The Influence of a Heat and Moisture Exchanger (HME) on the Respiratory Symptoms After Total Laryngectomy

Clin Otolaryngol Allied Sci. 1991 Apr;16(2):152-6. doi: 10.1111/j.1365-2273.1991.tb01966.x.


The 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.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Aged
  • Aged, 80 and over
  • Female
  • Hot Temperature
  • Humans
  • Humidity
  • Laryngectomy / adverse effects*
  • Male
  • Middle Aged
  • Pulmonary Ventilation
  • Quality of Life
  • Respiratory Therapy / instrumentation*
  • Speech, Alaryngeal
  • Sputum / metabolism
  • Tracheostomy / instrumentation*