Early oral intake after reconstruction with a free flap for cancer of the oral cavity

Guidera, Alice K; Kelly, Bronwen N.; Rigby, Paul; MacKinnon, Craig A.; Tan, Swee T.

doi:10.1016/j.bjoms.2012.06.005

Cited by 31 publications

(49 citation statements)

References 14 publications

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“…Specifically, caregivers were charged with resolving the problem of their sick family member's weight loss, which was due to poor dietary intake and feeding tube clogging problems. Our findings echo the results of other studies, which likewise show that nutritional issues and weight loss are among the main concerns of those who care for patients with oral cancer (Finlay, Dawson, Robertson, & Soutar, ; Guidera, Kelly, Rigby, MacKinnon, & Tan, ; Röing, Hirsch, & Holmström, ). Prior research indicates that percutaneous endoscopic gastrostomy (PGE) patients experience better weight gain than nasogastric tube (NG) patients (Silander et al., ; Sobani, Ghaffar, & Ahmed, ).…”

Section: Discussionsupporting

confidence: 90%

Caring for patients with oral cancer in Taiwan: The challenges faced by family caregivers

Shen

Chang

et al. 2018

Eur J Cancer Care

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Family caregivers face multiple challenges when caring for patients with oral cancer at home. Understanding the difficulties they face may assist health professionals to better organise and provide support for family caregivers of oral cancer patients. The aim of this study was to describe the caregivers' primary tasks and the difficulties they encounter when caring for a family member with oral cancer. This qualitative study included a purposeful sample of 22 primary family caregivers ranging in age from 25 to 71 years old. The researchers used face-to-face, semi-structured and tape-recorded interviews to collect data and employed qualitative content analysis to elicit caregiving-related themes. Six task-related themes and associated challenges were identified. These included managing the patient's nutritional issues, investigating and making decisions about patient care, managing sudden and unpredictable changes in the patient's condition, managing emotional distress, adjusting their attitudes towards patient care, and seeking resources. Family caregivers handle such essential tasks when they care for patients in home settings and they face specific challenges related to them. This study identified several challenges related to each task. From the outset, healthcare providers should actively offer caregiving information and strategies. Health professionals can incorporate strategies for supporting caregivers' ability to carry out these tasks into their treatment model and can help caregivers manage difficulties that can impede them from doing so.

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Section: Discussionsupporting

confidence: 90%

Caring for patients with oral cancer in Taiwan: The challenges faced by family caregivers

Shen

Chang

et al. 2018

Eur J Cancer Care

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“…Guidera et al reported similar findings in patients who had started taking fluids orally within 5 days of operation. 10 Our study suggests that patients can begin oral intake of fluids as early as the day after operation. After another 2 to 3 days, 8 of our patients were able to manage a pureed diet at which point the nasogastric tube was removed.…”

Section: Discussionmentioning

confidence: 92%

“…10,11 This not only highlights the physical and psychological benefits of early oral feeding but could also be beneficial economically.…”

Section: Discussionmentioning

confidence: 93%

“…10 The mean duration of stay in hospital in our study was 11 days. One patient went home 5 days after operation and half had gone home by day 10 after the donor site and wounds had been checked and redressed.…”

Section: Discussionmentioning

confidence: 98%

“…Guidera et al found no increased incidence in postoperative complications between patients who started taking fluids orally by postoperative day 5 and those who commenced from day 6. 10 Also, studies have shown that the commencement of oral intake of clear fluids by day 6 after laryngectomy helped to preserve and promote the biomechanics of swallowing. The studies found no associated risk of fistula or increased morbidity.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Early feeding after free flap reconstruction for oral cancer

McAuley

Barry

McConnell³

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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Early feeding after free flap reconstruction of the oral cavity: A systematic review and meta‐analysis

Barlow,

Sragi,

Rodriguez

et al. 2024

Head & Neck

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BackgroundTraditionally, patients undergoing free flap reconstruction for oral cavity defects have been given nothing by mouth for 6–14 days post‐operatively due to concern for orocutaneous fistula development.MethodsMultiple databases were screened for studies assessing the rate of orocutaneous fistula formation in early (≤5 days) versus late (>5 days) feeding groups following oral cavity free flap reconstruction. Fixed‐ and random‐effects meta‐analyses were used.ResultsOne randomized controlled trial, one prospective cohort, and three retrospective cohort studies were included. The early feeding group displayed no significant increase in orocutaneous fistula formation (RD = −0.02, p = 0.06) or free flap failure (RD = −0.01, p = 0.39), with a significantly shorter hospital length of stay (mean difference [days] = −2.43, p < 0.01).ConclusionsWhile further prospective trials are necessary, initiation of oral intake before post‐operative day 5 may be appropriate in properly selected patients following oral reconstruction.

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Early oral intake after reconstruction with a free flap for cancer of the oral cavity

Cited by 31 publications

References 14 publications

Caring for patients with oral cancer in Taiwan: The challenges faced by family caregivers

Caring for patients with oral cancer in Taiwan: The challenges faced by family caregivers

Early feeding after free flap reconstruction for oral cancer

Early feeding after free flap reconstruction of the oral cavity: A systematic review and meta‐analysis

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