{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T16:06:05Z","timestamp":1760976365826},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2001,4,3]],"date-time":"2001-04-03T00:00:00Z","timestamp":986256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2001,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The presentation and definitive surgical treatment of head and neck malignancies have varying impact on postoperative recovery and return of swallowing function, which heretofore has not been well defined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective chart review of 142 patients who underwent extirpative surgery for head and neck cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Factors significantly associated with the need for long\u2010term postoperative nutritional support (<jats:italic>p<\/jats:italic> &lt; .05) included heavy alcohol use, tongue base involvement and surgery, pharyngectomy, composite resection, reconstruction with a myocutaneous flap, radiation therapy, tumor size, and moderately\u2010to\u2010poorly differentiated histology. Heavy alcohol users were at an absolute risk for gastrostomy tube dependence; patients who underwent radiation therapy, flap reconstruction, tongue base resection, and pharyngectomy were at a two to sevenfold increased risk for gastrostomy tube dependence, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>High\u2010risk patients based on these criteria should receive a feeding gastrostomy at the time of their initial surgical therapy. \u00a9 2001 John Wiley &amp; Sons, Inc. Head Neck 23: 376\u2013382, 2001.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.1047","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T21:28:49Z","timestamp":1030310929000},"page":"376-382","source":"Crossref","is-referenced-by-count":34,"title":["Preoperative risk assessment for gastrostomy tube placement in head and neck cancer patients"],"prefix":"10.1002","volume":"23","author":[{"given":"John M.","family":"Schweinfurth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory N.","family":"Boger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul J.","family":"Feustel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2001,4,3]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1177\/019459988309100203","article-title":"Patterns of nutritional deficiency in head and neck cancer","volume":"91","author":"Basset MR","year":"1983","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_1_3_2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1177\/019459988509300114","article-title":"Nutritional status: a prognostic indicator in head and neck cancer","volume":"93","author":"Brooks GB","year":"1985","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(79)90408-2"},{"key":"e_1_2_1_5_2","first-page":"2407","article-title":"Nutritional consequences of radiotherapy","volume":"37","author":"Donaldson SS","year":"1977","journal-title":"Cancer Res"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607183007006546"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)42441-2"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3705.965"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890090303"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00301917"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3602.267"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1983.00800170051013"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/014556139807700811"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70066-9"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.143.2.7071354"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100147498"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890090303"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196905000-00009"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1148\/87.2.226"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710600211"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199409000-00019"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880160309"},{"issue":"9","key":"e_1_2_1_23_2","first-page":"1120","article-title":"Long term survival in patients undergoing percutaneous gastrostomy and jejunostomy","volume":"85","author":"Wolfsen HC","year":"1990","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880120208"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(88)80174-0"},{"key":"e_1_2_1_26_2","first-page":"1567","article-title":"Valvular tube gastrostomy","volume":"4","author":"Alpertine G","year":"1975","journal-title":"Nouv Presse Med"},{"key":"e_1_2_1_27_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880020016008"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949210100113"},{"key":"e_1_2_1_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(95)90080-2"}],"container-title":["Head &amp; 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