• Clin Otolaryngol Allied Sci · Apr 1991

    Clinical Trial

    The influence of a heat and moisture exchanger (HME) on the respiratory symptoms after total laryngectomy.

    • F J Hilgers, N K Aaronson, A H Ackerstaff, P F Schouwenburg, and N van Zandwikj.
    • Department of ENT/Head and Neck Surgery, The Netherlands Cancer Institute, University of Amsterdam, The Netherlands.
    • Clin Otolaryngol Allied Sci. 1991 Apr 1; 16 (2): 152-6.

    AbstractThe influence of a heat and moisture exchanger (HME) on the respiratory symptoms after total laryngectomy was studied in 42 patients. A significant reduction was found in the mean daily frequency of sputum production, forced expectoration in order to clean the airway and stoma cleaning after use of the HME for 6 weeks. Symptoms of fatigue and malaise decreased significantly, while social contact improved. Patients using oesophageal speech or an electrolarynx benefited more than patients using a voice prosthesis. The findings indicate that respiratory problems after total laryngectomy can be reduced significantly with the use of a device with heat and moisture exchanging properties. In turn, reduction of respiratory symptoms results in an improved quality of life.

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