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Early oral feeding following total laryngectomy

Published online by Cambridge University Press:  23 May 2008

J Aswani ,
M Thandar ,
J Otiti  and
J Fagan
J Aswani
Affiliation:
Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town, South Africa
M Thandar
Affiliation:
Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town, South Africa
J Otiti
Affiliation:
Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town, South Africa
J Fagan*
Affiliation:
Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town, South Africa
*
Address for correspondence: Professor J J Fagan, Division of Otolaryngology, University of Cape Town, H-53 OMB, Groote Schuur Hospital, Observatory, Cape Town, 7925, South Africa. E-mail: [email protected] Fax: +27 (0) 21 448 8865
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Abstract

Objectives:

To determine whether, in a developing world context, early oral feeding after laryngectomy is safe, cost-effective and appropriate.

Study design:

A prospective study of early oral feeding after laryngectomy, compared with retrospective, historical delayed feeding controls.

Method:

Forty patients underwent total laryngectomy for advanced carcinoma of the larynx with or without hypopharyngeal involvement, not requiring tongue base resection or myocutaneous flaps, and were commenced on oral feeding on the second post-operative day. Thirty-nine laryngectomy patients previously managed in the same unit who had received conventional, delayed oral feeding served as controls.

Results:

Pharyngocutaneous fistulae developed in 20 per cent of the early feeding patients, compared with 15.4 per cent of the delayed oral feeding controls (p = 0.592). For patients who did not develop fistulae, hospitalisation was shorter in the early oral feeding group (p = 0.007).

Conclusion:

Early oral feeding for laryngectomy patients is recommended, both in developed and developing countries.

Keywords

LaryngectomyFeedingComplicationsNutrition
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 3 , March 2009 , pp. 333 - 338
Copyright
Copyright © JLO (1984) Limited 2008

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