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 Giovanni
  • Johannes 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

5 Scopus citations

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 languageEnglish
Pages (from-to)1755-1764
Number of pages10
JournalHead and Neck
Volume44
Issue number8
DOIs
StatePublished - 08 2022
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2022 Wiley Periodicals LLC.

Keywords

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

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