Management of oral feeding following total laryngectomy around the world: A 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

Research output: Contribution to journalArticlepeer-review

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 (US)
JournalHead and Neck
DOIs
StateAccepted/In press - 2022

Keywords

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

ASJC Scopus subject areas

  • Otorhinolaryngology

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