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Scenarios regarding safe management of laryngectomized patients during the COVID-19 pandemic. A laryngectomized patient wearing all recommended PPE: surgical mask and a highly efficient filter with a heat and moisture exchanger (A). The clinical setting of prosthetic valve replacement adopting safe PPE, considering all patients as potentially COVID-19 infected (B). Trans-stomal administration of local spray anesthesia to reduce cough reflex before prosthetic valve replacement (C).
