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Otolaryngol Head Neck Surg ; 163(1): 78-80, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-244957

RESUMEN

The novel coronavirus disease 2019 (COVID-19) pandemic presents unique challenges for surgical management of laryngotracheal stenosis. High viral concentrations in the upper aerodigestive tract, the ability of the virus to be transmitted by asymptomatic carriers and through aerosols, and the need for open airway access during laryngotracheal surgery create a high-risk situation for airway surgeons, anesthesiologists, and operating room personnel. While some surgical cases of laryngotracheal stenosis may be deferred, patients with significant airway obstruction or progressing symptoms often require urgent surgical intervention. We present best practices from our institutional experience for surgical management of laryngotracheal stenosis during this pandemic, including preoperative triage, intraoperative airway management, and personal protective measures.


Asunto(s)
Manejo de la Vía Aérea/métodos , Betacoronavirus , Infecciones por Coronavirus/complicaciones , Transmisión de Enfermedad Infecciosa/prevención & control , Laringoestenosis/cirugía , Pandemias , Neumonía Viral/complicaciones , Estenosis Traqueal/cirugía , COVID-19 , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Humanos , Laringoestenosis/etiología , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , SARS-CoV-2 , Estenosis Traqueal/epidemiología
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