Document Detail


Early oral feeding after salvage laryngectomy.
MedLine Citation:
PMID:  19373787     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Our aim was to determine the feasibility and safety of initiating early oral feeding in patients who underwent salvage laryngectomy on postoperative day 5 and to review the rate of pharyngocutaneous fistula formation. METHODS: A retrospective review of 29 patients who underwent salvage laryngectomy was completed. Patients included in the study had radiation therapy +/- chemotherapy for laryngeal squamous cell carcinoma with subsequent total laryngectomy. Patients were excluded from analysis if they were reliant on a gastrostomy tube preoperatively, had a concurrent complete glossectomy, or developed a fistula before beginning oral feedings. Early oral feeding was initiated on postoperative day 5. RESULTS: Twenty patients met complete inclusion criteria. Pharyngocutaneous fistula occurred in 10% (2/20) of the patients. Patients without postoperative complications on an average remained in the hospital for 7 days. CONCLUSIONS: The risk of fistula formation is not increased and the duration of hospital stay may be shortened in patients who were given early postoperative feeds.
Authors:
Marcia Eustaquio; Jesus E Medina; Greg A Krempl; Nathan Hales
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Head & neck     Volume:  31     ISSN:  1097-0347     ISO Abbreviation:  Head Neck     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-21     Completed Date:  2009-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1341-5     Citation Subset:  IM    
Copyright Information:
(c) 2009 Wiley Periodicals, Inc.
Affiliation:
Department of Otorhinolaryngology, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. marcia-eustaquio@ouhsc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Squamous Cell / pathology,  surgery,  therapy
Combined Modality Therapy
Cutaneous Fistula / epidemiology
Enteral Nutrition*
Female
Humans
Laryngeal Neoplasms / pathology,  surgery,  therapy
Laryngectomy* / adverse effects
Length of Stay
Male
Middle Aged
Neoplasm Staging
Oral Fistula / epidemiology
Pharyngeal Diseases / epidemiology
Postoperative Complications / epidemiology
Radiotherapy Dosage
Retrospective Studies
Salvage Therapy
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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