✦ LIBER ✦

Early oral feeding after salvage laryngectomy

✍ Scribed by Marcia Eustaquio; Jesus E. Medina; Greg A. Krempl; Nathan Hales

Publisher: John Wiley and Sons
Year: 2009
Tongue: English
Weight: 82 KB
Volume: 31
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.21098

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

Our aim was to determine the feasibility and safety of initiating early oral feeding in patients who underwent salvage laryngectomy on postoperative day 5 and to review the rate of pharyngocutaneous fistula formation.

Methods.

A retrospective review of 29 patients who underwent salvage laryngectomy was completed. Patients included in the study had radiation therapy ± chemotherapy for laryngeal squamous cell carcinoma with subsequent total laryngectomy. Patients were excluded from analysis if they were reliant on a gastrostomy tube preoperatively, had a concurrent complete glossectomy, or developed a fistula before beginning oral feedings. Early oral feeding was initiated on postoperative day 5.

Results.

Twenty patients met complete inclusion criteria. Pharyngocutaneous fistula occurred in 10% (2/20) of the patients. Patients without postoperative complications on an average remained in the hospital for 7 days.

Conclusions.

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