Benali Johanna, Ayad Tareck, Ceccon Fabio Pupo, Chiesa-Estomba Carlos, Lechien Jerome R, Aires Mateus Morais, Haddad Leonardo, Viljoen Gerrit, Fakhry Nicolas
Young-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France; Aix-Marseille Université, La Conception University Hospital, Department of Oto-Rhino-Laryngology Head and Neck Surgery, Marseille, France.
Young-Otolaryngologists of the International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France; Centre Hospitalier de l'Université de Montréal, Division of Otolaryngology Head and Neck Surgery, Montreal, Québec, Canada.
Braz J Otorhinolaryngol. 2025 Jul;91 Suppl 1(Suppl 1):101644. doi: 10.1016/j.bjorl.2025.101644. Epub 2025 Jun 4.
To evaluate the initiation of oral feeding in patients following TL by a group of Brazilian head and neck surgeons.
Online survey - 75 responders from Brazil.
40.5% of the respondents introduced water and 41.9% of them introduced liquid diets between days 7 and 9 after TL without surgical complications or previous radiotherapy. Semi-solid feeds were started between days 10 and 14 in 47.3% of the patients and a free diet was begun after day 15 in 79.7% of them. There was statistically significant difference in the initiation of liquid feeds between different groups of TL patients, with earlier initiation in TL patients who had not undergone prior radio(chemo)therapy (p = 0.01419), with even greater differences when complex closure of the pharynx was needed (p = 0.00001), but not regarding the moment of a free diet introduction.
Most respondents in this Brazilian cohort prefer to wait at least 7-days before beginning oral feeding after TL without previous radiotherapy or surgical complications, with a significant number of respondents postponing feeds in patients who had undergone salvage TL and pharyngolaryngectomy.
Level IV.
由一组巴西头颈外科医生评估喉部分切除术后患者开始经口进食的情况。
在线调查——来自巴西的75名受访者。
40.5%的受访者在喉部分切除术后第7至9天之间开始给予水，41.9%的受访者在无手术并发症或既往未接受放疗的情况下开始给予流食。47.3%的患者在第10至14天之间开始给予半固体食物，79.7%的患者在第15天之后开始正常饮食。不同组的喉部分切除患者在开始给予流食方面存在统计学显著差异，未接受过先前放（化）疗的喉部分切除患者开始时间更早（p = 0.01419），当需要复杂的咽闭合时差异更大（p = 0.00001），但在开始正常饮食的时间方面无差异。
在这个巴西队列中，大多数受访者倾向于在喉部分切除术后且无既往放疗或手术并发症的情况下，至少等待7天再开始经口进食，相当多的受访者推迟了接受挽救性喉部分切除术和喉咽切除术患者的进食时间。
四级。
