The Consequences of COVID 19 in Patients with Laryngeal Cancer

Abstract

Background: The global pandemic, triage and telemedicine have contributed to late diagnosis of patients with advanced carcinoma of the larynx. Warming and humidification of air in this type of patient are completely cut off and lost, which devotes to the occurrence of chronic lung disease. Aim: Representing patients with laryngeal carcinoma who became infected with Covid 19, recognizing the severity of Covid 19 manifestation and its outcome. Material and methods: University ENT Clinic in Skopje was Covid Center for treatment and care of patients with Covid 19. A total of 405 patients with moderate and severe clinical picture were hospitalized in the period from 2019 to 2021. There were 8 patients with laryngeal cancer. Results: In all 8 patients auscultatory, oxygen saturation, CT scan presents massive interstitial pneumonia, typical of Covid 19. Four patients who survived had high oxygen saturation, low CRP and laryngectomy performed more than 10 years ago. The other four patient who failed the disease had low saturation, high CRP, and total laryngectomy which was performed not more than 4 years ago. Conclusion: According to our experience, the reasons for the presented number of lethal outcome cannot be fully determined that is in line of the professional literature, which was confirmed in this case. It is estimated that a lack of tracheostomal warmers and humidifiers leads to increased mortality in cancer patients, especially in Covid 19 pandemic. Application of protection and rehabilitation protocols in these patients is necessary to improve the quality of life and reducing the risk factor for Covid disease 19.