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CURRENT ISSUEITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

A Journal on Maxillofacial Surgery


Official Journal of the Italian Society of Maxillofacial Surgery

 

Rivista Italiana di Chirurgia Maxillo-Facciale 2001 August;12(2):91-6

 ORIGINAL ARTICLES

Bengmark’s self-propelling naso-jejunal tube: a safe nutritional support in major maxillo-facial surgery. Preliminary report

Mangiante G. L., Nocini P. F. *, Bedogni A. *, Cortelazzi R. **, Marini P. ***, Gelio S. ***, Colucci G., Bengmark S. ****

From ­the Department of Surgery, University Hospital of Verona ­and * Department of Biomedical ­and Morphological Sciences, Section of Maxillo-­facial Surgery ­and Odontostomatology
** Department of Surgery, Section of Maxillo-­facial Surgery, University Hospital of Bari
*** Service of Pharmacy, University Hospital of Verona
**** Ideon Research Center, University of Lund

Background. Aim of ­the ­study ­was eval­u­at­ed ­the use­ful­ness ­and safe­ty of Bengmark’s ­self-pro­pel­ling (SPT) ­naso-jej­u­nal ­tube in max­il­lo-­facial prac­tice.
Methods. Design: Open ­study. We eval­u­at­ed ­the ­right posi­tion ­time, ­the com­pli­ance, ­the com­pli­ca­tions relat­ed to ­SPT, ­total mor­bid­ity, mor­tal­ity, recu­per­a­tion ­time ­and hos­pi­tal ­stay of fif­teen con­sec­u­tive ­patients sched­uled ­for demol­i­tive ­and recon­struc­tive ­oro-pha­ryn­geal sur­gery nour­ished unin­ter­rupt­ed­ly ­before, dur­ing ­and ­after sur­gery by enter­al nutri­tion (­UEN).
Results. Aspiration pneu­mo­nia ­was nev­er record­ed. Three cas­es (3/15) of swell­ing ­were detect­ed; no diar­rhoea ­was ­seen. One ­patient (1/15) ­removed by him­self ­the-­SPT ­the 10th post­op­er­a­tive ­day. One ­SPT ­clogged ­the 7th post­op­er­a­tive ­day ­and it ­was ­replaced ­with ­new ­one. Non-relat­ed com­pli­ca­tions con­sist­ed in: ­one ­case (1/15) of bac­te­ri­al pneu­mo­nia 8 ­days ­after sur­gery, ­one ­case (1/15) of ­oro-cer­vi­cal fis­tu­la; ­one ­free ­flap fail­ure (1/15) ­due to throm­bo­sis in an eld­er­ly wom­an.
Conclusions. ­SPT is a ­well-tol­er­at­ed ­device to admin­is­ter enter­al nutri­tion in ­patients sched­uled ­for demol­i­tive pro­ce­dures of ­the cer­vi­co-­facial ­region, ­and war­rants a con­tin­uos ­and ­safe sup­ply of nutri­ents ­with excel­lent com­pli­ance dur­ing post­op­er­a­tive peri­od.

language: English


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