{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:40:16Z","timestamp":1761745216986,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T00:00:00Z","timestamp":1588118400000},"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>COVID\u201019 pandemic has led to a global shortage of personal protective equipment (PPE). This study aims to stratify face shield needs when performing head and neck cancer surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifteen patients underwent surgery between March 1, 2020 and April 9, 2020. Operative diagnosis and procedure; droplet count and distribution on face shields were documented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010five surgical procedures were performed for neck nodal metastatic carcinoma of unknown origin (n = 3); carcinoma of tonsil (n = 2), tongue (n = 2), nasopharynx (n = 3), maxilla (n = 1), and laryngopharynx (n = 4). Droplet contamination was 57.8%, 59.5%, 8.0%, and 0% for operating, first and second assistant surgeons, and scrub nurse respectively. Droplet count was highest and most widespread during osteotomies. No droplet splash was noted for transoral robotic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Face shield is not a mandatory adjunctive PPE for all head and neck surgical procedures and health care providers. Judicious use helps to conserve resources during such difficult times.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26215","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T07:45:50Z","timestamp":1588059950000},"page":"1187-1193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Conservation of personal protective equipment for head and neck cancer surgery during <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3958-2410","authenticated-orcid":false,"given":"Velda Ling Yu","family":"Chow","sequence":"first","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0303-6469","authenticated-orcid":false,"given":"Jimmy Yu Wai","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie Wai Yee","family":"Ho","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George Chung Ching","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melody Man Kuen","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanley Thian Sze","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Gao","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,29]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"1","article-title":"COVID\u201019 and the otolaryngologist \u2010 preliminary evidence\u2010based review","author":"Vukkadala N","year":"2020","journal-title":"Laryngoscope"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2001737"},{"key":"e_1_2_7_4_1","first-page":"1","article-title":"Asymptomatic carrier state, acute respiratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARSCoV\u20102): facts and myths","volume":"2","author":"Lai C\u2010C","year":"2020","journal-title":"J Microbiol Immunol Infect"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020200642"},{"key":"e_1_2_7_6_1","unstructured":"US Centers for Disease Control and Prevention. 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