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Early Oral Feeding Following Primary Total Laryngectomy

  • Johannes J. FaganEmail author
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

A systematic review is presented of the evidence relating to early vs. delayed oral feeding of patients who have undergone primary total laryngectomy and its relevance to clinical practice. Conclusions are that early oral feeding is not associated with an increased risk of pharyngocutaneous fistulae and can be recommended for patients undergoing primary total laryngectomy. Attention should be paid to nutritional requirements in patients on early oral feeding protocols who are not being supplemented via nasogastric or stomagastric feeds. However, there is insufficient evidence to make a recommendation about early feeding in the setting of pharyngeal reconstruction with free or pedicled flaps, or salvage total laryngectomy following (chemo)radiation.

Keywords

Total laryngectomy Early oral feeding Pharyngocutaneous fistula rates Evidence-based 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Otorhinolaryngology, Faculty of Health SciencesUniversity of Cape TownCape TownSouth Africa

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