ISSN 2667-7466 | E-ISSN 2667-7474
Original Article
Comparison of Early Versus Delayed Oral Feeding After Total Laryngectomy in Terms of Pharyngocutaneous Fistula Development
1 Department of Otorhinolaryngology, Sultan Abdülhamid Han Training and Research Hospital, İstanbul, Turkey  
2 Department of Otorhinolaryngology, Tepecik Training and Research Hospital, İzmir, Turkey  
Turk Arch Otorhinolaryngol 2018; 56: 217-220
DOI: 10.5152/tao.2018.3605
Key Words: Laryngectomy, fistula, enteral nutrition, nasogastric tube
Abstract

 

Objective: There is still no consensus on the effect of early oral feeding and nasogastric tube feeding on the development of pharyngocutaneous fistula (PCF) after total laryngectomy. The aim of the present study was to compare the effects of early oral feeding and nasogastric tube (NGT) feeding after total laryngectomy on the incidence of PCF.

 

Methods: A total of 59 male and three female patients with a mean age of 61.65 (range 44-77) years who underwent total laryngectomy and bilateral neck dissection between May 2010 and June 2016 were evaluated retrospectively. Thirty-two patients started oral feeding on postoperative day three, and 30 patients started NGT feeding on postoperative day one following oral feeding on 7th day. Besides the investigation of the factors which can affect PCF formation, the incidence of PCF was also determined between the two groups of patients.

 

Results: Only preoperative albumin value was different between the groups in the determination of factors which can affect development of PCF. No statistical difference was found between the two groups in terms of the development of PCF and the length of hospital stay (p>0.05).

 

Conclusion: To start oral feeding on postoperative day three or with a NGT feeding on postoperative day one following oral feeding on day seven did not affect the development of PCF and the length of hospital stay in patients who underwent total laryngectomy.

 

Cite this article as: Bulğurcu S, Çukurova İ. Comparison of Early Versus Delayed Oral Feeding After Total Laryngectomy in Terms of Pharyngocutaneous Fistula Development. Turk Arch Otorhinolaryngol 2018; 56(4): 217-20.

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