Martín Villares C, Fernández Pello M E, San Román Carbajo J, Tapia Risueño M, Domínguez Calvo J
Servicio de ORL, Hospital del Bierzo, La Dehesa, s/n. 24400 Ponferrada, León.
Nutr Hosp. 2003 Sep-Oct;18(5):243-7.
Patients who underwent surgery for head and neck malignant neoplasms are problematic because dysphagia, pain and postoperative secuelaes. Nutritional support is necessary in more than 90% of all patients with head and neck cancer. The purpose of this study is to determine nutritional support in these patients and problems related to nutrition.
Fifty-four patients with oral and pharyngolaryngeal carcinomas underwent surgery were studied prospectively. We studied nutritional support (oral nutrition, enteral nutrition or parenteral nutrition) and problems related to nutrition: aspiration neumoniae and pharyngostoma.
The 7% of the patients underwent oral feeding after surgery, 87% enteral nutrition with nasogastric tube and 6% parenteral nutrition. We identified neumoniae in 6% of patients and faringocutaneous fistula in 19%. When patients leaved the hospital, 98% of the patients underwent oral feeding and one patient had nasopharyngeal tube for enteral nutrition.
接受头颈部恶性肿瘤手术的患者存在问题，因为有吞咽困难、疼痛和术后后遗症。超过90%的头颈部癌症患者需要营养支持。本研究的目的是确定这些患者的营养支持及与营养相关的问题。
对54例接受口腔及咽喉癌手术的患者进行前瞻性研究。我们研究了营养支持（口服营养、肠内营养或肠外营养）以及与营养相关的问题：吸入性肺炎和咽瘘。
7%的患者术后接受口服喂养，87%通过鼻胃管进行肠内营养，6%进行肠外营养。我们发现6%的患者发生肺炎，19%的患者发生咽皮肤瘘。患者出院时，98%的患者接受口服喂养，1例患者通过鼻咽管进行肠内营养。
