Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery · 2025
An observational study on feeding recommencement and morbidity in reconstructive surgery of the oral cavity.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chuang Fred, Jones Andrew, Wagels Michael
Аннотация
BACKGROUND: Reconstructive surgery for floor-of-mouth (FOM) resections presents unique challenges. Delaying oral feeding is hypothesised to reduce surgical complications. This study explores the relationships between surgical resection extent, free flap reconstruction, feeding practices, and nutritional outcomes.
STUDY DESIGN: An observational study was conducted on patients with oral cavity reconstruction after oncological resections at a tertiary Australian Hospital.
METHOD: Patients were grouped by extent of resection (EOR): non-FOM, close FOM, extended FOM, and segmental mandibulectomies. Univariate analyses compared complication rates, feeding regimens, and nutritional outcomes.
RESULTS: EOR significantly affected the timing of feeding commencement (p = 0.044). Morbidity increased with EOR (p = 0.001) and was associated with the type of reconstruction (p = 0.002). There was no significant correlation between EOR and changes in BMI (p = 0.40) or postoperative serum albumin (p = 0.60).
CONCLUSION: Feed commencement post-reconstructive surgery was influenced by surgical complexity. Complex surgeries were associated with increased complications but did not affect nutritional status.
STUDY DESIGN: An observational study was conducted on patients with oral cavity reconstruction after oncological resections at a tertiary Australian Hospital.
METHOD: Patients were grouped by extent of resection (EOR): non-FOM, close FOM, extended FOM, and segmental mandibulectomies. Univariate analyses compared complication rates, feeding regimens, and nutritional outcomes.
RESULTS: EOR significantly affected the timing of feeding commencement (p = 0.044). Morbidity increased with EOR (p = 0.001) and was associated with the type of reconstruction (p = 0.002). There was no significant correlation between EOR and changes in BMI (p = 0.40) or postoperative serum albumin (p = 0.60).
CONCLUSION: Feed commencement post-reconstructive surgery was influenced by surgical complexity. Complex surgeries were associated with increased complications but did not affect nutritional status.