International practice of laryngectomy rehabilitation

Robinson, H. Fiona

doi:10.1097/moo.0b013e32836118c2

Cited by 2 publications

(2 citation statements)

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“…9 Evaluation by a speechlanguage/swallowing specialist can help mitigate potential problems, including rehabilitation of speech in patients after total laryngectomy (eg, esophageal speech, tracheoesophageal puncture). [14][15][16] Progress in radiation and surgical techniques has led to a decrease in the local side effects associated with treatment. For example, intensity-modulated radiation therapy maintains tumor control while decreasing radiation dosing to sites not at risk for cancer involvement, and has been shown to decrease dry mouth after treatment.…”

Section: Nccn Guidelines Insightsmentioning

confidence: 99%

Head and Neck Cancers, Version 2.2013

Pfister

Ang

Brizel

et al. 2013

J Natl Compr Canc Netw

182

187

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Section: Nccn Guidelines Insightsmentioning

confidence: 99%

Head and Neck Cancers, Version 2.2013

Pfister

Ang

Brizel

et al. 2013

J Natl Compr Canc Netw

182

187

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“…Total laryngectomy is widely performed across the world [1]. Despite changes in treatment protocols over the last twenty years following the radiation therapy oncology group (RTOG) [2] and Veterans Affairs [3] studies towards organ preserving protocols in laryngeal carcinoma, total laryngectomy continues to be an important treatment option.…”

Section: Introductionmentioning

confidence: 99%

Early versus Delayed Oral Feeding in Patients following Total Laryngectomy

Hay

Pitkin

Gurusamy

2014

Advances in Otolaryngology

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Objectives. To assess the effects of early oral feeding in laryngectomy patients versus delayed oral feeding. The outcomes used are mortality, pharyngocutaneous fistula rate, quality of life, hospital length of stay, and complications.Method. We performed searches within five major databases until June 2013. We considered randomised control trials (RCTs) and included nonrandomised studies for the assessment of harms.Results. We included four RCTs for assessment of benefits and three nonrandomised studies for assessment of harms (393 participants). There was no statistically significant difference detected in mortality at six months, pharyngocutaneous fistulae, or complications. The length of hospital stay was shorter in the early feeding group, MD −2.72 days [95% CI −5.34 to −0.09].Conclusion. Early oral feeding appears to have similar incidence of complications and has the potential to shorten the length of hospital stay. Further well-designed RCTs are necessary because of weakness in the available evidence.

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International practice of laryngectomy rehabilitation

Cited by 2 publications

References 0 publications

Head and Neck Cancers, Version 2.2013

Head and Neck Cancers, Version 2.2013

Early versus Delayed Oral Feeding in Patients following Total Laryngectomy

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