Article Dans Une Revue Head & Neck Année : 2022

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

Johannes Fagan

Résumé

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.
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Dates et versions

inserm-04057559 , version 1 (19-04-2023)

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Johanna Benali, Gerrit Viljoen, Tareck Ayad, Robinson Gravier-Dumonceau, Fabio Pupo Ceccon, et al.. Management of oral feeding following total laryngectomy around the world: YO‐IFOS international study. Head & Neck, 2022, 44 (8), pp.1755-1764. ⟨10.1002/hed.27026⟩. ⟨inserm-04057559⟩
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