Early Oral Feeding Following Primary Total Laryngectomy
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.
KeywordsTotal laryngectomy Early oral feeding Pharyngocutaneous fistula rates Evidence-based
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