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2020 ; 137
(3
): 173-175
Nephropedia Template TP
gab.com Text
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English Wikipedia
Guidelines of clinical practice for the management of swallowing disorders and
recent dysphonia in the context of the COVID-19 pandemic
#MMPMID32332004
Mattei A
; Amy de la Bretèque B
; Crestani S
; Crevier-Buchman L
; Galant C
; Hans S
; Julien-Laferrière A
; Lagier A
; Lobryeau C
; Marmouset F
; Robert D
; Woisard V
; Giovanni A
Eur Ann Otorhinolaryngol Head Neck Dis
2020[May]; 137
(3
): 173-175
PMID32332004
show ga
Procedures putting healthcare workers in close contact with the airway are
particularly at risk of contamination by the SARS-Cov-2 virus, especially when
exposed to sputum, coughing, or a tracheostomy. In the current pandemic phase,
all patients should be considered as potentially infected. Thus, the level of
precaution recommended for the caregivers depends more on the type of procedure
than on the patient's proved or suspected COVID-19 status. Procedures that are
particularly at high risk of contamination are clinical and flexible endoscopic
pharyngo-laryngological evaluation, and probably also video fluoroscopic
swallowing exams. Voice rehabilitation should not be considered urgent at this
time. Therefore, recommendations presented here mainly concern the management of
swallowing disorders, which can sometimes be dangerous for the patient, and
recent dysphonia. In cases where they are considered possible and useful,
teleconsultations should be preferred to face-to-face assessments or
rehabilitation sessions. The latter must be maintained only in few selected
situations, after team discussions or in accordance with the guidelines provided
by health authorities.