{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T01:10:32Z","timestamp":1777511432542,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T00:00:00Z","timestamp":1596499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe a remote approach used with patients with voice prosthesis after laryngectomy during the COVID\u201019 pandemic and the resulting clinical outcomes in terms of voice prosthesis complications management, oncological monitoring, and psychophysical well\u2010being.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Otolaryngology Clinic of the University Polyclinic A. Gemelli, IRCCS Foundation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>All patients with voice prosthesis who underwent laryngectomy followed by our institute were offered enrollment. Patients who agreed to participate were interviewed to inquire about the nature of the need and to plan a video call with the appropriate clinician. Before and 1 week after the clinician\u2019s call, patients were tested with the Hospital Anxiety and Depression Scale. Degrees of satisfaction were investigated with a visual analog scale. A comparison between those who accepted and refused telematic support was carried out to identify factors that influence patient interest in teleservice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Video call service allowed us to reach 37 (50.68%) of 73 patients. In 23 (62.16%) of 37 cases, the video call was sufficient to manage the problem. In the remaining 14 cases (37.83%), an outpatient visit was necessary. Participants who refused telematic support had a significantly shorter time interval from the last ear, nose, and throat visit than patients who accepted (57.95 vs 96.14\u00a0days, <jats:italic>P<\/jats:italic> =. 03). Video\u2010called patients showed significantly decreased levels of anxiety and depression (mean Hospital Anxiety and Depression Scale total score pre\u2013 vs post\u2013video call: 13.97 vs. 10.23, <jats:italic>P<\/jats:italic> &lt;. 0001) and reported high levels of satisfaction about the service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Remote approach may be a viable support in the management of patients with voice prosthesis rehabilitation.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820948043","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T04:11:06Z","timestamp":1596514266000},"page":"277-284","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Patients With Voice Prosthesis Rehabilitation During the COVID\u201019\u00a0Pandemic: Analyzing the Effectiveness of Remote Triage and Management"],"prefix":"10.1002","volume":"164","author":[{"given":"Ylenia","family":"Longobardi","sequence":"first","affiliation":[{"name":"Unit\u00e0 Operativa Complessa di Otorinolaringoiatria Area Testa\u2010Collo Dipartimento Scienze dell\u2019Invecchiamento, Neurologiche, Ortopediche e della Testa\u2010collo Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacopo","family":"Galli","sequence":"additional","affiliation":[{"name":"Unit\u00e0 Operativa Complessa di Otorinolaringoiatria Area Testa\u2010Collo Dipartimento Scienze dell\u2019Invecchiamento, Neurologiche, Ortopediche e della Testa\u2010collo Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia","family":"D\u2019Alatri","sequence":"additional","affiliation":[{"name":"Unit\u00e0 Operativa Complessa di Otorinolaringoiatria Area Testa\u2010Collo Dipartimento Scienze dell\u2019Invecchiamento, Neurologiche, Ortopediche e della Testa\u2010collo Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vezio","family":"Savoia","sequence":"additional","affiliation":[{"name":"Servizio di Psicologia Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgia","family":"Mari","sequence":"additional","affiliation":[{"name":"Unit\u00e0 Operativa Complessa di Otorinolaringoiatria Area Testa\u2010Collo Dipartimento Scienze dell\u2019Invecchiamento, Neurologiche, Ortopediche e della Testa\u2010collo Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Rigante","sequence":"additional","affiliation":[{"name":"Unit\u00e0 Operativa Complessa di Otorinolaringoiatria Area Testa\u2010Collo Dipartimento Scienze dell\u2019Invecchiamento, Neurologiche, Ortopediche e della Testa\u2010collo Fondazione Policlinico Universitario A. 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