Treatment of patients with voice, speech, and swallowing disorders during COVID-19 pandemic
DOI:
https://doi.org/10.6016/ZdravVestn.3117Keywords:
pandemic, voice disorders, swallowing disorders, diagnostics, treatmentAbstract
Voice, speech and swallowing disorders are not uncommon. Professional voice users, children and adults with congenital anomalies or neurological disorders, and patients after treatment of head and neck cancer are affected the most by these problems. Phoniatrician is an otorhinolaryngologist who treats these disorders. The fundamental phoniatric examinations are endoscopic examinations of the larynx and flexible endoscopic analysis of swallowing. The surgical endoscopic laryngeal procedures are performed under general or local anaesthesia. During the COVID-19 pandemic, due to the high-risk aerosol production interventions, the work of the phoniatrician is adapted to the situation. The present recommendations on the manner and necessity of performing phoniatric diagnostic and therapeutic procedures are derived from review articles and the position paper of the Union of the European Phoniatricians (UEP). Consistent use of personal protective equipment, consideration of cleaning and room ventilation, and the associated sufficient time for the treatment of an individual patient are essential. It is necessary to decide individually for each patient whether the examination should be performed or would rather be replaced by another examination that does not pose such a danger to the attending healthcare professionals.
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