Functional Outcome and Prognosis Factors after Supracricoid Partial Laryngectomy with Cricohyoidopexy

A retrospective analysis of the medical records and operative files of 124 patients who consecutively underwent supracricoid partial laryngectomy with cricohyoidopexy (SCPL-CHP) was undertaken. The objective of this study was to analyze the postoperative course and functional results of SCPL-CHP. The mean duration of follow-up was 7 years (range 1 to 20 years). The postoperative mortality was 1.6%. The average times until tracheostomy and nasogastric feeding tube removal were 8 and 22 days, respectively. All patients but 1 were decannulated. The rate of pneumonia from aspiration was 11.5%. Completion total laryngectomy and permanent gastrostomy were required in 2.5% and 2.5% of patients, respectively. Overall normal swallowing without permanent gastrostomy and respiration without tracheostomy were achieved by the first postoperative year in 91% and 99.1% of patients, respectively. Univariate analysis of the potential correlation between various variables and the duration of the tracheostomy and nasogastric feeding tube, the incidence and causes of mortality, the incidence and type of the various complications, the recovery of swallowing, and the length of hospitalization is presented. The report also discusses the management and follow-up care.

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Oncologic and functional results of supracricoid partial laryngectomy with cricohyoidopexy

Otolaryngology ◽

10.1016/j.otohns.2005.01.030 ◽

2005 ◽

Vol 132 (5) ◽

pp. 783-787 ◽

Cited By ~ 21

Author(s):

Yucel Akbas ◽

Alp Demireller

Keyword(s):

Total Laryngectomy ◽

Survival Rates ◽

Functional Results ◽

Feeding Tube ◽

Partial Laryngectomy ◽

Actuarial Survival ◽

Postoperative Radiation Therapy ◽

Primary Tumors ◽

Removal Time ◽

Supracricoid Partial Laryngectomy

OBJECTIVE: Supracricoid partial laryngectomy with cricohyoidopexy (SPL-CHP) is an alternative technique described for extensive tumors of the larynx that are beyond the limits of classical conservation partial laryngectomy and otherwise would be treated by total laryngectomy. STUDY DESIGN AND SETTING: Forty-six patients with carcinoma of the larynx underwent SPL-CHP between 1991 and 2003. The median age was 54 (range, 37 to 72). In 28 cases both arytenoids were spared; in 17 cases, 1 arytenoid was spared; and in 1 case, 2 arytenoids were resected. Bilateral elective neck dissections were performed in supraglottic carcinomas. In glottic carcinomas, neck dissection was performed in the presence of clinically positive lymph nodes. None of the patients were treated with postoperative radiation therapy. RESULTS: Forty-five patients were successfully decannulated; 1 patient with 2 arytenoids resected could not tolerate decannulation. The mean time for decannulation was 20 days (range, 9 to 60 days) when both arytenoids were spared with SPL-CHP, and 41 days (range, 13 to 150 days) for SPL-CHP when 1 arytenoid was spared. The average time for removal of the feeding tube was 21 days (range, 9 to 60 days) when both arytenoids were spared, and 40 days (range, 16 to 127 days) when 1 arytenoid was spared. The removal time of the feeding tube of the patient with 2 arytenoids resected was postoperative day 63. In 2 patients, aspiration pneumonia occurred as a result of swallowing impairment. In none of the patients temporary or permanent gastrostomy was needed. Two patients had local recurrence and were treated with a total laryngectomy; they are still alive. In 2 patients, secondary primary tumors were detected. The 3-year overall and cause-specific actuarial survival rates were 95.7% and 87.5%, respectively. CONCLUSIONS: Although prolonged hospitalization and delaying physiological functions can be termed as disadvantages of SPL-CHP, the operation is a reliable and oncologically valid procedure in selected cases of cancer of the larynx who would otherwise be operated by total laryngectomy.

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Evaluation of methods used to verify nasogastric feeding tube placement in hospitalized infants and children – A follow-up study

Journal of Pediatric Nursing ◽

10.1016/j.pedn.2021.10.018 ◽

2021 ◽

Author(s):

LaDonna Northington ◽

Carol Kemper ◽

Gina Rempel ◽

Beth Lyman ◽

Rosemary Pauley ◽

...

Keyword(s):

Feeding Tube ◽

Infants And Children ◽

Tube Placement ◽

Nasogastric Feeding ◽

Follow Up Study ◽

Nasogastric Feeding Tube ◽

Feeding Tube Placement ◽

Evaluation Of Methods

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Long-Term Nasogastric Feeding Tube

JAMA ◽

10.1001/jama.1969.03160290109037 ◽

1969 ◽

Vol 210 (3) ◽

pp. 557

Author(s):

Lee R. Sataline

Keyword(s):

Feeding Tube ◽

Nasogastric Feeding ◽

Nasogastric Feeding Tube

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Bacterial contamination of nasogastric feeding tube and development of neonatal sepsis in premature newborns: a prospective observational research at a tertiary care center in Gujarat, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20182547 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1462

Author(s):

Rekha Thaddanee ◽

Shamim Morbiwala ◽

Hasmukh Chauhan ◽

Jigar Gusani ◽

Parima Dalal

Keyword(s):

Necrotizing Enterocolitis ◽

Neonatal Sepsis ◽

Microbial Growth ◽

Tertiary Care ◽

Feeding Tube ◽

Feeding Intolerance ◽

Nasogastric Feeding ◽

Premature Newborns ◽

Nasogastric Feeding Tube ◽

Group I

Background: The objective of the present study is to observe the effect of frequency of changing nasogastric feeding tube (NG-FT) on microbial growth in relation to development of neonatal sepsis in premature newborns. The study is prospective observational study in its nature. Neonatal intensive care unit (NICU) of a tertiary care teaching hospital of western Gujarat, India, from December 2016 to November 2017.Methods: Eighty-five preterm newborns admitted to NICU for feeding support were randomly divided into three groups depending on frequency of changing nasogastric feeding tubes (Group I, II and III with NG-FT changed every 12, 24 and 48 hourly respectively). In Groups I, II and III, the first NG-FT cultures were sent at the end of 12, 24, 48 hours of NG-FT insertion respectively. The second and third NG-FT cultures were sent after 7 and 14 days respectively. Microbial growth pattern was observed and correlated with development of necrotizing enterocolitis (NEC), neonatal sepsis and mortality.Results: Microbial growth on first NG-FT culture significantly increased when frequency of changing nasogastric feeding tube was reduced from every 12 to 24 or 48 hours {p = 0.0432 (Group I vs II) and 0.0001 (Group I vs III)}. Microbial growth increased on second (24.1%, 87% and 85% in groups I, II and III respectively) and third NG-FT culture (44% in group I and 100% in groups II and III); this was significantly high in group II and III as compared to group I (p = 0.0001). Common organisms isolated were Klebsiella pneumonia (63.28%), Pseudomonas aeruginosa (32%) and Escherichia coli (21%). No significant difference was noted in incidences of feeding intolerance, necrotizing enterocolitis (NEC), neonatal sepsis and mortality among the three groups.Conclusions: Organism growth in nasogastric feeding tube culture increases significantly when frequency of changing NG-FT is beyond 12 hours. However, there is no increase in episodes of feeding intolerance, necrotizing enterocolitis (NEC), neonatal sepsis and mortality.

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Nutrothorax complicating a misplaced nasogastric feeding tube in a severely ill patient

Autopsy and Case Reports ◽

10.4322/acr.2012.003 ◽

2012 ◽

Vol 2 (1) ◽

pp. 19-24

Author(s):

Aloísio Felipe-Silva ◽

Fernando Peixoto Ferraz de Campos

Keyword(s):

Feeding Tube ◽

Nasogastric Feeding ◽

Nasogastric Feeding Tube

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Risk Score for Predicting Dysphagia in Patients After Neurosurgery: A Prospective Observational Trial

Frontiers in Neurology ◽

10.3389/fneur.2021.605687 ◽

2021 ◽

Vol 12 ◽

Author(s):

Li Zeng ◽

Yu Song ◽

Yan Dong ◽

Qian Wu ◽

Lu Zhang ◽

...

Keyword(s):

Tracheal Intubation ◽

Characteristic Curve ◽

Feeding Tube ◽

Apache Ii ◽

Selection Strategy ◽

Nasogastric Feeding ◽

Nasogastric Feeding Tube ◽

Multicenter Prospective Observational Study ◽

Validation Set ◽

Risk Predictors

Background: Acquired dysphagia is common in patients with tracheal intubation and neurological disease, leading to increased mortality. This study aimed to ascertain the risk factors and develop a prediction model for acquired dysphagia in patients after neurosurgery.Methods: A multicenter prospective observational study was performed on 293 patients who underwent neurosurgery. A standardized swallowing assessment was performed bedside within 24 h of extubation, and logistic regression analysis with a best subset selection strategy was performed to select predictors. A nomogram model was then established and verified.Results: The incidence of acquired dysphagia in our study was 23.2% (68/293). Among the variables, days of neurointensive care unit (NICU) stay [odds ratio (OR), 1.433; 95% confidence interval (CI), 1.141–1.882; P = 0.005], tracheal intubation duration (OR, 1.021; CI, 1.001–1.062; P = 0.175), use of a nasogastric feeding tube (OR, 9.131; CI, 1.364–62.289; P = 0.021), and Acute Physiology and Chronic Health Evaluation (APACHE)-II C score (OR, 1.709; CI, 1.421–2.148; P < 0.001) were selected as risk predictors for dysphagia and included in the nomogram model. The area under the receiver operating characteristic curve was 0.980 (CI, 0.965–0.996) in the training set and 0.971 (0.937–1) in the validation set, with Brier scores of 0.045 and 0.056, respectively.Conclusion: Patients who stay longer in the NICU, have a longer duration of tracheal intubation, require a nasogastric feeding tube, and have higher APACHE-II C scores after neurosurgery are likely to develop dysphagia. This developed model is a convenient and efficient tool for predicting the development of dysphagia.

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