Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 36 Issue: 1

Demographic and Clinical Characteristics of Patients Undergoing Head and Neck Cancer Surgery during and After the COVID-19 Pandemic: A Single-Centre Experience

Deniz Baklacı(Zonguldak Bülent Ecevit University, Department of Otolaryngology-Head and Neck Surgery)0000-0001-8449-4965
Duygu Erdem(Zonguldak Bülent Ecevit University, Department of Otolaryngology-Head and Neck Surgery)0000-0002-7973-2719
Gökhan Furkan Kılıç(Zonguldak Bülent Ecevit University, Department of Otolaryngology-Head and Neck Surgery)0000-0003-3975-3547
Aleyna Şivetoğlu(Zonguldak Bülent Ecevit University, Department of Otolaryngology-Head and Neck Surgery)0009-0006-7262-181X
Hüseyin Işık(Zonguldak Bülent Ecevit University, Department of Otolaryngology-Head and Neck Surgery)0009-0008-4164-9726
Ergin Bilgin(Zonguldak Bülent Ecevit University, Department of Otolaryngology-Head and Neck Surgery)0000-0001-7191-6209
Mehmet Murat Günay(Ankara Etlik City Hospital, Department of Otorhinolaryngology-Head and Neck Surgery)0000-0003-1880-8334
Ömer Bayır(0000-0001-9445-6129)0000-0001-9445-6129
Pages
—
Publication Date
2026-03-31
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The pandemic had enduring repercussions on head and neck cancer surgery, altering patient profiles and tumour types, and indicating indirect impacts on healthcare access.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To evaluate the long-term effects of the COVID-19 pandemic on surgical oncology by comparing the demographic and clinical characteristics of patients undergoing surgery for head and neck cancer during the pandemic and postpandemic periods.
📊
Key Findings & Data:Materials and Methods: This retrospective study included 167 patients who underwent surgery at our clinic between March 2020 and March 2025.
💡
Conclusion & Impact:Conclusion: The pandemic had enduring repercussions on head and neck cancer surgery, altering patient profiles and tumour types, and indicating indirect impacts on healthcare access.
🔬Design:Research Article
📍Scope:2020 Verileri
⚙️Variables:COVID-19 Pandemic · Squamous Cell Carcinoma of Head and Neck · Surgical Oncology

Abstract

Objective: To evaluate the long-term effects of the COVID-19 pandemic on surgical oncology by comparing the demographic and clinical characteristics of patients undergoing surgery for head and neck cancer during the pandemic and postpandemic periods. Materials and Methods: This retrospective study included 167 patients who underwent surgery at our clinic between March 2020 and March 2025. Patients were grouped as pandemic (n=53) and postpandemic (n=114). Age, diagnosis-to-surgery time, hospital stay, tumour localisation, pathological stage, and histopathology were compared. Results: There was a statistically significant reduction in patients’ average age during the pandemic (p=0.009). No significant differences were observed in the interval from diagnosis to surgery, postoperative hospitalisation duration, or pathological stage. The distribution of tumour localisation showed a difference approaching statistical significance (p=0.052). The postpandemic period exhibited a significantly higher proportion of SCC (p=0.016). Conclusion: The pandemic had enduring repercussions on head and neck cancer surgery, altering patient profiles and tumour types, and indicating indirect impacts on healthcare access.

🔖

Cite This Article

Baklacı, D., Erdem, D., Kılıç, G. F., Şivetoğlu, A., Işık, H., Bilgin, E., Günay, M. M., Bayır, Ö. (2026). Demographic and Clinical Characteristics of Patients Undergoing Head and Neck Cancer Surgery during and After the COVID-19 Pandemic: A Single-Centre Experience. The Turkish Journal of Ear Nose and Throat, Volume: 36 Issue: 1. https://doi.org/10.26650/Tr-ENT.2026.1847469

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (22)

  1. Hamilton W. Cancer diagnostic delay in the COVID-19 era: what happens next? Lancet Oncol 2020;21(8):1000-2. google scholar
  2. Mouton C, Hirschmann MT, Ollivier M, Seil R, Menetrey J., COVID-19-ESSKA guidelines and recommendations for resuming elective surgery. J Exp Orthop 2020;7(1):28. google scholar
  3. Fu SJ, George EL, Maggio PM, Hawn M, Nazerali R,. The Consequences of Delaying Elective Surgery: Surgical Perspective. Ann Surg 2020;272(2):e79-80. google scholar
  4. Chan JYK, Wong EWY, Lam W. Practical Aspects of Otolaryngologic Clinical Services during the 2019 Novel Coronavirus Epidemic: An Experience in Hong Kong. JAMA Otolaryngol Head Neck Surg 2020;146(6):519-20. google scholar
  5. Day AT, Sher DJ, Lee RC, Truelson JM, Myers LL, Sumer BD, et al. Head and neck oncology during the COVID-19 pandemic: Reconsidering traditional treatment paradigms in light of new surgical and other multilevel risks. Oral Oncol 2020;105:104684. google scholar
  6. Gete M, Huang SH, Ringash J, Irish J, Su J, Ballal Y, et al. Causes and impact of delays during the COVID-19 pandemic on head and neck cancer diagnosis. Head Neck 2024;46(9):2197-205. google scholar
  7. Simonsen MG, Carlander ALF, Jakobsen KK, Grønhøj C, Buchwald C, The impact of the COVID-19 pandemic on time to treatment in head and neck cancer management: a systematic review. Acta Oncol 2025;64:156-66. google scholar
  8. Yao P, Cooley V, Kuhel W, Tassler A, Banuchi V, Long S, et al. Times to Diagnosis, Staging, and Treatment of Head and Neck Cancer Before and During COVID-19. OTO Open 2021;5(4):2473974X211059429. google scholar
  9. Batra TK, Tilak MR, Pai E, Verma N, Gupta BK, Yadav G, et al. Increased tracheostomy rates in head and neck cancer surgery during the COVID-19 pandemic. Int J Oral Maxillofac Surg 2021;50:989-93. google scholar
  10. Díaz-Calvillo P, Muñoz-Barba D, Ureña-Paniego C, Maul LV, Cerminara S, Kostner L, et al. Effects of COVID-19 Pandemic on the Diagnosis of Melanoma and Keratinocyte Carcinomas: a Systematic Review and Meta-analysis. Acta Derm Venereol 2024;104:adv19460. google scholar
  11. Stuart CM, Mott NM, Bronsert MR, Dyas AR, Rodriguez Franco S, et al. Continued implications of the COVID-19 pandemic environment on non-small cell lung cancer characteristics and treatment in the United States. J Thorac Dis. 2025;17(1):150-60. google scholar
  12. Semprini J, Pagedar NA, Boakye EA, Osazuwa- Peters N, Head and Neck Cancer Incidence in the United States Before and During the COVID-19 Pandemic. JAMA Otolaryngol Head Neck Surg 2024;150(3):193-200. google scholar
  13. Lein A, Brkic F, Liu DT, Haas M, Salkic A, Ibrisevic A, et al. Changes in management of head and neck malignancies during the COVID-19 pandemic. Acta Otorhinolaryngol Ital 2024;44(3):169-75. google scholar
  14. Metzger K, Mrosek J, Zittel S, Pilz M, Held T, Adeberg S, et al. Treatment delay and tumor size in patients with oral cancer during the first year of the COVID-19 pandemic. Head Neck 2021;43(11):3493-7. google scholar
  15. Tevetoğlu F, Kara S, Aliyeva C, Yıldırım R, Yener HM. Delayed presentation of head and neck cancer patients during COVID-19 pandemic. Eur Arch Otorhinolaryngol 2021;278(12):5081-5. google scholar
  16. Potier AL, Leroy M, Mortuaire G, Rysman B, Morisse M, Mouawad F. Impact of the 2nd, 3rd and 4th waves of the COVID-19 pandemic on wait times in head and neck cancer: A retrospective study in a French expert center. Eur Ann Otorhinolaryngol Head Neck Dis 2024;141(5):268-74. google scholar
  17. Mehanna H, Hardman JC, Shenson JA, Abou-Foul AK, Topf MC, AlFalasi M, et al. Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus. Lancet Oncol 2020;21(7):e350-9. google scholar
  18. Lee ML, Finegersh A, Chen MM. Impact of the COVID-19 Pandemic on the Treatment of Head and Neck Cancers. J Clin Med 2025;14(5):1424. google scholar
  19. Psycharis SS, Salameh S, Turkdogan S, Razzaq S, Zhao K, Mascarella MA, et al. Prioritization of head and neck cancer patient care during the COVID-19 pandemic: a retrospective cohort study. J Otolaryngol Head Neck Surg 2023;52(1):15. google scholar
  20. COVIDSurg Collaborative. Head and neck cancer surgery during the COVID-19 pandemic: An international, multicenter, observational cohort study. Cancer 2021;127(14):2476-88. google scholar
  21. Solis RN, Mehrzad M, Faiq S, Frusciante RP, Sekhon HK, Abouyared M, et al. The Impact of COVID-19 on Head and Neck Cancer Treatment: Before and During the Pandemic. OTO Open 2021;5(4):2473974X211068075. google scholar
  22. Kiong KL, Diaz EM, Gross ND, Diaz EM Jr, Hanna EY.The impact of COVID‐19 on head and neck cancer diagnosis and disease extent. Head Neck 2021;43(6): 1890-7. google scholar