Closed total laryngectomy during the COVID-19 pandemic disease

Surgical activity during the coronavirus disease2019 (COVID-19) pandemic diffusion has been reduced inseveral centers to emergency and oncological proceduresonly, in accordance with the national scientific medicalsocieties’guidelines and governments’indications fromMarch to May 2020.Otolaryngology represents one of the most hazardoussurgical specialties with regard to severe acute respira-tory syndrome coronavirus 2 (SARS-CoV-2) exposure dueto the close contact with the upper respiratory tract,where viral load is particularly elevated. The exposureand manipulation of these areas during endoscopic evalu-ation and surgery can aerosolize the virus over the sur-geon or within the operating room.