Patil Pavan M, Warad Neelkant M, Patil Rajshekhar N, Kotrashetti S M
Department of Oral and Maxillofacial Surgery, K.L.E. Institute of Dental Sciences, Rajiv Gandhi University of Health Sciences, Belgaum, India.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Dec;102(6):736-40. doi: 10.1016/j.tripleo.2005.12.025. Epub 2006 Jul 27.
Surgical patients may be unable or unwilling to feed normally, owing to mechanical obstruction to ingestion because of nausea or anorexia or secondary to neurologic abnormality. Such patients may be in a malnourished state that compromises their chances of successful recovery. The Nasogastric tube (NGT) has been the standard method of postoperative alimentation in head and neck cancer patients. However, prolonged use of an NGT has been associated with many problems. Percutaneous endoscopic gastrotomy (PEG) tubes are generally easier to manage and more esthetically pleasing than NGTs. However, they are associated with their own set of shortcomings. Problems and complications with traditional NGT led us to evaluate feeding tubes placed through a cervical pharyngostomy. We present our experience with this technique in 15 patients in whom it was used for postoperative feeding after oropharyngeal cancer resection and reconstruction. The cervical pharyngostomy technique has proven to be a safe, reliable, cost-effective and convenient method for postoperative feeding.
外科患者可能无法或不愿正常进食，这是由于恶心或厌食导致摄入机械性梗阻，或继发于神经功能异常。这类患者可能处于营养不良状态，这会影响其成功康复的几率。鼻胃管（NGT）一直是头颈部癌症患者术后营养支持的标准方法。然而，长期使用鼻胃管会引发诸多问题。经皮内镜下胃造口术（PEG）管通常比鼻胃管更易于管理，且在美观方面更具优势。然而，它们也有自身的一系列缺点。传统鼻胃管的问题和并发症促使我们评估经颈咽造口置入的饲管。我们介绍了在15例口咽癌切除重建术后使用该技术进行术后喂养的经验。经颈咽造口术已被证明是一种安全、可靠、经济高效且方便的术后喂养方法。
