{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:37:24Z","timestamp":1761824244435,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T00:00:00Z","timestamp":1587513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This case highlights challenges in the assessment and management of the \u201cdifficult airway\u201d patient in the SARS\u2010CoV\u20102 (COVID\u201019) pandemic era.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 60\u2010year\u2010old male with history of recent transoral robotic surgery resection, free flap reconstruction, and tracheostomy for p16+ squamous cell carcinoma presented with stridor and dyspnea 1 month after decannulation. Careful planning by a multidisciplinary team allowed for appropriate staffing and personal protective equipment, preparations for emergency airway management, evaluation via nasopharyngolaryngoscopy, and COVID testing. The patient was found to be COVID negative and underwent imaging which revealed new pulmonary nodules and a tracheal lesion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patient was safely transorally intubated in the operating room. The tracheal lesion was removed endoscopically and tracheostomy was avoided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This case highlights the importance of careful and collaborative decision making for the management of head and neck cancer and other \u201cdifficult airway\u201d patients during the COVID\u201019 epidemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26175","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T15:04:30Z","timestamp":1587049470000},"page":"1273-1277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Management of the difficult airway in the <scp>COVID<\/scp>\u201019 pandemic: Illustrative complex head and neck cancer scenario"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2487-0169","authenticated-orcid":false,"given":"Christopher H.","family":"Rassekh","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7166-2966","authenticated-orcid":false,"given":"Carolyn M.","family":"Jenks","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. Andrew","family":"Ochroch","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3634-2067","authenticated-orcid":false,"given":"Jennifer E.","family":"Douglas","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Bert W.","family":"O'Malley","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory S.","family":"Weinstein","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,22]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.0488"},{"key":"e_1_2_4_3_1","unstructured":"CouloignerV LescanneE KleinJM MorelN. Alerte COVID\u201019 endoscopies et fibroscopies orl chirurgie endonasale tracheotomie et soins de tracheotomie. Syndicat National Des Medecins Specialises en ORL et Chirurgie Cervico\u2010faciale.https:\/\/www.snorl.org\/category\u2010acces\u2010libre\/alerte\u2010covid\u201019\u2010endoscopies\u2010et\u2010fibroscopies\u2010orl\u2010chirurgie\u2010endonasale\u2010tracheotomie\u2010et\u2010soins\u2010de\u2010tracheotomie\/2020. Accessed April 1 2020."},{"key":"e_1_2_4_4_1","unstructured":"HarrisonL RamsdenJ WinterS RockeJ HewardE. Guidance for surgical tracheostomy and tracheostomy tube change during the COVID\u201019 pandemic.https:\/\/www.entuk.org\/tracheostomy-guidance-during-covid-19-pandemic.2020. 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