新冠病毒肺炎与全喉切除术——两例报告
COVID-19 and Total Laryngectomy-A Report of Two Cases.
作者信息
Paderno Alberto, Fior Milena, Berretti Giulia, Del Bon Francesca, Schreiber Alberto, Grammatica Alberto, Mattavelli Davide, Deganello Alberto
机构信息
Unit 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.
出版信息
Ann Otol Rhinol Laryngol. 2021 Jan;130(1):104-107. doi: 10.1177/0003489420935500. Epub 2020 Jun 25.
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.
目的
迄今为止，尚无关于新冠病毒病对喉切除患者影响的病例报道。
病例报告
我们在此展示了两例感染新冠病毒病的喉切除患者的临床病例，详述了他们的临床病程及并发症。
讨论
根据我们的经验，永久性气管造口术对治疗方案的选择没有显著影响。然而，可能需要专用设备及反复进行气管灌洗来处理与氧疗相关的气管结痂。
结论
总之，应将喉切除患者视为弱势群体，因其气道解剖结构改变，他们可能面临新冠病毒病更差预后的风险。耳鼻喉科专家的作用是指导气道管理，并告知支持人员这些患者的特殊需求。
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