Hostname: page-component-f554764f5-8cg97 Total loading time: 0 Render date: 2025-04-20T08:56:18.176Z Has data issue: false hasContentIssue false
  • English
  • Français

Coronavirus disease 2019 status and related anxiety levels in cases undergoing total laryngectomy

Published online by Cambridge University Press:  25 April 2024

Burak Hazir Open the ORCID record for Burak Hazir [Opens in a new window] ,
Yusuf Kemal Kemaloğlu ,
Alparslan Eker  and
Mehmet Düzlü Open the ORCID record for Mehmet Düzlü [Opens in a new window]
Burak Hazir*
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Ankara City Hospital, Ankara, Turkey
Yusuf Kemal Kemaloğlu
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Gazi University Faculty of Medicine, Ankara, Turkey
Alparslan Eker
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Gazi University Faculty of Medicine, Ankara, Turkey
Mehmet Düzlü
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Gazi University Faculty of Medicine, Ankara, Turkey
*
Corresponding author: Burak Hazir; Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study aimed to evaluate rate of the COVID-19 disease, its severity, mortality rate and anxiety levels in subjects who underwent total laryngectomy.

Methods

The subjects who underwent total laryngectomy were included in the study. The data were first obtained retrospectively and then a telephone survey was applied. Anxiety levels was evaluated by the Coronavirus Anxiety Scale (CAS).

Results

A total of 54 subjects were included in the study. Nine (16.7%) males were reported to be infected with SARS-CoV-2. Five (55%) of them were hospitalized; 2 of them (22%) were taken to intensive care units, and one subject (11%) died. Although a tendency to increase risk of COVID-19 disease in the tracheoesophageal voice prosthesis users (23.1% vs 14.63%) was observed, statistically difference was not significant. The average total CAS score was significantly higher in those who had COVID-19.

Conclusion

The data documented that people who underwent total laryngectomy developed more frequent and more severe COVID-19 disease and had a higher mortality rate. Although no obvious variable was found, our data suggest that using a tracheoesophageal voice prosthesis may be somewhat effective. Besides, our subjects presented very low anxiety about COVID-19.

Keywords

COVID-19total laryngectomyanxietyvoice prosthesis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 9 , September 2024 , pp. 973 - 978
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Burak Hazir takes responsibility for the integrity of the content of the paper

References

Bıkmaz Ş, Aygencel, Kemaloğlu, Y. Tracheostomy applications in critically-ill Covid-19 patients. Journal of Ear, Nose & Throat and Head & Neck Surgery 2020;28:84–9Google Scholar
Guan, W-J, Ni, Z-Y, Hu, Y, Liang, W-H, Ou, C-Q, He, J-X et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020;382:1708–20CrossRefGoogle ScholarPubMed
Grasselli, G, Zangrillo, A, Zanella, A, Antonelli, M, Cabrini, L, Castelli, A et al. Baseline characteristics and outcomes of 1591 patients infected with SARS-CoV-2 admitted to ICUs of the Lombardy Region, Italy. JAMA 2020;323:1574–81CrossRefGoogle ScholarPubMed
Huang, C, Wang, Y, Li, X, Ren, L, Zhao, J, Hu, Y et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497–506CrossRefGoogle ScholarPubMed
Li, J, Huang, DQ, Zou, B, Yang, H, Hui, WZ, Rui, F et al. Epidemiology of Covid-19: a systematic review and meta-analysis of clinical characteristics, risk factors, and outcomes. J Med Virol 2021;93:1449–58CrossRefGoogle Scholar
Varghese, JJ, Aithal, VU, Rajashekhar, B. Self-care and clinical management of persons with laryngectomy during Covid-19 pandemic: a narrative review. Support Care Cancer 2021;29:7183–94CrossRefGoogle ScholarPubMed
Otter, CJ, Fausto, A, Tan, LH, Khosla, AS, Cohen, NA, Weiss, SR. Infection of primary nasal epithelial cells differentiates among lethal and seasonal human coronaviruses. Proc Natl Acad Sci U S A 2023;120:e2218083120CrossRefGoogle ScholarPubMed
Siegel, RL, Miller, KD, Jemal, A. Cancer statistics, 2018. CA Cancer J Clin 2018;68:7–30CrossRefGoogle ScholarPubMed
Licitra, L, Bernier, J, Grandi, C, Locati, L, Merlano, M, Gatta, G et al. Cancer of the larynx. Crit Rev Oncol Hematol 2003;47:65–80CrossRefGoogle ScholarPubMed
Serindere, G, Bolgul, B, Gursoy, D, Hakverdi, S, Savas, N. Comparison of head and neck cancer distribution in Turkish and Syrian populations. Iran J Public Health 2019;48:1810–16Google ScholarPubMed
Hess, MM, Schwenk, RA, Frank, W, Loddenkemper, R. Pulmonary function after total laryngectomy. Laryngoscope 1999;109:988–94CrossRefGoogle ScholarPubMed
van den Boer, C, van Harten, MC, Hilgers, FJ, van den Brekel, MW, Retèl, VP. Incidence of severe tracheobronchitis and pneumonia in laryngectomized patients: a retrospective clinical study and a European-wide survey among head and neck surgeons. Eur Arch Otorhinolaryngol 2014;271:3297–303CrossRefGoogle Scholar
Parrinello, G, Missale, F, Sampieri, C, Carobbio, ALC, Peretti, G. Safe management of laryngectomized patients during the Covid-19 pandemic. Oral Oncol 2020;107:104742CrossRefGoogle ScholarPubMed
Govender, R, Behenna, K, Brady, G, Coffey, M, Babb, M, Patterson, JM. Shielding, hospital admission and mortality among 1216 people with total laryngectomy in the UK during the Covid-19 pandemic: a cross-sectional survey from the first national lockdown. Int J Lang Commun Disord 2021;56:1064–73CrossRefGoogle ScholarPubMed
Yeung, DCM, Lai, R, Wong, EWY, Chan, JYK. Care of patients with a laryngectomy during the Covid-19 pandemic. Otolaryngol Head Neck Surg 2020;163:695–8CrossRefGoogle ScholarPubMed
Hutcheson, KA, Lewin, JS, Sturgis, EM, Kapadia, A, Risser, J. Enlarged tracheoesophageal puncture after total laryngectomy: a systematic review and meta-analysis. Head Neck 2011;33:20–30CrossRefGoogle ScholarPubMed
Elwood, JM, Pearson, JC, Skippen, DH, Jackson, SM. Alcohol, smoking, social and occupational factors in the aetiology of cancer of the oral cavity, pharynx and larynx. Int J Cancer 1984;34:603–12CrossRefGoogle ScholarPubMed
Zhang, Y, Li, J, Feng, L, Luo, Y, Pang, W, Qiu, K et al. A population-based outcome-wide association study of the comorbidities and sequelae following Covid-19 infection. J Epidemiol Glob Health 2023;13(4):870–85CrossRefGoogle ScholarPubMed
Biçer, İ, Çakmak, C, Demir, H, Kurt, ME. Koronavirüs anksiyete ölçeği kısa formu: Türkçe geçerlik ve güvenirlik çalışması. Anadolu Klin 2020;25:216–25CrossRefGoogle Scholar
Evren, C, Evren, B, Dalbudak, E, Topcu, M, Kutlu, N. Measuring anxiety related to Covid-19: a Turkish validation study of the Coronavirus Anxiety Scale. Death Stud 2022;46:1052–8CrossRefGoogle ScholarPubMed
Lee, SA. Coronavirus Anxiety Scale: A brief mental health screener for Covid-19 related anxiety. Death Stud 2020;44:393–401CrossRefGoogle Scholar
Patel, ND, Cabrera, CI, Fowler, NM, Li, S, Thuener, JE, Lavertu, P et al. Incidence and medical complications of Covid-19 in the total laryngectomy population: a population-based study. Oral Oncol 2023;139:106353CrossRefGoogle ScholarPubMed
Hennessy, M, Bann, DV, Patel, VA, Saadi, R, Krempl, GA, Deschler, DG et al. Commentary on the management of total laryngectomy patients during the Covid-19 pandemic. Head Neck 2020;42:1137–43CrossRefGoogle ScholarPubMed
Dunton, J, Patterson, J, Glaister, C, Baker, K, Woodman, S, Rowe, E et al. The use of tracheostoma humidification by people with total laryngectomy in the UK: a cross-sectional survey. Adv Comm Swallowing 2023;26:125–32CrossRefGoogle Scholar
Searl, J, Genoa, K, Fritz, A, Kearney, A, Doyle, PC. Usage of heat and moisture exchange devices, virtual visits, masking, and vaccinations among people with a laryngectomy during Covid-19. Am J Speech Lang Pathol 2023;32:592–612CrossRefGoogle ScholarPubMed
Grasselli, G, Greco, M, Zanella, A, Albano, G, Antonelli, M, Bellani, G et al. Risk factors associated with mortality among patients with Covid-19 in intensive care units in Lombardy, Italy. JAMA Intern Med 2020;180:1345–55CrossRefGoogle ScholarPubMed
Tekin, S, Demirtürk, N. Covid-19: hastaliği artiran risk faktörleri ve skorlama. Klimik Derg 2021;34:150–5.Google Scholar
Yang, X, Yu, Y, Xu, J, Shu, H, Xia, Ja, Liu, H et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet Respir Med 2020;8:475–81CrossRefGoogle Scholar
Wu, Z, McGoogan, JM. Characteristics of and important lessons from the coronavirus disease 2019 (Covid-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA 2020;323:1239–42CrossRefGoogle Scholar
Anderson, RM, Heesterbeek, H, Klinkenberg, D, Hollingsworth, TD. How will country-based mitigation measures influence the course of the Covid-19 epidemic? Lancet 2020;395:931–4CrossRefGoogle ScholarPubMed
Rodriguez-Morales, AJ, Cardona-Ospina, JA, Gutiérrez-Ocampo, E, Villamizar-Peña, R, Holguin-Rivera, Y, Escalera-Antezana, JP et al. Clinical, laboratory and imaging features of Covid-19: a systematic review and meta-analysis. Travel Med Infect Dis 2020;34:101623CrossRefGoogle ScholarPubMed
Zhi, Z. Epidemiology working group for NCIP epidemic response, Chinese Center for Disease Control and Prevention. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (Covid-19) in China. Zhonghua Liu Xing Bing Xue Za Zhi 2020;41:145–51Google Scholar
Duan, L, Zhu, G. Psychological interventions for people affected by the Covid-19 epidemic. Lancet Psychiatry 2020;7:300–2CrossRefGoogle ScholarPubMed
Ramírez, MJF, Ferriol, EE, Doménech, FG, Llatas, MC, Suarez-Varela, MM, Martínez, RL. Psychosocial adjustment in patients surgically treated for laryngeal cancer. Otolaryngol Head Neck Surg 2003;129:92–7CrossRefGoogle ScholarPubMed