{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:10:05Z","timestamp":1786122605588,"version":"build-2736575974"},"reference-count":12,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010656","name":"Tokai University School of Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010656","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Auris Nasus Larynx"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.anl.2026.06.006","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T07:52:00Z","timestamp":1782201120000},"page":"602-607","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tetanus mimicking post-radiotherapy dysphagia in a head and neck cancer survivor:A case report with institutional review"],"prefix":"10.1016","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3343-9111","authenticated-orcid":false,"given":"Hiroaki","family":"Iijima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiro","family":"Sakai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayu","family":"Yamauchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Murakami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Ebisumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takanobu","family":"Teramura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5911-020X","authenticated-orcid":false,"given":"Kosuke","family":"Saito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aritomo","family":"Yamazaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihide","family":"Inagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Ashida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yurina","family":"Sato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazufumi","family":"Obata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichiro","family":"Wasano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4228-3347","authenticated-orcid":false,"given":"Kenji","family":"Okami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.anl.2026.06.006_bib1","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.jcrc.2017.12.025","article-title":"Clinical features and outcomes of tetanus: analysis using a national inpatient database in Japan","volume":"44","author":"Nakajima","year":"2018","journal-title":"J Crit Care"},{"key":"10.1016\/j.anl.2026.06.006_bib2","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1016\/S0140-6736(18)33131-3","article-title":"Tetanus","volume":"393","author":"Yen","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.anl.2026.06.006_bib3","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1093\/annonc\/mdh101","article-title":"Dysphagia following chemoradiation for locally advanced head and neck cancer","volume":"15","author":"Nguyen","year":"2004","journal-title":"Ann Oncol"},{"key":"10.1016\/j.anl.2026.06.006_bib4","doi-asserted-by":"crossref","first-page":"5793","DOI":"10.1002\/cncr.27631","article-title":"Late dysphagia after radiotherapy-based treatment of head and neck cancer","volume":"118","author":"Hutcheson","year":"2012","journal-title":"Cancer"},{"key":"10.1016\/j.anl.2026.06.006_bib5","doi-asserted-by":"crossref","first-page":"670","DOI":"10.3950\/jibiinkoka.113.670","article-title":"New scoring system for assessment of swallowing function: Hyodo-Komagane score","volume":"113","author":"Hyodo","year":"2010","journal-title":"Nihon Jibiinkoka Gakkai Kaiho"},{"key":"10.1016\/j.anl.2026.06.006_bib6","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1159\/000016941","article-title":"A functional outcome swallowing scale for staging oropharyngeal dysphagia","volume":"17","author":"Salassa","year":"1999","journal-title":"Dig Dis"},{"key":"10.1016\/j.anl.2026.06.006_bib7","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1044\/sasd19.2.32","article-title":"Dysphagia after radiotherapy for head and neck cancer: etiology, clinical presentation, and efficacy of current treatments","volume":"19","author":"Langmore","year":"2010","journal-title":"Perspect Swallow Swallow Disord"},{"key":"10.1016\/j.anl.2026.06.006_bib8","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1093\/bja\/87.3.477","article-title":"Tetanus: a review of the literature","volume":"87","author":"Cook","year":"2001","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.anl.2026.06.006_bib9","first-page":"69","article-title":"Eradication of tetanus","volume":"116","author":"Thwaites","year":"2015","journal-title":"Br Med Bull"},{"key":"10.1016\/j.anl.2026.06.006_bib10","doi-asserted-by":"crossref","first-page":"329","DOI":"10.7326\/0003-4819-154-5-201103010-00007","article-title":"Narrative review: tetanus\u2014a health threat after natural disasters in developing countries","volume":"154","author":"Afshar","year":"2011","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.anl.2026.06.006_bib11","series-title":"Symposium on Tetanus in Great Britain","first-page":"1","article-title":"Analysis and main experiences in 82 patients treated in the Leeds Tetanus Unit","author":"Ablett","year":"1967"},{"key":"10.1016\/j.anl.2026.06.006_bib12","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1186\/cc13797","article-title":"Pharmacological management of tetanus: an evidence-based review","volume":"18","author":"Rodrigo","year":"2014","journal-title":"Crit Care"}],"container-title":["Auris Nasus Larynx"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0385814626000994?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0385814626000994?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T11:23:19Z","timestamp":1786101799000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0385814626000994"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0385814626000994"],"URL":"https:\/\/doi.org\/10.1016\/j.anl.2026.06.006","relation":{},"ISSN":["0385-8146"],"issn-type":[{"value":"0385-8146","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Tetanus mimicking post-radiotherapy dysphagia in a head and neck cancer survivor:A case report with institutional review","name":"articletitle","label":"Article Title"},{"value":"Auris Nasus Larynx","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.anl.2026.06.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}