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Supportive Care in Cancer

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Open Access 01-12-2021 | Coronavirus | Review Article

Self-care and clinical management of persons with laryngectomy during COVID-19 pandemic: a narrative review

Authors: Janet Jaison Varghese, Venkataraja U. Aithal, Bellur Rajashekhar

Published in: Supportive Care in Cancer | Issue 12/2021

Abstract

Objective

To summarize guidelines on self-care and clinical management of persons with laryngectomy during the COVID-19 pandemic.

Method

Articles published in electronic databases—PubMed, Scopus, Web of Science, and CINHAL with the compliant keywords—were scouted from December 2019 to November 2020. All original articles, letters to editors, reviews, and consensus statements were reviewed and included.

Results

In all, 20 articles that had information pertaining to self-care of persons with laryngectomy or guidelines for clinicians working with this population were identified. Four of the included studies were case reports of persons with laryngectomy who contracted the COVID-19 virus. One of the included articles was a cohort study that explored the use of telerehabilitation in persons with laryngectomy.

Conclusion

The hallmarks of preventative strategies for persons with laryngectomy during the COVID-19 pandemic are as follows: physical distancing, use of a three-ply mask or surgical mask to cover the mouth and nose, and use of Heat Moisture Exchange (HME) device over stoma in addition to covering it with a surgical mask or laryngectomy bib. Telerehabilitation, not a preference with this population prior to the pandemic, has gained popularity and acceptance during the COVID-19 situation. The reports of COVID-positive persons with laryngectomy have indicated contrary findings from the tracheal and nasal swabs, necessitating compulsory inclusion of both nasal and tracheal swabs.

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Title: Self-care and clinical management of persons with laryngectomy during COVID-19 pandemic: a narrative review
Authors: Janet Jaison Varghese
Venkataraja U. Aithal
Bellur Rajashekhar
Publication date: 01-12-2021
Publisher: Springer Berlin Heidelberg
Keywords: Coronavirus
Enterostomy
SARS-CoV-2
Care
Laryngectomy
Enterostomy
COVID-19
Published in: Supportive Care in Cancer / Issue 12/2021
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-021-06333-3

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