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- Title
Management of oral feeding following total laryngectomy around the world: YO‐IFOS international study.
- Authors
Benali, Johanna; Viljoen, Gerrit; Ayad, Tareck; Gravier‐Dumonceau, Robinson; Ceccon, Fabio Pupo; Tangjaturonrasme, Napadon; Saibene, Alberto Maria; Chiesa‐Estomba, Carlos; Melkane, Antoine E.; Allen, Jacqueline; Lim, Chwee Ming; Mayo‐Yañez, Miguel; Tucciarone, Manuel; Sargi, Zoukaa; Mouawad, François; Ramirez, Adonis Tupac; Magaró, Manuel; Michel, Justin; Radulesco, Thomas; Giovanni, Antoine
- Abstract
Background: To analyze worldwide practices regarding the initiation of oral feeding after total laryngectomy (TL). Methods: Online survey. Results: Among the 332 responses received, 278 from 59 countries were analyzed. Our results showed that 45.6% of respondents started water and 45.1% started liquid diet between postoperative days 7 and 10. Semi‐solid feeds were initiated between days 10 and 14 for 44.9% of respondents and a free diet was allowed after day 15 for 60.8% of respondents. This timing was significantly delayed in cases of laryngo‐pharyngectomy and after prior radiotherapy (p < 0.001). A greater proportion of respondents in Africa and Oceania allowed early oral feeding before day 6 as compared with the rest of the world (p < 0.001). Conclusion: Despite increasing number of publications, there is still a lack of evidence to support early oral feeding. The majority of respondents preferred to delay its initiation until at least 7 days after surgery.
- Subjects
OCEANIA; AFRICA; LARYNGECTOMY; HEAD &; neck cancer; INTERNET surveys
- Publication
Head & Neck, 2022, Vol 44, Issue 8, p1755
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.27026