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Published on: March 18, 2020
COVID-19 and Total Laryngectomy-A Report of Two Cases
Alberto Paderno1, Milena Fior1, Giulia Berretti1
1Unit of Otorhinolayngology-Head and Neck Surgery, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiologic Sciences, and Public Health; University of Brescia, Brescia, Italy.
Objective:
To date, no cases have been reported on the effects of COVID-19 in laryngectomees.
Case Presentation:
We herein presented two clinical cases of laryngectomized patients affected by COVID-19, detailing their clinical course and complications.
Discussion:
In our experience, permanent tracheostomy did not significantly affect the choice of treatment. However, dedicated devices and repeated tracheal toilettes may be needed to deal with oxygen-therapy-related tracheal crusting.
Conclusion:
In conclusion, laryngectomees should be considered a vulnerable population that may be at risk for worse outcomes of COVID-19 due to anatomical changes in their airways. The role of the ENT specialist is to guide airway management and inform the support-staff regarding specific needs of these patients.
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