{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:23:35Z","timestamp":1762431815163,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T00:00:00Z","timestamp":1589155200000},"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":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The global pandemic of 2019 novel coronavirus disease (COVID\u201019) has tremendously altered routine medical service provision and imposed unprecedented challenges to the health care system. This impacts patients with dysphagia complications caused by head and neck cancers. As this pandemic of COVID\u201019 may last longer than severe acute respiratory syndrome (SARS) in 2003, a practical workflow for managing dysphagia is crucial to ensure a safe and efficient practice to patients and health care personnel. This document provides clinical practice guidelines based on available evidence to date to balance the risks of SARS\u2010CoV\u20102 exposure with the risks associated with dysphagia. Critical considerations include reserving instrumental assessments for urgent cases only, optimizing the noninstrumental swallowing evaluation, appropriate use of personal protective equipment (PPE), and use of telehealth when appropriate. Despite significant limitations in clinical service provision during the pandemic of COVID\u201019, a safe and reasonable dysphagia care pathway can still be implemented with modifications of setup and application of newer technologies.<\/jats:p>","DOI":"10.1002\/hed.26224","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T18:32:33Z","timestamp":1588185153000},"page":"1491-1496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Management of dysphagia in the patient with head and neck cancer during <scp>COVID<\/scp>\u201019 pandemic: Practical strategy"],"prefix":"10.1002","volume":"42","author":[{"given":"Peter K. M.","family":"Ku","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery United Christian Hospital and Tseung Kwan O Hospital  Tseung Kwan O Hong Kong"},{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Prince of Wales Hospital The Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9594-1414","authenticated-orcid":false,"given":"Floyd Christopher","family":"Holsinger","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Otolaryngology Stanford University  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9480-4637","authenticated-orcid":false,"given":"Jason Y. K.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Prince of Wales Hospital The Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4643-6240","authenticated-orcid":false,"given":"Zenon W. C.","family":"Yeung","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery United Christian Hospital and Tseung Kwan O Hospital  Tseung Kwan O Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Becky Y. T.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Speech Therapy Prince of Wales Hospital  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael C. F.","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Prince of Wales Hospital The Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1716-9852","authenticated-orcid":false,"given":"Heather M.","family":"Starmer","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Otolaryngology Stanford University  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,11]]},"reference":[{"volume-title":"Coronavirus Disease 2019 (COVID): Situation Report 77","year":"2020","author":"World Health Organization","key":"e_1_2_7_2_1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2016.5688"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)00338-1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20701"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9020462"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyaa125"},{"volume-title":"Loss of Sense of Smell as Marker of COVID\u201019 Infection","year":"2020","author":"ENT UK","key":"e_1_2_7_8_1"},{"key":"e_1_2_7_9_1","first-page":"373","article-title":"Consensus document on the epidemiology of SARS","volume":"78","author":"World Health Organization","year":"2003","journal-title":"World Health Organization Wkly Epidemol Rec"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/15459624.2012.684582"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/irv.12743"},{"volume-title":"Anosmia as a Potential Marker of COVID\u201019 Infection\u2014An Update","year":"2020","author":"ENT UK","key":"e_1_2_7_12_1"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-2011-4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9758-y"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2011.0034"},{"key":"e_1_2_7_16_1","first-page":"870","article-title":"The development and validation of a dysphagia\u2010specific quality\u2010of\u2010life questionnaire for patients with head and neck cancer: the M. 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