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.
Original language | English |
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Pages (from-to) | 1755-1764 |
Number of pages | 10 |
Journal | Head and Neck |
Volume | 44 |
Issue number | 8 |
DOIs | |
State | Published - 08 2022 |
Externally published | Yes |
Bibliographical note
Publisher Copyright:© 2022 Wiley Periodicals LLC.
Keywords
- early oral feeding
- enhanced recovery after surgery
- head and neck cancer
- laryngectomy