Early Post-operative Feeding: An Investigation of Early Functional Outcomes for Oral Cancer Patients Treated with Surgical Resection and Free Flap ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-09-24

AUTHORS

Grainne Brady, Lauren Leigh-Doyle, Francesco Riva, Cyrus Kerawala, Justin Roe

ABSTRACT

Traditionally patients can remain nil by mouth (NBM) for up to 12 days after oral tumour resection with free flap reconstruction to reduce the risk of flap dehiscence, poor healing and fistulae. The literature reports that patients could on average remain an inpatient for up to 20 days post-surgery. An evaluation of the impact of a defined early oral feeding protocol was undertaken investigating functional outcomes and complications rates. We prospectively reviewed tracheostomy use, length of hospital stay, non-oral feeding status and swallowing function using the Performance Status Scale for Head and Neck Cancer (PSS-HN) within a defined early feeding protocol. Twenty-nine patients underwent surgical resection with free flap reconstruction for advanced primary oral cancer between January 2018 and December 2019. Average age was 59.5 (range 24–88). Tumour sites included oral tongue (n = 10), maxilla (n = 6), mandible (n = 6), floor of mouth (n = 5) and buccal mucosa (n = 2). Median time to decannulation was 7 days (range 3–20 days, n = 11). The majority of patients were able to tolerate at least oral fluids on day 1 post-operatively (86%, n = 25). In addition to oral intake, non-oral feeding was required in 90% (n = 26), the majority of which included a nasogastric tube (NGT) placed intraoperatively 54% (n = 14), others required gastrostomy 46% (n = 12). Median time to nasogastric tube removal was 6 days (range 3–15 days). Median length of hospital stay was 10 days (range 3–51). Mean PSS-Normalcy of Diet (NOD) score at point of hospital discharge was 36.55 (95% CI 30.9–42.2). Flap failure was noted in 3% (n = 1). The adoption of an early oral feeding protocol suggests that there is the potential for a shorter hospital stay and earlier swallowing rehabilitation. More... »

PAGES

1-6

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00455-021-10363-8

DOI

http://dx.doi.org/10.1007/s00455-021-10363-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1141364797

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34559292


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Department of Surgery & Cancer, Imperial College London, London, UK", 
          "id": "http://www.grid.ac/institutes/grid.7445.2", 
          "name": [
            "Therapies Department, The Royal Marsden NHS Foundation Trust, London, UK", 
            "Department of Surgery & Cancer, Imperial College London, London, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Brady", 
        "givenName": "Grainne", 
        "id": "sg:person.01350146225.64", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01350146225.64"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Therapies Department, The Royal Marsden NHS Foundation Trust, London, UK", 
          "id": "http://www.grid.ac/institutes/grid.5072.0", 
          "name": [
            "Therapies Department, The Royal Marsden NHS Foundation Trust, London, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Leigh-Doyle", 
        "givenName": "Lauren", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK", 
          "id": "http://www.grid.ac/institutes/grid.5072.0", 
          "name": [
            "Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Riva", 
        "givenName": "Francesco", 
        "id": "sg:person.01361000657.29", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01361000657.29"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Faculty of Health and Wellbeing, University of Winchester, Winchester, UK", 
          "id": "http://www.grid.ac/institutes/grid.267454.6", 
          "name": [
            "Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK", 
            "Faculty of Health and Wellbeing, University of Winchester, Winchester, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kerawala", 
        "givenName": "Cyrus", 
        "id": "sg:person.01311565233.15", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01311565233.15"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Otolaryngology, Head and Neck Surgery, Imperial College Healthcare NHS Trust, London, UK", 
          "id": "http://www.grid.ac/institutes/grid.417895.6", 
          "name": [
            "Therapies Department, The Royal Marsden NHS Foundation Trust, London, UK", 
            "Department of Surgery & Cancer, Imperial College London, London, UK", 
            "Department of Otolaryngology, Head and Neck Surgery, Imperial College Healthcare NHS Trust, London, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Roe", 
        "givenName": "Justin", 
        "id": "sg:person.01350177421.58", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01350177421.58"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s00784-018-2653-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1107337882", 
          "https://doi.org/10.1007/s00784-018-2653-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf00417897", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020593129", 
          "https://doi.org/10.1007/bf00417897"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2021-09-24", 
    "datePublishedReg": "2021-09-24", 
    "description": "Traditionally patients can remain nil by mouth (NBM) for up to 12\u00a0days after oral tumour resection with free flap reconstruction to reduce the risk of flap dehiscence, poor healing and fistulae. The literature reports that patients could on average remain an inpatient for up to 20\u00a0days post-surgery. An evaluation of the impact of a defined early oral feeding protocol was undertaken investigating functional outcomes and complications rates. We prospectively reviewed tracheostomy use, length of hospital stay, non-oral feeding status and swallowing function using the Performance Status Scale for Head and Neck Cancer (PSS-HN) within a defined early feeding protocol. Twenty-nine patients underwent surgical resection with free flap reconstruction for advanced primary oral cancer between January 2018 and December 2019. Average age was 59.5 (range 24\u201388). Tumour sites included oral tongue (n\u2009=\u200910), maxilla (n\u2009=\u20096), mandible (n\u2009=\u20096), floor of mouth (n =\u20095) and buccal mucosa (n\u2009=\u20092). Median time to decannulation was 7\u00a0days (range 3\u201320\u00a0days, n\u2009=\u200911). The majority of patients were able to tolerate at least oral fluids on day 1 post-operatively (86%, n\u2009=\u200925). In addition to oral intake, non-oral feeding was required in 90% (n\u2009=\u200926), the majority of which included a nasogastric tube (NGT) placed intraoperatively 54%\u00a0(n\u2009=\u200914), others required gastrostomy\u00a046% (n\u2009=\u200912). Median time to nasogastric tube removal was 6\u00a0days (range 3\u201315\u00a0days). Median length of hospital stay was 10\u00a0days (range 3\u201351). Mean PSS-Normalcy of Diet (NOD) score at point of hospital discharge was 36.55 (95% CI 30.9\u201342.2). Flap failure was noted in 3% (n\u2009=\u20091). The adoption of an early oral feeding protocol suggests that there is the potential for a shorter hospital stay and earlier swallowing rehabilitation.", 
    "genre": "article", 
    "id": "sg:pub.10.1007/s00455-021-10363-8", 
    "inLanguage": "en", 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1096596", 
        "issn": [
          "0179-051X", 
          "1432-0460"
        ], 
        "name": "Dysphagia", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }
    ], 
    "keywords": [
      "free flap reconstruction", 
      "early oral feeding protocols", 
      "hospital stay", 
      "flap reconstruction", 
      "surgical resection", 
      "feeding protocol", 
      "median time", 
      "nasogastric tube", 
      "functional outcome", 
      "oral tumor resection", 
      "early feeding protocol", 
      "primary oral cancer", 
      "nasogastric tube removal", 
      "shorter hospital stay", 
      "majority of patients", 
      "early functional outcomes", 
      "Performance Status Scale", 
      "non-oral feeding", 
      "oral cancer patients", 
      "floor of mouth", 
      "oral tongue", 
      "hospital discharge", 
      "complication rate", 
      "oral intake", 
      "tube removal", 
      "tracheostomy use", 
      "Status Scale", 
      "oral cancer", 
      "median length", 
      "cancer patients", 
      "tumor resection", 
      "neck cancer", 
      "poor healing", 
      "flap dehiscence", 
      "flap failure", 
      "buccal mucosa", 
      "average age", 
      "day 1", 
      "patients", 
      "resection", 
      "stay", 
      "oral fluid", 
      "feeding status", 
      "cancer", 
      "days", 
      "outcomes", 
      "decannulation", 
      "gastrostomy", 
      "fistula", 
      "inpatients", 
      "mucosa", 
      "majority", 
      "dehiscence", 
      "intake", 
      "maxilla", 
      "mouth", 
      "protocol", 
      "healing", 
      "rehabilitation", 
      "age", 
      "mandible", 
      "diet", 
      "risk", 
      "status", 
      "tongue", 
      "feeding", 
      "reconstruction", 
      "failure", 
      "head", 
      "discharge", 
      "evaluation", 
      "time", 
      "rate", 
      "length", 
      "fluid", 
      "use", 
      "function", 
      "literature", 
      "addition", 
      "removal", 
      "sites", 
      "impact", 
      "tube", 
      "potential", 
      "investigation", 
      "scale", 
      "floor", 
      "point", 
      "adoption", 
      "oral feeding protocol", 
      "non-oral feeding status", 
      "advanced primary oral cancer", 
      "least oral fluids", 
      "Mean PSS-Normalcy", 
      "PSS-Normalcy"
    ], 
    "name": "Early Post-operative Feeding: An Investigation of Early Functional Outcomes for Oral Cancer Patients Treated with Surgical Resection and Free Flap Reconstruction", 
    "pagination": "1-6", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1141364797"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00455-021-10363-8"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "34559292"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00455-021-10363-8", 
      "https://app.dimensions.ai/details/publication/pub.1141364797"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-01-01T19:02", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20220101/entities/gbq_results/article/article_914.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1007/s00455-021-10363-8"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00455-021-10363-8'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00455-021-10363-8'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00455-021-10363-8'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00455-021-10363-8'


 

This table displays all metadata directly associated to this object as RDF triples.

201 TRIPLES      22 PREDICATES      121 URIs      111 LITERALS      5 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00455-021-10363-8 schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author N3f4026003e0e40fa87b7efce3450c26d
4 schema:citation sg:pub.10.1007/bf00417897
5 sg:pub.10.1007/s00784-018-2653-1
6 schema:datePublished 2021-09-24
7 schema:datePublishedReg 2021-09-24
8 schema:description Traditionally patients can remain nil by mouth (NBM) for up to 12 days after oral tumour resection with free flap reconstruction to reduce the risk of flap dehiscence, poor healing and fistulae. The literature reports that patients could on average remain an inpatient for up to 20 days post-surgery. An evaluation of the impact of a defined early oral feeding protocol was undertaken investigating functional outcomes and complications rates. We prospectively reviewed tracheostomy use, length of hospital stay, non-oral feeding status and swallowing function using the Performance Status Scale for Head and Neck Cancer (PSS-HN) within a defined early feeding protocol. Twenty-nine patients underwent surgical resection with free flap reconstruction for advanced primary oral cancer between January 2018 and December 2019. Average age was 59.5 (range 24–88). Tumour sites included oral tongue (n = 10), maxilla (n = 6), mandible (n = 6), floor of mouth (n = 5) and buccal mucosa (n = 2). Median time to decannulation was 7 days (range 3–20 days, n = 11). The majority of patients were able to tolerate at least oral fluids on day 1 post-operatively (86%, n = 25). In addition to oral intake, non-oral feeding was required in 90% (n = 26), the majority of which included a nasogastric tube (NGT) placed intraoperatively 54% (n = 14), others required gastrostomy 46% (n = 12). Median time to nasogastric tube removal was 6 days (range 3–15 days). Median length of hospital stay was 10 days (range 3–51). Mean PSS-Normalcy of Diet (NOD) score at point of hospital discharge was 36.55 (95% CI 30.9–42.2). Flap failure was noted in 3% (n = 1). The adoption of an early oral feeding protocol suggests that there is the potential for a shorter hospital stay and earlier swallowing rehabilitation.
9 schema:genre article
10 schema:inLanguage en
11 schema:isAccessibleForFree true
12 schema:isPartOf sg:journal.1096596
13 schema:keywords Mean PSS-Normalcy
14 PSS-Normalcy
15 Performance Status Scale
16 Status Scale
17 addition
18 adoption
19 advanced primary oral cancer
20 age
21 average age
22 buccal mucosa
23 cancer
24 cancer patients
25 complication rate
26 day 1
27 days
28 decannulation
29 dehiscence
30 diet
31 discharge
32 early feeding protocol
33 early functional outcomes
34 early oral feeding protocols
35 evaluation
36 failure
37 feeding
38 feeding protocol
39 feeding status
40 fistula
41 flap dehiscence
42 flap failure
43 flap reconstruction
44 floor
45 floor of mouth
46 fluid
47 free flap reconstruction
48 function
49 functional outcome
50 gastrostomy
51 head
52 healing
53 hospital discharge
54 hospital stay
55 impact
56 inpatients
57 intake
58 investigation
59 least oral fluids
60 length
61 literature
62 majority
63 majority of patients
64 mandible
65 maxilla
66 median length
67 median time
68 mouth
69 mucosa
70 nasogastric tube
71 nasogastric tube removal
72 neck cancer
73 non-oral feeding
74 non-oral feeding status
75 oral cancer
76 oral cancer patients
77 oral feeding protocol
78 oral fluid
79 oral intake
80 oral tongue
81 oral tumor resection
82 outcomes
83 patients
84 point
85 poor healing
86 potential
87 primary oral cancer
88 protocol
89 rate
90 reconstruction
91 rehabilitation
92 removal
93 resection
94 risk
95 scale
96 shorter hospital stay
97 sites
98 status
99 stay
100 surgical resection
101 time
102 tongue
103 tracheostomy use
104 tube
105 tube removal
106 tumor resection
107 use
108 schema:name Early Post-operative Feeding: An Investigation of Early Functional Outcomes for Oral Cancer Patients Treated with Surgical Resection and Free Flap Reconstruction
109 schema:pagination 1-6
110 schema:productId N547f036f3adb463bada293994805dd3b
111 Nb6df7d2f7e334093a70d945cffbf8859
112 Nd5124de926e2429cb849b81d34d00776
113 schema:sameAs https://app.dimensions.ai/details/publication/pub.1141364797
114 https://doi.org/10.1007/s00455-021-10363-8
115 schema:sdDatePublished 2022-01-01T19:02
116 schema:sdLicense https://scigraph.springernature.com/explorer/license/
117 schema:sdPublisher Ncd152abd8a8e487ab1ee9e8f9668e8d3
118 schema:url https://doi.org/10.1007/s00455-021-10363-8
119 sgo:license sg:explorer/license/
120 sgo:sdDataset articles
121 rdf:type schema:ScholarlyArticle
122 N1d33302a6a7d43ec87d628c79a88aaf2 rdf:first sg:person.01350177421.58
123 rdf:rest rdf:nil
124 N1e5222e52fb045d68bbeccaf069c4b6c schema:affiliation grid-institutes:grid.5072.0
125 schema:familyName Leigh-Doyle
126 schema:givenName Lauren
127 rdf:type schema:Person
128 N38ad520e21d748f4b8855c1b8357b7cd rdf:first N1e5222e52fb045d68bbeccaf069c4b6c
129 rdf:rest Nf5d9d8051f1e42a7a0cd23fb1c4754ff
130 N3f4026003e0e40fa87b7efce3450c26d rdf:first sg:person.01350146225.64
131 rdf:rest N38ad520e21d748f4b8855c1b8357b7cd
132 N547f036f3adb463bada293994805dd3b schema:name pubmed_id
133 schema:value 34559292
134 rdf:type schema:PropertyValue
135 N7ce2381a5aa44ede9e9e705353dd6c3c rdf:first sg:person.01311565233.15
136 rdf:rest N1d33302a6a7d43ec87d628c79a88aaf2
137 Nb6df7d2f7e334093a70d945cffbf8859 schema:name doi
138 schema:value 10.1007/s00455-021-10363-8
139 rdf:type schema:PropertyValue
140 Ncd152abd8a8e487ab1ee9e8f9668e8d3 schema:name Springer Nature - SN SciGraph project
141 rdf:type schema:Organization
142 Nd5124de926e2429cb849b81d34d00776 schema:name dimensions_id
143 schema:value pub.1141364797
144 rdf:type schema:PropertyValue
145 Nf5d9d8051f1e42a7a0cd23fb1c4754ff rdf:first sg:person.01361000657.29
146 rdf:rest N7ce2381a5aa44ede9e9e705353dd6c3c
147 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
148 schema:name Medical and Health Sciences
149 rdf:type schema:DefinedTerm
150 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
151 schema:name Clinical Sciences
152 rdf:type schema:DefinedTerm
153 sg:journal.1096596 schema:issn 0179-051X
154 1432-0460
155 schema:name Dysphagia
156 schema:publisher Springer Nature
157 rdf:type schema:Periodical
158 sg:person.01311565233.15 schema:affiliation grid-institutes:grid.267454.6
159 schema:familyName Kerawala
160 schema:givenName Cyrus
161 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01311565233.15
162 rdf:type schema:Person
163 sg:person.01350146225.64 schema:affiliation grid-institutes:grid.7445.2
164 schema:familyName Brady
165 schema:givenName Grainne
166 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01350146225.64
167 rdf:type schema:Person
168 sg:person.01350177421.58 schema:affiliation grid-institutes:grid.417895.6
169 schema:familyName Roe
170 schema:givenName Justin
171 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01350177421.58
172 rdf:type schema:Person
173 sg:person.01361000657.29 schema:affiliation grid-institutes:grid.5072.0
174 schema:familyName Riva
175 schema:givenName Francesco
176 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01361000657.29
177 rdf:type schema:Person
178 sg:pub.10.1007/bf00417897 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020593129
179 https://doi.org/10.1007/bf00417897
180 rdf:type schema:CreativeWork
181 sg:pub.10.1007/s00784-018-2653-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1107337882
182 https://doi.org/10.1007/s00784-018-2653-1
183 rdf:type schema:CreativeWork
184 grid-institutes:grid.267454.6 schema:alternateName Faculty of Health and Wellbeing, University of Winchester, Winchester, UK
185 schema:name Faculty of Health and Wellbeing, University of Winchester, Winchester, UK
186 Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK
187 rdf:type schema:Organization
188 grid-institutes:grid.417895.6 schema:alternateName Department of Otolaryngology, Head and Neck Surgery, Imperial College Healthcare NHS Trust, London, UK
189 schema:name Department of Otolaryngology, Head and Neck Surgery, Imperial College Healthcare NHS Trust, London, UK
190 Department of Surgery & Cancer, Imperial College London, London, UK
191 Therapies Department, The Royal Marsden NHS Foundation Trust, London, UK
192 rdf:type schema:Organization
193 grid-institutes:grid.5072.0 schema:alternateName Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK
194 Therapies Department, The Royal Marsden NHS Foundation Trust, London, UK
195 schema:name Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK
196 Therapies Department, The Royal Marsden NHS Foundation Trust, London, UK
197 rdf:type schema:Organization
198 grid-institutes:grid.7445.2 schema:alternateName Department of Surgery & Cancer, Imperial College London, London, UK
199 schema:name Department of Surgery & Cancer, Imperial College London, London, UK
200 Therapies Department, The Royal Marsden NHS Foundation Trust, London, UK
201 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...