using zinc and probiotics supplementation for providing better prognosis for laryngeal cancer patients under going total or partial laryngectomy.
Zinc supplementation decrease plasma levels of oxidative stress markers, inflammatory cytokines and IL6. Low Serum zinc level was believed to influence the survival of laryngeal cancer patients and hence,using zinc supplementation would improve survival.Zinc help in increasing wound healing as involve in membrane repair, decreasing oxidative stress , coagulation , suppressing inflammation and modulating .Probiotics stimulates epithelial cells to release interleukin 6 (IL-6) and stimulates dendritic cells and macrophages that help in releasing TNF-α and IFN-γ , development IgA B lymphocytes that cause increase production of IgM, IgG and IgE antibodies.using probiotics preoperative or post-operative offer good chance for decreasing morbidity , infection rates , abuse of antibiotics and complications. zinc and probiotic suppose to provide better wound healing low incidence of infections and fistula after total and partial laryngectomy
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
140
zinc suppose to improve immunity and wound healing after laryngectomy
probiotics lowering infections rates and improving outcomes after surgery
Ain shams university hospital
Cairo, Al Abbasya, Egypt
wound healing
The role of zinc and probiotics supplementations on the rate of wound healing (pharyngeal reconstruction.
Time frame: 21 days after surgery, a month total
occurrence of percutaneous fistula
according to john et al grading 3- 4 grade
Time frame: 21 days after surgery - total a month
rate of infections
rate of infection of wound after total /partial laryngectomy
Time frame: 21 days after surgery - a month total
starting of oral feeding
reconstruction of pharynx post operative and start oral feeding
Time frame: 21 days after surgery-30 days total
length of hospital stay
length of hospital stay (hospital discharge)
Time frame: month from start , 21 days after surgery
evaluation of safety of probiotics and zinc supplementations in adults patients after total/ partial laryngectomy in terms of adverse drug events.
evaluation of safety of probiotics and zinc supplementations in adults patients after total/ partial laryngectomy in terms of adverse drug events.
Time frame: 21-days post surgery month total
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