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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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869425000874 |
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| author | Johanna Benali Tareck Ayad Fabio Pupo Ceccon Carlos Chiesa-Estomba Jerome R. Lechien Mateus Morais Aires Leonardo Haddad Gerrit Viljoen Nicolas Fakhry |
| author_facet | Johanna Benali Tareck Ayad Fabio Pupo Ceccon Carlos Chiesa-Estomba Jerome R. Lechien Mateus Morais Aires Leonardo Haddad Gerrit Viljoen Nicolas Fakhry |
| author_sort | Johanna Benali |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-88a80b5605e548d7befd0c46e1d8973c |
| institution | Matheson Library |
| issn | 1808-8694 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj-art-88a80b5605e548d7befd0c46e1d8973c2025-06-25T04:50:52ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942025-07-0191101644The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeonsJohanna Benali0Tareck Ayad1Fabio Pupo Ceccon2Carlos Chiesa-Estomba3Jerome R. Lechien4Mateus Morais Aires5Leonardo Haddad6Gerrit Viljoen7Nicolas Fakhry8Young-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France; Aix-Marseille Université, La Conception University Hospital, Department of Oto-Rhino-Laryngology Head and Neck Surgery, Marseille, FranceYoung-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France; Centre Hospitalier de l’Université de Montréal, Division of Otolaryngology Head and Neck Surgery, Montreal, Québec, CanadaYoung-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France; Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Otorrinolaringologia - Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil; Corresponding author.Young-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France; Hospital Universitario Donostia, Department of Otorhinolaryngology - Head and Neck Surgery, San Sebastian, SpainYoung-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France; University of Mons (UMONS), Research Institute for Health Sciences and Technology, Department of Anatomy and Experimental Oncology, Mons, Belgium; Elsan Hospital, Paris, France; Foch Hospital Paris Saclay University, Department of Otorhinolaryngology and Head and Neck Surgery, Paris, FranceUniversidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Otorrinolaringologia - Cirurgia de Cabeça e Pescoço, São Paulo, SP, BrazilUniversidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Otorrinolaringologia - Cirurgia de Cabeça e Pescoço, São Paulo, SP, BrazilYoung-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, FranceYoung-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France; Aix-Marseille Université, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, Marseille, FranceObjective: 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.http://www.sciencedirect.com/science/article/pii/S1808869425000874LaryngectomyPostoperative carePostoperative complications |
| spellingShingle | Johanna Benali Tareck Ayad Fabio Pupo Ceccon Carlos Chiesa-Estomba Jerome R. Lechien Mateus Morais Aires Leonardo Haddad Gerrit Viljoen Nicolas Fakhry The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons Brazilian Journal of Otorhinolaryngology Laryngectomy Postoperative care Postoperative complications |
| title | The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons |
| title_full | The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons |
| title_fullStr | The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons |
| title_full_unstemmed | The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons |
| title_short | The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons |
| title_sort | practice of oral feeding after total laryngectomy by brazilian head and neck surgeons |
| topic | Laryngectomy Postoperative care Postoperative complications |
| url | http://www.sciencedirect.com/science/article/pii/S1808869425000874 |
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