ledo M Massoni / Arap, Sergio S / Custodio, Melani R / Bueno, Rodrigo O / Moyses, Rosa M A / Jorgetti, Vanda / Kruijf, Schelto / Montenegro, Fabio L M

Surgery

2018 Volume 164, Issue 5, Page(s) 978–985

Abstract: Background: No prospective randomized data exist about the impact of various strategies of parathyroidectomy in secondary hyperparathyroidism patients on quality of life and its possible relationship with metabolic status after the operation.: Method!# ...

Abstract	Background: No prospective randomized data exist about the impact of various strategies of parathyroidectomy in secondary hyperparathyroidism patients on quality of life and its possible relationship with metabolic status after the operation. Method: In a prospective randomized trial, the Short Form 36 Health Survey Questionnaire was applied to 69 patients undergoing parathyroidectomy through various approaches: subtotal parathyroidectomy (n = 23), total parathyroidectomy (PTx) with autotransplantation of 45 fragments (n = 25) and PTx with autotransplantation of 90 fragments (n = 21). The questionnaire was completed at three moments: (1) preoperatively, (2) 6 months after surgery, and (3) 12 months after surgery. Results: Quality of life improved significantly in the physical component summary score in all three groups. Subtotal parathyroidectomy scores changed from 30.6 preoperatively to 51.7 6 months after surgery and 53.7 12 months after surgery. Total arathyroidectomy with autotransplantation of 45 fragments scores changed from 33.8 preoperatively to 52.6 6 months after surgery and 55.2 12 months after surgery. Total parathyroidectomy with autotransplantation of 90 fragments scores changed from 31.8 preoperatively to 50.5 6 months after surgery and 55.2 12 months after surgery (all groups P < .0001). No significant difference was detected in the physical component summary score change among the three groups. The physical component summary score was negatively correlated to age, parathormone, and alkaline phosphatase preoperatively. Conclusion: Parathyroidectomy significantly improves quality of life in hemodialysis patients with secondary hyperparathyroidism, regardless of the type of operation.
MeSH term(s)	Adult ; Age Factors ; Female ; Follow-Up Studies ; Humans ; Hyperparathyroidism, Secondary/blood ; Hyperparathyroidism, Secondary/etiology ; Hyperparathyroidism, Secondary/surgery ; Kidney Failure, Chronic/blood ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/therapy ; Male ; Middle Aged ; Parathyroid Glands/transplantation ; Parathyroid Hormone/blood ; Parathyroidectomy/adverse effects ; Parathyroidectomy/methods ; Preoperative Period ; Prospective Studies ; Quality of Life ; Renal Dialysis/adverse effects ; Surveys and Questionnaires/statistics & numerical data ; Transplantation, Autologous/adverse effects ; Transplantation, Autologous/methods ; Treatment Outcome
Chemical Substances	Parathyroid Hormone
Language	English
Publishing date	2018-08-03
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Randomized Controlled Trial
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2018.06.032
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