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Limiting patient care, mindful allocation of resources, and concern for safety have challenged all aspects of our health care system. This evidence\u2010based clinical consensus is designed to guide practitioners of pediatric otolaryngology for common scenarios during this time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>Peer\u2010reviewed literature, published reports, institutional guidelines, and expert consensus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Review Methods<\/jats:title><jats:p>A clinical consensus on 6 common scenarios in pediatric otolaryngology developed with evidence\u2010based strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Providers should suspend all in\u2010person nonessential office visits and elective surgical procedures. An emphasis on medical management and caregiver education will provide reasonable approaches to many of the common outpatient concerns. Surgery for chronic otitis media, obstructive sleep apnea, and acute rhinosinusitis should occur only in response to severe complications or failure of medical regimens. The approach to the pediatric neck mass focuses on timely management for oncologic etiologies and cautious surgical intervention for abscess drainage or tissue sampling. Finally, epistaxis and otorrhea must be triaged and addressed without the usual ambulatory procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>Adaptation of practice patterns during this unprecedented moment for our health care system requires thoughtful planning. The strategies described allow for safe handling of common pediatric otolaryngology diagnoses. Ultimately, otolaryngologists must be stewards of our global health community while advocating for the care of individual pediatric patients.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820923633","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T04:01:03Z","timestamp":1589860863000},"page":"25-37","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Algorithm\u2010Based Pediatric Otolaryngology Management During the COVID\u201019 Global Pandemic: A Children\u2019s Hospital of Philadelphia Clinical Consensus"],"prefix":"10.1002","volume":"163","author":[{"given":"Stephen R.","family":"Chorney","sequence":"first","affiliation":[{"name":"Division of Otolaryngology Children\u2019s Hospital of Philadelphia Philadelphia Pennsylvania USA"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Elden","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Children\u2019s Hospital of Philadelphia Philadelphia Pennsylvania USA"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terri","family":"Giordano","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Children\u2019s Hospital of Philadelphia Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Kazahaya","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Children\u2019s Hospital of Philadelphia Philadelphia Pennsylvania USA"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Rizzi","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Children\u2019s Hospital of Philadelphia Philadelphia Pennsylvania USA"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen B.","family":"Zur","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Children\u2019s Hospital of Philadelphia Philadelphia Pennsylvania USA"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Dedhia","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Children\u2019s Hospital of Philadelphia Philadelphia Pennsylvania USA"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,19]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"51","volume-title":"Coronavirus Disease 2019 (COVID\u201019)","author":"World Health Organization","year":"2020"},{"key":"e_1_2_7_3_1","unstructured":"Centers for Medicare and Medicaid Services. 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