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1 results

  • Dry-powder inhaler alternatives for chronic obstructive pulmonary disease patients post total laryngectomy

  • Paul Koroma, Thomas Moors, Lukman Saiyed, Syed Mehdi
  • Journal:
    The Journal of Laryngology & Otology / Volume 139 / Issue 7 / July 2025
    Published online by Cambridge University Press:
    26 March 2025, pp. 635-637
    Print publication:
    July 2025
  • Objectives

    Patients undergoing total laryngectomy who have chronic obstructive pulmonary disease are unable to use dry-powder inhalers due to the anatomical changes after surgery and are therefore at greater risk of post-operative pulmonary complications. In our practice, we identified a scarcity of resources available to help clinicians decide on a suitable alternative. Hence, we sought to provide a solution that would address this issue.

    Methods

    Within our head and neck centre, we worked with the respiratory team and specialist pharmacists to create a simple conversion table to help clinicians identify alternatives to dry-powder inhalers.

    Results

    A table was designed that shows which metered-dose inhalers when connected to a spacer and an infant face mask overlying the laryngeal stoma can be used.

    Conclusion

    Our table can be used as a resource by clinicians to improve the perioperative and long-term care of patients who cannot use dry-powder inhalers.