Current Opinion in Otolaryngology & Head & Neck Surgery,
Journal Year:
2022,
Volume and Issue:
unknown
Published: Aug. 4, 2022
Purpose
of
review
Dysphagia
and
dysphonia
are
common
presentations
both
acute
long
coronavirus
disease
2019
(COVID-19).
The
majority
peer-reviewed
publications
in
2020
early
2021
were
expert
guidance
consensus
statements
to
support
dysphagia
management
multidisciplinary
teams
while
protecting
clinicians
patients
from
the
severe
respiratory
syndrome
2
(SARS-CoV-2)
virus.
This
discusses
primary
data
published
2021–2022,
focusing
on
patient
presentations,
pathophysiology,
evidence
for
interventions.
Recent
findings
Clinicians
researchers
amassed
knowledge
cross-system
presentation
with
COVID-19,
requiring
ICU
stays
those
mild-to-moderate
presenting
outpatient
clinics.
Pre-COVID-19
health
status,
hospitalization
experience,
presence
neurological
symptoms,
impact
virus
upper
aerodigestive
system
need
consideration
management.
Long-term
manifested
COVID-19
require
otolaryngologist
speech-language
pathologist
input.
Summary
Changes
immunity
through
population
vaccination
variations
SARS-CoV-2
mutations
means
prevalence
challenging
interpret.
However,
there
is
no
doubt
long-term
our
complex
a
team
tailored
approach
each
required.
Frontiers in Microbiology,
Journal Year:
2022,
Volume and Issue:
13
Published: March 16, 2022
An
increasing
number
of
laryngotracheal
complications
in
mechanically
ventilated
COVID-19
patients
has
been
reported
the
last
few
months.
Many
etiopathogenetic
hypotheses
were
proposed
but
no
clear
explanation
these
was
identified.
In
this
paper
we
evaluated
possibility
that
tracheal
mucosa
could
be
a
high
viral
replication
site
weaken
epithelium
itself.Subjects
for
group
and
control
selected
retrospectively
according
to
specific
criteria.
Patients'
basic
clinical
data
recorded
analyzed.
Tracheal
samples
both
groups
collected
during
surgical
tracheostomies
then
analyzed
from
histological
genetic-transcriptional
point
view.Four
enrolled
study
compared
with
four
non-COVID-19
patients.
No
identified
groups.
The
SARS-CoV-2
detected
one
out
samples.
A
subepithelial
inflammatory
lymphomonocyte
infiltrate
observed
all
two
cases
showed
vasculitis
small
vessels
associated
foci
coagulative
necrosis.
Two
gene
sets
(HALLMARK_INFLAMMATORY_RESPONSE
HALLMARK_ESTROGEN_RESPONSE_LATE)
significantly
deregulated
group.The
altered
response
another
possible
complications.
Arquivos de Gastroenterologia,
Journal Year:
2022,
Volume and Issue:
59(3), P. 439 - 446
Published: Sept. 1, 2022
ABSTRACT
Background
COVID-19
comprises
a
respiratory
infection
resulting
from
contamination
by
SARS-CoV-2,
with
acute
failure
being
one
of
its
main
characteristics,
leading
to
high
frequency
orotracheal
intubation
(OTI),
which
in
turn
increases
the
risk
for
dysphagia.
Since
this
can
lead
pulmonary
impairment,
knowing
real
occurrence
dysphagia
part
Brazilian
population
and
associations
allows
early
effective
clinical
management
multidisciplinary
team
relation
patients.
Objective
To
verify
COVID-19-positive
adult
patients
two
reference
hospitals
care
pandemic.
Methods
This
was
prospective,
longitudinal
observational
study
carried
out
private
Brazil,
both
references
coronavirus
isolation.
Data
were
initially
collected
consulting
medical
records
each
patient.
Information
regarding
sex,
age,
previous
diseases,
testing,
OTI
period.
After
data
collection,
speech-language
assessment
swallowing
patient
using
adapted
Gugging
Swallowing
Screen
(GUSS),
ASHA
NOMS
Functional
Oral
Intake
Scale
(FOIS).
Results
A
total
129
participants
evaluated,
mean
age
72
years.
According
GUSS
scale,
9.3%
presented
normal/functional
swallowing,
while
90.7%
dysphagia,
mild
17.05%,
moderate
33.33%,
severe
37.98%.
As
results
NOMS,
majority
(36.5%)
at
level
1,
represents
who
is
not
able
receive
his
or
her
food
supply
orally,
having
need
use
tube
feedings.
line
observed
FOIS
whereby
most
(42.1%)
classified
as
Level
I,
when
intake
occurs
exclusively
through
feeding
tubes,
no
oral
supply.
Of
participants,
59%
them
required
OTI.
When
comparing
time
severity
there
statistically
significant
difference,
more
longer
remained
intubated.
Conclusion:
There
incidence
oropharyngeal
COVID-19,
increased
during
periods
Laryngoscope Investigative Otolaryngology,
Journal Year:
2022,
Volume and Issue:
7(6), P. 1909 - 1914
Published: Oct. 21, 2022
Laryngeal
complications
have
been
reported
after
endotracheal
intubation
and
prone
positioning
in
patients
with
critical
coronavirus
disease
2019
(COVID-19),
but
their
association
is
unclear.
In
this
study,
we
investigated
the
rate
of
laryngeal
COVID-19
compared
to
an
alternative
condition
(control
group).
Current Opinion in Otolaryngology & Head & Neck Surgery,
Journal Year:
2022,
Volume and Issue:
unknown
Published: Aug. 4, 2022
Purpose
of
review
Dysphagia
and
dysphonia
are
common
presentations
both
acute
long
coronavirus
disease
2019
(COVID-19).
The
majority
peer-reviewed
publications
in
2020
early
2021
were
expert
guidance
consensus
statements
to
support
dysphagia
management
multidisciplinary
teams
while
protecting
clinicians
patients
from
the
severe
respiratory
syndrome
2
(SARS-CoV-2)
virus.
This
discusses
primary
data
published
2021–2022,
focusing
on
patient
presentations,
pathophysiology,
evidence
for
interventions.
Recent
findings
Clinicians
researchers
amassed
knowledge
cross-system
presentation
with
COVID-19,
requiring
ICU
stays
those
mild-to-moderate
presenting
outpatient
clinics.
Pre-COVID-19
health
status,
hospitalization
experience,
presence
neurological
symptoms,
impact
virus
upper
aerodigestive
system
need
consideration
management.
Long-term
manifested
COVID-19
require
otolaryngologist
speech-language
pathologist
input.
Summary
Changes
immunity
through
population
vaccination
variations
SARS-CoV-2
mutations
means
prevalence
challenging
interpret.
However,
there
is
no
doubt
long-term
our
complex
a
team
tailored
approach
each
required.
