Dear Editor,

airway management is crucial in effective treatment of COVID-19 patients with critical/severe disease. In the literature, the risk of nosocomial SARS-CoV-2 transmission ascribable to increased request for tracheostomy continues to be debated 1,2; in addition, we have to take into account that, once the acute phase passes, we may have to face other problems, such as laryngo-tracheal sequelae following prolonged endotracheal intubation and tracheostomy 3. Now that infectious spreading and contagion has been steadily decreasing in Italy, we observed an escalation in requests for ENT consultation for laryngeal complaints in COVID-19 patients who underwent endotracheal intubation or tracheostomy, independently of age, and were able to overcome the critical stage of disease at our frontline hospital in Milan, located in epicentre of the Italian COVID-19 epidemic.