A total laryngectomy is a surgery where the larynx (voice box) is removed, resulting in permanent changes to breathing and an inability to speak. The trachea (airway) is separated from the natural respiratory/digestive tract and reattached to the front of the neck (stoma), leaving patients with a laryngectomy as total neck breathers. These patients may be at increased risk during the coronavirus disease 2019 (COVID-19) pandemic. COVID-19 is very contagious and may spread by air. It can even be spread from someone who is not visibly sick yet. Given the changes in their airway anatomy, patients with a laryngectomy may be able to spread the virus more easily, requiring extra safety practices.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Sarsfield E, Montano M, Choi K, Goyal N. Laryngectomy Care in the COVID-19 Era. JAMA Otolaryngol Head Neck Surg. Published online June 25, 2020. doi:10.1001/jamaoto.2020.1523
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: