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This document consolidates best available evidence to date and presents recommendations to minimize the risks of aerosolization and SARS\u2010CoV\u20102 exposures in both the inpatient and outpatient settings. The cornerstones of these recommendations include the use of closed\u2010circuit ventilation whenever possible, cuffed tracheostomy tubes, judicious use of heat moisture exchange units, appropriate personal protective equipment for providers and patients, meticulous hand hygiene, and minimal manipulation of tracheostomy tubes.<\/jats:p>","DOI":"10.1002\/hed.26171","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T14:58:37Z","timestamp":1587049117000},"page":"1209-1213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Managing head and neck cancer patients with tracheostomy or laryngectomy during the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3818-0460","authenticated-orcid":false,"given":"Maxwell P.","family":"Kligerman","sequence":"first","affiliation":[{"name":"Division of Head and Neck Surgery Stanford University  Palo Alto California USA"},{"name":"Division of Laryngology, Department of Otolaryngology Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelaysh","family":"Vukkadala","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery Stanford University  Palo Alto California USA"},{"name":"Division of Laryngology, Department of Otolaryngology Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1956-5821","authenticated-orcid":false,"given":"Raymond K. Y.","family":"Tsang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery The Chinese University of Hong Kong  Shatin NT East Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John B.","family":"Sunwoo","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7885-4327","authenticated-orcid":false,"given":"F. Christopher","family":"Holsinger","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9480-4637","authenticated-orcid":false,"given":"Jason Y. K.","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Otorhinolaryngology\u2014Head and Neck Surgery, Department of Surgery The University of Hong Kong  Pok Fu Lam Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward J.","family":"Damrose","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery Stanford University  Palo Alto California USA"},{"name":"Division of Laryngology, Department of Otolaryngology Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Kearney","sequence":"additional","affiliation":[{"name":"Division of Laryngology, Department of Otolaryngology Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather M.","family":"Starmer","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,23]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"HarrisonLR J;Winter S;Rocke J;Heward E.Guidance for surgical tracheostomy and tracheostomy tube change during the COVID\u201019 pandemic. 2020.https:\/\/www.entuk.org\/tracheostomy-guidance-during-covid-19-pandemic. 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