Department of Oral and Maxillofacial Plastic Surgery, University Hospital Würzburg, Germany.
Department of Otolaryngology, Ludwig-Maximilians-University Hospital Munich, Germany.
Nutr Res. 2017 Dec;48:1-8. doi: 10.1016/j.nutres.2017.08.007. Epub 2017 Aug 25.
Up to 80% of patients with head and neck cancers are malnourished because of their lifestyle and the risk factors associated with this disease. Unfortunately, nutrition management systems are not implemented in most head and neck cancer clinics. Even worse, many head and neck surgeons as well as hospital management authorities disregard the importance of nutrition management in head and neck cancer patients. In addition, the often extensive resection and reconstruction required for tumors in the upper aerodigestive tract pose special challenges for swallowing and sufficient food intake, placing special demands on nutrition management. This article presents the basics of perioperative metabolism and nutrition management of head and neck cancer patients and makes recommendations for clinical practice. Implementing a nutrition management system in head and neck cancer clinics will improve the clinical outcome and the survival of the patients.
高达 80%的头颈部癌症患者由于其生活方式和与该疾病相关的风险因素而出现营养不良。不幸的是，大多数头颈部癌症诊所都没有实施营养管理系统。更糟糕的是，许多头颈部外科医生以及医院管理当局都忽视了头颈部癌症患者营养管理的重要性。此外，上呼吸道肿瘤通常需要广泛的切除和重建，这对口咽吞咽和充足食物摄入带来了特殊挑战，对头颈癌症患者的营养管理提出了特殊要求。本文介绍了头颈部癌症患者围手术期代谢和营养管理的基础知识，并为临床实践提供了建议。在头颈部癌症诊所实施营养管理系统将改善患者的临床结局和生存率。
