Management of oral feeding following total laryngectomy around the world: YO-IFOS international study

Johanna Benali; Gerrit Viljoen; Tareck Ayad; Robinson Gravier-Dumonceau; Fabio Pupo Ceccon; Napadon Tangjaturonrasme; Alberto Maria Saibene; Carlos Chiesa-Estomba; Antoine E Melkane; Jacqueline Allen; Chwee Ming Lim; Miguel Mayo-Yañez; Manuel Tucciarone; Zoukaa Sargi; François Mouawad; Adonis Tupac Ramirez; Manuel Magaró; Justin Michel; Thomas Radulesco; Antoine Giovanni; Johannes J Fagan; Sheng-Po Hao; Jerome R Lechien; Roch Giorgi; Nicolas Fakhry

doi:10.1002/hed.27026

Management of oral feeding following total laryngectomy around the world: YO-IFOS international study

Head Neck. 2022 Aug;44(8):1755-1764. doi: 10.1002/hed.27026. Epub 2022 Mar 9.

Authors

Johanna Benali^{1

2}, Gerrit Viljoen^{1

3}, Tareck Ayad^{1

4}, Robinson Gravier-Dumonceau⁵, Fabio Pupo Ceccon^{1

6}, Napadon Tangjaturonrasme^{1

7}, Alberto Maria Saibene^{1

8}, Carlos Chiesa-Estomba^{1

9}, Antoine E Melkane^{1

10}, Jacqueline Allen¹¹, Chwee Ming Lim^{1

12}, Miguel Mayo-Yañez^{1

13}, Manuel Tucciarone^{1

14}, Zoukaa Sargi^{1

15}, François Mouawad^{1

16}, Adonis Tupac Ramirez^{1

17}, Manuel Magaró^{1

18}, Justin Michel^{1

2}, Thomas Radulesco^{1

2}, Antoine Giovanni², Johannes J Fagan³, Sheng-Po Hao^{19

20}, Jerome R Lechien^{21

22

23}, Roch Giorgi²⁴, Nicolas Fakhry^{1

2}

Affiliations

¹ Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France.
² Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, Marseille, France.
³ Faculty of Health Sciences, Division of Otolaryngology, University of Cape Town, Cape Town, South Africa.
⁴ Division of Otolaryngology-Head and Neck Surgery, Center Hospitalier de l'Université de Montréal, Montreal, Québec, Canada.
⁵ APHM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France.
⁶ Department of Otolaryngology-Head and Neck Surgery, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, Brazil.
⁷ Faculty of Medicine, Department of Otolaryngology, Chulalongkorn University, Bangkok, Thailand.
⁸ Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università Degli Studi Di Milano, Milan, Italy.
⁹ Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain.
¹⁰ Department of Otolaryngology-Head and Neck Surgery, Hotel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
¹¹ Department of Surgery University of Auckland, Auckland, New Zealand.
¹² Department of Otorhinolaryngology Head and Neck Surgery, Duke-NUS Medical School, Singapore General Hospital, Singapore, Singapore.
¹³ Department of Otorhinolaryngology-Head and Neck Surgery, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, Spain.
¹⁴ Department of Otolaryngology-Head and Neck Surgery, Jerez Universitary Hospital, Jerez de la Frontera, Spain.
¹⁵ Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
¹⁶ ENT and Head and Neck Department, Huriez Hospital, Lille University, CHU Lille, rue Michel Polonovski, Lille cedex, France.
¹⁷ Department of Head and Neck Surgery, Clínica Medilaser, Neiva, Huila, Colombia.
¹⁸ Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Italiano, Buenos Aires, Argentina.
¹⁹ Department of Otolaryngology-Head and Neck Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
²⁰ School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan.
²¹ Department of Anatomy and Experimental Oncology, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.
²² Elsan Hospital, Paris, France.
²³ Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital Paris Saclay University, Paris, France.
²⁴ Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France.

PMID: 35266210
DOI: 10.1002/hed.27026

Abstract

Background: To analyze worldwide practices regarding the initiation of oral feeding after total laryngectomy (TL).

Methods: Online survey.

Results: Among the 332 responses received, 278 from 59 countries were analyzed. Our results showed that 45.6% of respondents started water and 45.1% started liquid diet between postoperative days 7 and 10. Semi-solid feeds were initiated between days 10 and 14 for 44.9% of respondents and a free diet was allowed after day 15 for 60.8% of respondents. This timing was significantly delayed in cases of laryngo-pharyngectomy and after prior radiotherapy (p < 0.001). A greater proportion of respondents in Africa and Oceania allowed early oral feeding before day 6 as compared with the rest of the world (p < 0.001).

Conclusion: Despite increasing number of publications, there is still a lack of evidence to support early oral feeding. The majority of respondents preferred to delay its initiation until at least 7 days after surgery.

Keywords: early oral feeding; enhanced recovery after surgery; head and neck cancer; laryngectomy.

MeSH terms

Humans
Laryngectomy
Larynx*
Pharyngeal Diseases*
Pharyngectomy
Postoperative Complications