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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alonso JM. Cancer laringeo. Madrid, Spain: Editorial: Paz Montalvo; 1954.
Boyce SE, Meyers AD. Oral feeding after total laryngectomy. Head Neck. 1989;11(3):269–73.
Martin S, Jordan Z, Carney SA. The effect of early oral feeding compared to standard oral feeding following total laryngectomy: a systematic review. JBI Libr Syst Rev. 2012;10(56 Suppl):1–13.
Aprigliano F. Use of the nasogastric tube after total laryngectomy: is it truly necessary? Ann Otol Rhinol Laryngol. 1990;99(7 Pt 1):513–4.
Akyol MU, Ozdem C, Celikkanat S. Early oral feeding after total laryngectomy. Ear Nose Throat J. 1995;74:28–30.
Saydam L, Kalcioglu T, Kizilay A. Early oral feeding following total laryngectomy. Am J Otolaryngol. 2002;23(5):277–81.
Süslü N, Şefik Hoşal A. Early oral feeding after total laryngectomy: outcome of 602 patients in one cancer center. Auris Nasus Larynx. 2016;43(5):546–50.
Soylu L, Kiroglu M, Aydogan B. Pharyngocutaneous fistula following laryngectomy. Head Neck. 1998;20:22–5.
Medina JE, Khafif A. Early oral feeding following total laryngectomy. Laryngoscope. 2001;111(3):368–72.
Prasad KC, Sreedharan S, Dannana NK, Prasad SC, Chandra S. Early oral feeds in laryngectomized patients. Ann Otol Rhinol Laryngol. 2006;115(6):433–8.
Aswani J, Thandar M, Otiti J, Fagan J. Early oral feeding following total laryngectomy. J Laryngol Otol. 2009;123(3):333–8.
Seven H, Calis AB, Turgut S. A randomized controlled trial of early oral feeding in laryngectomized patients. Laryngoscope. 2003;113(6):1076–9.
Sharifian HA, Najafi M, Khajavi M. Early oral feeding following total laryngectomy. Tanaffos. 2008;7:64–70.
Sousa AA, Porcaro-Salles JM, Soares JM, de Moraes GM, Silva GS, Sepulcri RA, Savassi-Rocha PR. Does early oral feeding increase the likelihood of salivary fistula after total laryngectomy? J Laryngol Otol. 2014;15:1–7.
Stephenson K, Fagan JJ. The effect of perioperative proton pump inhibitors on the incidence of pharyngocutaneous fistula following total laryngectomy: a prospective randomized controlled trial. Head Neck. 2015;37(2):255–9.
Sousa AA, Porcaro-Salles JM, Soares JM, Meyer de Moraes G, Souza Silva G, Abreu Sepulcri R, Rezende Carvalho J, Savassi-Rocha PR. Tolerance of early oral feeding in patients subjected to total laryngectomy. Head Neck. 2016;38(Suppl 1):E643–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Fagan, J.J. (2019). Early Oral Feeding Following Primary Total Laryngectomy. In: Gooi, Z., Agrawal, N. (eds) Difficult Decisions in Head and Neck Oncologic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-15123-2_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-15123-2_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-15122-5
Online ISBN: 978-3-030-15123-2
eBook Packages: MedicineMedicine (R0)