Early oral feeding after total laryngectomy: A systematic review

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art_AIRES_Early_oral_feeding_after_total_laryngectomy_A_systematic_2015.PDF (173.32 KB)
Citações na Scopus
34
Tipo de produção
article
Data de publicação
2015
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY-BLACKWELL
Autores
AIRES, Felipe Toyama
PETRAROLHA, Silvia Migueis Picado
BERNARDO, Wanderley Marques
Citação
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.37, n.10, p.1532-1535, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background. Early oral feeding for patients who underwent total laryngectomy is still controversial. The purpose of this study was to evaluate the safety of initiating early oral feeding after total laryngectomy regarding pharyngocutaneous fistula. The survey included research in MEDLINE, EMBASE, and LILACS. Methods. The intervention analyzed was early oral feeding (<5 days), whereas the control group received late oral feeding (>7 days) after total laryngectomy. Results. From 304 studies, 4 randomized clinical trials with 180 patients were selected. In the early oral feeding group, the incidence was 6.7%, whereas in the late oral feeding group it was 10%, with no statistically significant difference (IC95% -0.11 to 0.05; p=.42; I-2=0%). Four cohort studies with 490 patients were also selected. In the early oral feeding group, the incidence was 12.2%, whereas in the other group, it was 10.1%, with no statistically significant difference (IC95% -0.05 to 0.08; p=.67; I-2=0%). Conclusion. There is no increase in pharyngocutaneous fistula rates in patients who receive early oral feeding after total laryngectomy. (C) 2014 Wiley Periodicals, Inc.
Palavras-chave
meta-analysis, cutaneous fistula, postoperative complications, enteral nutrition, laryngectomy, laryngeal neoplasms, carcinoma, squamous cell
URI
https://observatorio.fm.usp.br/handle/OPI/13365
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/28
Artigos e Materiais de Revistas Científicas - ODS/03