Management of oral feeding following total laryngectomy around the world: YO-IFOS international study
Johanna Benali MD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Search for more papers by this authorGerrit Viljoen MBChB, FCORL(SA)
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Faculty of Health Sciences, Division of Otolaryngology, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorTareck Ayad MD, FRCSC
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Division of Otolaryngology-Head and Neck Surgery, Center Hospitalier de l'Université de Montréal, Montreal, Québec, Canada
Search for more papers by this authorRobinson Gravier-Dumonceau MD
APHM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France
Search for more papers by this authorFabio Pupo Ceccon MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otolaryngology-Head and Neck Surgery, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, Brazil
Search for more papers by this authorNapadon Tangjaturonrasme MD, FRCOT, FEBE-ORL
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Faculty of Medicine, Department of Otolaryngology, Chulalongkorn University, Bangkok, Thailand
Search for more papers by this authorAlberto Maria Saibene MD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università Degli Studi Di Milano, Milan, Italy
Search for more papers by this authorCarlos Chiesa-Estomba MD, PhD, FEBEORL-HNS
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain
Search for more papers by this authorAntoine E. Melkane MD, MSc
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otolaryngology-Head and Neck Surgery, Hotel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon
Search for more papers by this authorJacqueline Allen MD, FRACS
Department of Surgery University of Auckland, Auckland, New Zealand
Search for more papers by this authorChwee Ming Lim MBBS, MMed, MRCS, FAMS
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otorhinolaryngology Head and Neck Surgery, Duke-NUS Medical School, Singapore General Hospital, Singapore, Singapore
Search for more papers by this authorMiguel Mayo-Yañez MD, MSc
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otorhinolaryngology-Head and Neck Surgery, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, Spain
Search for more papers by this authorManuel Tucciarone MD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otolaryngology-Head and Neck Surgery, Jerez Universitary Hospital, Jerez de la Frontera, Spain
Search for more papers by this authorZoukaa Sargi MD, MPH
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA
Search for more papers by this authorFrançois Mouawad MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
ENT and Head and Neck Department, Huriez Hospital, Lille University, CHU Lille, rue Michel Polonovski, Lille cedex, France
Search for more papers by this authorAdonis Tupac Ramirez MD, MSc, MEd, FACS
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Head and Neck Surgery, Clínica Medilaser, Neiva, Huila, Colombia
Search for more papers by this authorManuel Magaró MD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Italiano, Buenos Aires, Argentina
Search for more papers by this authorJustin Michel MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Search for more papers by this authorThomas Radulesco MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Search for more papers by this authorAntoine Giovanni MD, PhD
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Search for more papers by this authorJohannes J. Fagan MBChB, MMed, FCS(ORL)
Faculty of Health Sciences, Division of Otolaryngology, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorSheng-Po Hao MD, FACS, FICS
Department of Otolaryngology-Head and Neck Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan
Search for more papers by this authorJerome R. Lechien MD, PhD
Department of Anatomy and Experimental Oncology, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium
Elsan Hospital, Paris, France
Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital Paris Saclay University, Paris, France
Search for more papers by this authorRoch Giorgi MD, PhD
Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France
Search for more papers by this authorCorresponding Author
Nicolas Fakhry MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Correspondence
Nicolas Fakhry, Center Hospitalier Universitaire (CHU) la Conception Assistance Publique—Hôpitaux de Marseille (AP-HM) Service ORL et Chirurgie Cervico-Faciale 147 Boulevard Baille, 13005 Marseille, France.
Email: [email protected]
Search for more papers by this authorJohanna Benali MD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Search for more papers by this authorGerrit Viljoen MBChB, FCORL(SA)
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Faculty of Health Sciences, Division of Otolaryngology, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorTareck Ayad MD, FRCSC
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Division of Otolaryngology-Head and Neck Surgery, Center Hospitalier de l'Université de Montréal, Montreal, Québec, Canada
Search for more papers by this authorRobinson Gravier-Dumonceau MD
APHM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France
Search for more papers by this authorFabio Pupo Ceccon MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otolaryngology-Head and Neck Surgery, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, Brazil
Search for more papers by this authorNapadon Tangjaturonrasme MD, FRCOT, FEBE-ORL
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Faculty of Medicine, Department of Otolaryngology, Chulalongkorn University, Bangkok, Thailand
Search for more papers by this authorAlberto Maria Saibene MD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università Degli Studi Di Milano, Milan, Italy
Search for more papers by this authorCarlos Chiesa-Estomba MD, PhD, FEBEORL-HNS
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain
Search for more papers by this authorAntoine E. Melkane MD, MSc
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otolaryngology-Head and Neck Surgery, Hotel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon
Search for more papers by this authorJacqueline Allen MD, FRACS
Department of Surgery University of Auckland, Auckland, New Zealand
Search for more papers by this authorChwee Ming Lim MBBS, MMed, MRCS, FAMS
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otorhinolaryngology Head and Neck Surgery, Duke-NUS Medical School, Singapore General Hospital, Singapore, Singapore
Search for more papers by this authorMiguel Mayo-Yañez MD, MSc
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otorhinolaryngology-Head and Neck Surgery, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, Spain
Search for more papers by this authorManuel Tucciarone MD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otolaryngology-Head and Neck Surgery, Jerez Universitary Hospital, Jerez de la Frontera, Spain
Search for more papers by this authorZoukaa Sargi MD, MPH
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA
Search for more papers by this authorFrançois Mouawad MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
ENT and Head and Neck Department, Huriez Hospital, Lille University, CHU Lille, rue Michel Polonovski, Lille cedex, France
Search for more papers by this authorAdonis Tupac Ramirez MD, MSc, MEd, FACS
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Head and Neck Surgery, Clínica Medilaser, Neiva, Huila, Colombia
Search for more papers by this authorManuel Magaró MD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Italiano, Buenos Aires, Argentina
Search for more papers by this authorJustin Michel MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Search for more papers by this authorThomas Radulesco MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Search for more papers by this authorAntoine Giovanni MD, PhD
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Search for more papers by this authorJohannes J. Fagan MBChB, MMed, FCS(ORL)
Faculty of Health Sciences, Division of Otolaryngology, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorSheng-Po Hao MD, FACS, FICS
Department of Otolaryngology-Head and Neck Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan
Search for more papers by this authorJerome R. Lechien MD, PhD
Department of Anatomy and Experimental Oncology, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium
Elsan Hospital, Paris, France
Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital Paris Saclay University, Paris, France
Search for more papers by this authorRoch Giorgi MD, PhD
Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France
Search for more papers by this authorCorresponding Author
Nicolas Fakhry MD, PhD
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France
Correspondence
Nicolas Fakhry, Center Hospitalier Universitaire (CHU) la Conception Assistance Publique—Hôpitaux de Marseille (AP-HM) Service ORL et Chirurgie Cervico-Faciale 147 Boulevard Baille, 13005 Marseille, France.
Email: [email protected]
Search for more papers by this authorSection Editor: David Eisele
Abstract
Background
To analyze worldwide practices regarding the initiation of oral feeding after total laryngectomy (TL).
Methods
Online survey.
Results
Among the 332 responses received, 278 from 59 countries were analyzed. Our results showed that 45.6% of respondents started water and 45.1% started liquid diet between postoperative days 7 and 10. Semi-solid feeds were initiated between days 10 and 14 for 44.9% of respondents and a free diet was allowed after day 15 for 60.8% of respondents. This timing was significantly delayed in cases of laryngo-pharyngectomy and after prior radiotherapy (p < 0.001). A greater proportion of respondents in Africa and Oceania allowed early oral feeding before day 6 as compared with the rest of the world (p < 0.001).
Conclusion
Despite increasing number of publications, there is still a lack of evidence to support early oral feeding. The majority of respondents preferred to delay its initiation until at least 7 days after surgery.
CONFLICT OF INTEREST
The authors declare no conflicts of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
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