Feeding Tube Placement Following Transoral Robotic Surgery for Oropharyngeal Squamous Cell Carcinoma

Objective To identify factors that may predict the need for feeding tubes in patients undergoing transoral robotic surgery (TORS) in the perioperative setting. Study Design Retrospective chart review. Setting Academic tertiary center. Methods A retrospective series of patients undergoing TORS for or...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2022-04, Vol.166 (4), p.696-703
Main Authors: Feng, Allen L., Holcomb, Andrew J., Abt, Nicholas B., Mokhtari, Tara E., Suresh, Krish, McHugh, Christopher I., Parikh, Anuraag S., Holman, Allison, Kammer, Rachael E., Goldsmith, Tessa A., Faden, Daniel L., Deschler, Daniel G., Varvares, Mark A., Lin, Derrick T., Richmon, Jeremy D.
Format: Article
Language:English
Subjects:
Carcinoma, Squamous Cell - pathology
gastrostomy
Head and Neck Neoplasms - etiology
Humans
Male
Middle Aged
oropharyngeal carcinoma
Oropharyngeal Neoplasms - pathology
Oropharyngeal Neoplasms - surgery
Retrospective Studies
Robotic Surgical Procedures - adverse effects
squamous cell carcinoma
Squamous Cell Carcinoma of Head and Neck
TORS
transoral robotic surgery
Treatment Outcome
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Summary:Objective To identify factors that may predict the need for feeding tubes in patients undergoing transoral robotic surgery (TORS) in the perioperative setting. Study Design Retrospective chart review. Setting Academic tertiary center. Methods A retrospective series of patients undergoing TORS for oropharyngeal squamous cell carcinoma (OPSCC) was identified between October 2016 and November 2019 at a single tertiary academic center. Patient data were gathered, such as frailty information, tumor characteristics, and treatment, including need for adjuvant therapy. Multiple logistic regression was performed to identify factors associated with feeding tube placement following TORS. Results A total of 138 patients were included in the study. The mean age was 60.2 years (range, 37-88 years) and 81.9% were male. Overall 82.9% of patients had human papilloma virus–associated tumors, while 28.3% were current or former smokers with a smoking history ≥10 pack-years. Eleven patients (8.0%) had a nasogastric or gastrostomy tube placed at some point during their treatment. Five patients (3.6%) had feeding tubes placed perioperatively (
ISSN:0194-5998
1097-6817
DOI:10.1177/01945998211020302