Begin with baseline airway evaluation to rule out risk of aspiration and/or the likelihood of becoming “at risk” for airway obstruction12. Nutritional status should also be evaluated, such as the patient’s ability to feed by mouth versus being nasogastric/PEG-dependent.
·       Early disease
            o   Proceed with non-surgical treatment
            o   Consider deferral with close-interval telemedicine visits
·       Intermediate disease
            o   Proceed with non-surgical treatment
·       Advanced disease
            o   Proceed with non-surgical treatment where appropriate
            o   Primary surgery for patients presenting with advanced cartilage invasion, extra-laryngeal                   spread, recurrent disease, or high risk for aspiration post chemoradiation therapy
            o   Favor neo-adjuvant systemic therapy if surgery is indicated to allow deferral past peak                   incidence of pandemic