The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons
Objective: To evaluate the initiation of oral feeding in patients following TL by a group of Brazilian head and neck surgeons. Methods: Online survey – 75 responders from Brazil. Results: 40.5% of the respondents introduced water and 41.9% of them introduced liquid diets between days 7 and 9 after T...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-07-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869425000874 |
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| Summary: | Objective: To evaluate the initiation of oral feeding in patients following TL by a group of Brazilian head and neck surgeons. Methods: Online survey – 75 responders from Brazil. Results: 40.5% of the respondents introduced water and 41.9% of them introduced liquid diets between days 7 and 9 after TL without surgical complications or previous radiotherapy. Semi-solid feeds were started between days 10 and 14 in 47.3% of the patients and a free diet was begun after day 15 in 79.7% of them. There was statistically significant difference in the initiation of liquid feeds between different groups of TL patients, with earlier initiation in TL patients who had not undergone prior radio(chemo)therapy (p = 0.01419), with even greater differences when complex closure of the pharynx was needed (p = 0.00001), but not regarding the moment of a free diet introduction. Conclusion: Most respondents in this Brazilian cohort prefer to wait at least 7-days before beginning oral feeding after TL without previous radiotherapy or surgical complications, with a significant number of respondents postponing feeds in patients who had undergone salvage TL and pharyngolaryngectomy. Level of evidence: Level IV. |
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| ISSN: | 1808-8694 |