๐”– Bobbio Scriptorium
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Oral feeding after total laryngectomy

โœ Scribed by Stephen E. Boyce; Dr. Arlen D. Meyers

Publisher
John Wiley and Sons
Year
1989
Tongue
English
Weight
422 KB
Volume
11
Category
Article
ISSN
1043-3074

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โœฆ Synopsis

Pharyngocutaneous fistulae occur in 15%-25% of patients after total laryngectomy. Factors that may predispose to fistulae formation include prior radiation, surgical technique, tumor size and location, and patient nutritional status. In addition, many surgeons believe that the timing of oral feeding after surgery contributes to fistula development. Thus, they advocate delaying feeding postoperatively, especially in high-risk patients. The traditional guidline has been to wait until the seventh postoperative day. The purpose of this study was to examine the relationship between the timing of postoperative oral feeding and the development of pharyngocytaneous fistulae after total laryngectomy with primary closure in patients with squamous cell carcinoma. A questionnaire was sent to 210 members of the American Society for Head and neck Surgery to determine practice patterns toward feeding after laryngectomy. We also reviewed the records of 137 patients who underwent total laryngectomy at the

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