Management of oral feeding following total laryngectomy around the world: YO-IFOS international study

Johanna Benali, Gerrit Viljoen, Tareck Ayad, Robinson Gravier-Dumonceau, Fabio Pupo Ceccon, Napadon Tangjaturonrasme, Alberto Maria Saibene, Carlos Chiesa-Estomba, Antoine E. Melkane, Jacqueline Allen, Chwee Ming Lim, Miguel Mayo-Yañez, Manuel Tucciarone, Zoukaa Sargi, François Mouawad, Adonis Tupac Ramirez, Manuel Magaró, Justin Michel, Thomas Radulesco, Antoine GiovanniJohannes J. Fagan, Sheng Po Hao, Jerome R. Lechien, Roch Giorgi, Nicolas Fakhry*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations


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 languageEnglish
Pages (from-to)1755-1764
Number of pages10
JournalHead and Neck
Issue number8
StatePublished - 08 2022
Externally publishedYes

Bibliographical note

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© 2022 Wiley Periodicals LLC.


  • early oral feeding
  • enhanced recovery after surgery
  • head and neck cancer
  • laryngectomy


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