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704
Postacute COVID-19 Laryngeal Injury and Dysfunction
Andrew J Neevel1, Joshua D Smith2, Robert J Morrison2
1University of Michigan Medical School, Ann Arbor, Michigan, USA.
OTO Open
|August 30, 2021
Summary
COVID-19 survivors may experience voice, airway, and swallowing problems. These laryngeal complications can occur even without intubation or tracheostomy, requiring specialized care.
Area of Science:
- Otolaryngology
- Pulmonology
- Infectious Diseases
Background:
- COVID-19 can lead to laryngeal injury and dysfunction.
- Respiratory failure and prolonged intubation are risk factors for these complications.
Purpose of the Study:
- To report clinical features and treatment of voice, airway, and swallowing issues post-COVID-19.
- To analyze laryngeal sequelae in patients recovering from COVID-19.
Main Methods:
- Retrospective case series of 24 patients evaluated by a laryngology team.
- Data collected from March 2020 to April 2021, including COVID-19 course and laryngeal assessment.
- Analysis of presenting symptoms and diagnosed laryngeal conditions.
Main Results:
- 19 patients (79%) presented with dysphonia, 17 (71%) with dyspnea, and 6 (25%) with dysphagia.
- Vocal fold motion impairment, glottic injury, and stenosis were common in intubated patients.
- Muscle tension dysphonia was frequent in non-intubated patients.
Conclusions:
- Significant voice, airway, and swallowing issues can arise post-COVID-19.
- Complications are not limited to intubated or tracheostomized patients.
- Multidisciplinary clinics are crucial for managing COVID-19-related laryngeal sequelae.
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