Early oral feeding following total laryngectomy

Basit Öğe Kaydı
dc.authoridKIZILAY, Ahmet/0000-0003-3048-6489
dc.authoridSaydam, Levent/0000-0001-7042-611X;
dc.authorwosidKalcioglu, M. Tayyar/JAC-1515-2023
dc.authorwosidKIZILAY, Ahmet/ABI-8293-2020
dc.authorwosidSaydam, Levent/J-5721-2012
dc.authorwosidKALCIOGLU, Mahmut Tayyar/I-5884-2013
dc.contributor.authorSaydam, L
dc.contributor.authorKalcioglu, T
dc.contributor.authorKizilay, A
dc.date.accessioned2024-08-04T20:13:09Z
dc.date.available2024-08-04T20:13:09Z
dc.date.issued2002
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: Pharyngocutaneous fistula is one of the most common nonfatal laryngectomy complications (7.6% to 65% of all total patients). Preoperative radiotherapy, advanced tumor stage, poor preoperative medical status, and concomitant pharyngectomy are usually accepted causative factors in fistula formation. Delay of oral feeding is a common practice used by head and neck surgeons to prevent the development of pharyngocutaneous fistula. In this article we analyze our experience with special emphasis given to the early start of postoperative feeding. Patients and Methods: The postoperative records of 48 patients who had undergone total laryngectomy or total laryngopharyngectomy were reviewed. All patients were orally fed with water and clear liquids on the first postoperative day. The patients were closely observed at every feeding attempt, and if any sign of fistula was noted, a nasogastric tube was inserted. Preoperative radiotherapy, stage of disease, tumor differentiation, and pharyngectomy with total laryngectomy were statistically analyzed as potential risk factors contributing to fistula formation. The Fisher exact test was used to analyze the data. Results: The overall pharyngocutaneous fistula rate was 12.5% in our series. The only statistically significant factor that increased the rate of fistula formation was resection of pharyngeal mucosa as an extension of total laryngectomy. Other parameters failed to show any statistical significance in development of this complication. Conclusion: Evaluation of fistula incidence in our series indicates that initiating oral feeding on the first postoperative day does not contribute to fistula formation. Additionally, the relatively shortened hospital stay and elimination of the psychologic and traumatic side effects of tube feeding are benefits of this approach that should be studied in further prospective quality-of-life studies.en_US
dc.identifier.doi10.1053/ajot.2002.126321
dc.identifier.endpage281en_US
dc.identifier.issn0196-0709
dc.identifier.issue5en_US
dc.identifier.pmid12239692en_US
dc.identifier.scopus2-s2.0-0036736547en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage277en_US
dc.identifier.urihttps://doi.org/10.1053/ajot.2002.126321
dc.identifier.urihttps://hdl.handle.net/11616/93435
dc.identifier.volume23en_US
dc.identifier.wosWOS:000178197900004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Coen_US
dc.relation.ispartofAmerican Journal of Otolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPharyngo-Cutaneous Fistulasen_US
dc.subjectNeck-Cancer Surgeryen_US
dc.subjectPharyngocutaneous Fistulasen_US
dc.subjectNasogastric Tubeen_US
dc.subjectHeaden_US
dc.subjectComplicationsen_US
dc.subjectRadiotherapyen_US
dc.titleEarly oral feeding following total laryngectomyen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu