HPV status should be identified. As recommended by Topf et al., if necessary, HPV-negative patients should be prioritized11.
· Early disease
o Consider short-term deferral with weekly telemedicine visits
o Favor non-surgical treatment
o Consider surgical treatment if high likelihood of single modality treatment, depending on the experience of the surgical team and institutional resources
· Intermediate disease
o Consider deferral with weekly telemedicine visits
o Favor non-surgical treatment
· Advanced disease
o Proceed with non-surgical treatment