{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:45:05Z","timestamp":1789501505246,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2015,6,15]],"date-time":"2015-06-15T00:00:00Z","timestamp":1434326400000},"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":[[2016,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to assess the tolerance of early oral feeding after total laryngectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A randomized multicenter study was conducted that included 89 individuals subjected to total laryngectomy. The participants were allocated to 2 groups: early (<jats:italic>n<\/jats:italic>\u2009=\u200944), early oral feeding; and late (<jats:italic>n<\/jats:italic>\u2009=\u200945), late oral feeding. The participants in the early group were assessed as to acceptance of oral feeding, and their food intake was quantified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the early group, the total energy expenditure and protein needs were not met through oral feeding alone at any time during the first 7 postoperative days. The times to attain 25% and 50% of the total energy expenditure and protein needs by oral feeding after surgery were 4 and 7 days, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The patients subjected to early oral feeding failed to meet their caloric and protein needs through that route alone during the first 4 postoperative days and required complementary nutrition through another route. \u00a9 2015 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>38<\/jats:bold>: E643\u2013E648, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24063","type":"journal-article","created":{"date-parts":[[2015,4,1]],"date-time":"2015-04-01T06:12:05Z","timestamp":1427868725000},"source":"Crossref","is-referenced-by-count":11,"title":["Tolerance of early oral feeding in patients subjected to total laryngectomy"],"prefix":"10.1002","volume":"38","author":[{"given":"Alexandre Andrade","family":"Sousa","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Cl\u00ednicas, Universidade Federal de Minas Gerais Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Maria","family":"Porcaro\u2013Salles","sequence":"additional","affiliation":[{"name":"Department of Medicine Universidade Federal de S\u00e3o Jo\u00e3o Del Rei Divin\u00f3polis Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Marcos Arantes","family":"Soares","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Cl\u00ednicas, Universidade Federal de Minas Gerais Belo Horizonte Minas Gerais 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