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Official Journal of the Italian Society of Maxillofacial Surgery
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.