Browse > Article
http://dx.doi.org/10.22469/jkslp.2020.31.2.87

A Case of Intractable Tracheitis Treated by Heat-Moisture Exchangers in a Total Laryngectomized Patient  

Koo, Beom Mo (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center)
Moon, Seong Kyu (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center)
Kim, Seung Woo (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center)
Publication Information
Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics / v.31, no.2, 2020 , pp. 87-91 More about this Journal
Abstract
The tracheostomy directs external air into the airway tract. This process causes mucosal dryness, irritation and inflammation in the tracheo-bronchial tree. In order to prevent such problems, several methods are applied; ointment application, humidification and careful suction etc. The heat-moisture exchanger (HME) is commercially sold device that assists heating and humidification of the inhaled air. The authors experienced successful treatment outcome of intractable tracheitis caused by repetitive and vigorous intra-tracheal suction by applying HME in a total laryngectomized patient. We report an interesting and didactic case with a brief literature review.
Keywords
Tracheitis; Total laryngectomy; Heat and moisture exchangers;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Brook I. The challenges of treating tracheobronchitis in a laryngectomee due to nontypeable Haemophilus influenzae: a case report. J Med Case Rep 2018;12(1):242.   DOI
2 Inui D, Oto J, Nishimura M. Effect of heat and moisture exchanger (HME) positioning on inspiratory gas humidification. BMC Pulm Med 2006;6:19.   DOI
3 Nakanishi N, Oto J, Itagaki T, Nakataki E, Onodera M, Nishimura M. Humidification performance of passive and active humidification devices within a spontaneously breathing tracheostomized cohort. Respir Care 2019;64(2):130-5.   DOI
4 Iotti GA, Olivei MC, Braschi A. Mechanical effects of heat-moisture exchangers in ventilated patients. Crit Care 1999;3(5):R77-82.   DOI
5 Scheenstra RJ, Muller SH, Vincent A, Ackerstaff AH, Jacobi I, Hilgers FJ. A new heat and moisture exchanger for laryngectomized patients: endotracheal temperature and humidity. Respir Care 2011;56(5):604-11.   DOI
6 Retel VP, van den Boer C, Steuten LM, Okla S, Hilgers FJ, van den Brekel MW. Cost-effectiveness of heat and moisture exchangers compared to usual care for pulmonary rehabilitation after total laryngectomy in Poland. Eur Arch Otorhinolaryngol 2015;272(9):2381-8.   DOI
7 van den Boer C, Muller SH, van der Noort V, Olmos RA, Minni A, Parrilla C, et al. Effects of heat and moisture exchangers on tracheal mucociliary clearance in laryngectomized patients: a multi-center case-control study. Eur Arch Otorhinolaryngol 2015;272(11):3439-50.   DOI
8 Macri GF, Bogaardt H, Parrilla C, Minni A, D'Alatri L, de Vincentiis M, et al. Patients' experiences with HMEs and attachments after total laryngectomy. Clin Otolaryngol 2016;41(6):652-9.   DOI
9 Palav R, Khode S, Deore N, Datta S, Shah R, Jagade MV, et al. Role of heat moist exchanger in pulmonary rehabilitation after total-laryngectomy. Bombay Hosp J 2011;53(4):735-42.