Management of dysphagia in the patient with head and neck cancer during <scp>COVID</scp>‐19 pandemic: Practical strategy
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- Peter K. M. Ku
- Department of Otorhinolaryngology—Head and Neck Surgery United Christian Hospital and Tseung Kwan O Hospital Tseung Kwan O Hong Kong
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- Floyd Christopher Holsinger
- Division of Head and Neck Surgery, Department of Otolaryngology Stanford University Palo Alto California USA
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- Jason Y. K. Chan
- Department of Otorhinolaryngology—Head and Neck Surgery, Prince of Wales Hospital The Chinese University of Hong Kong Shatin Hong Kong
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- Zenon W. C. Yeung
- Department of Otorhinolaryngology—Head and Neck Surgery United Christian Hospital and Tseung Kwan O Hospital Tseung Kwan O Hong Kong
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- Becky Y. T. Chan
- Department of Speech Therapy Prince of Wales Hospital Shatin Hong Kong
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- Michael C. F. Tong
- Department of Otorhinolaryngology—Head and Neck Surgery, Prince of Wales Hospital The Chinese University of Hong Kong Shatin Hong Kong
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- Heather M. Starmer
- Division of Head and Neck Surgery, Department of Otolaryngology Stanford University Palo Alto California USA
抄録
<jats:title>Abstract</jats:title><jats:p>The global pandemic of 2019 novel coronavirus disease (COVID‐19) 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‐19 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‐CoV‐2 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‐19, a safe and reasonable dysphagia care pathway can still be implemented with modifications of setup and application of newer technologies.</jats:p>
収録刊行物
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- Head & Neck
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Head & Neck 42 (7), 1491-1496, 2020-05-11
Wiley