Long-Term Use of Heat and Moisture Exchangers among Laryngectomees: Medical, Social, and Psychological Patterns

Abstract

These findings have implications for any postlaryngectomy research that uses pulmonary parameters.

Active versus passive humidification for self-ventilating tracheostomy and laryngectomy patients: A systematic review of the literature

“…The search identified a total of 56 publications which were assessed and selected according to the inclusion criteria for this review. Seven studies were included in this review: two randomised control trials (RCTs; 133 patients), 12,13 one randomised controlled cross-over trial (29 patients), 14 three randomised prospective studies (171 patients), [15][16][17] and one retrospective study (73 patients). 18 These studies are listed in Table 1.…”

“…Five remaining studies 13,[15][16][17][18] were conducted on adult post-laryngectomy patients efficacy of HMEs alone in the reduction in respiratory symptoms and overall patient satisfaction. There were no ongoing trials included in this review.…”

“…Five studies were at a high risk of bias. 12,14,16,17,19 Of the remaining included studies, one study had a low risk of bias 13 and the other had an unclear risk. 15 The lack of control groups in five studies made it difficult to reliably attribute the reduction in adverse clinical outcomes and improvement of patient experience, in relation to the intervention assessed.…”

“…15 The lack of control groups in five studies made it difficult to reliably attribute the reduction in adverse clinical outcomes and improvement of patient experience, in relation to the intervention assessed. [14][15][16][17]19 Overall sample sizes of eligible studies were small (n = 14-73), especially for comparison studies of active and passive humidification techniques. 12,14 In studies that assessed the humidification interventions in the immediate post-operative period, details of the duration of an intervention period was not specified in one RCT, 12 evaluating humidification following adult laryngectomy.…”

Autoavaliação de aspectos respiratórios e vocais após uso do umidificador de traqueostomia em laringectomizados totais

“…In addition, the entry of cold, dry air, microorganisms, and dust directly into the lower airways increases the incidence of bronchopulmonary infections (3) . Respiratory complaints show a strong correlation with other physical and psychosocial problems (4) . Therefore, a comprehensive speech-language pathology rehabilitation program for total laryngectomy patients should also consider the prevention and resolution of respiratory problems arising from the surgical procedure.…”