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J Korean Soc Laryngol Phoniatr Logop > Volume 31(2); 2020 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2020;31(2): 87-91.
doi: https://doi.org/10.22469/jkslp.2020.31.2.87
열가습 여과기로 치료한 후두전적출 환자의 난치성 기관염 1예
구범모 , 문성규 , 김승우
중앙보훈병원 이비인후과
A Case of Intractable Tracheitis Treated by Heat-Moisture Exchangers in a Total Laryngectomized Patient
Beom Mo Koo , Seong Kyu Moon , Seung Woo Kim
Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center, Seoul, Korea
Correspondence  Seung Woo Kim ,Tel: +82-2-2225-1384, Fax: +82-2-2225-1385, Email: entzzang1020@daum.net
Received: 16 September 2020; Revised: October 27, 2020   Accepted: 9 November 2020.  Published online: 30 December 2020.
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.
KEY WORDS: Tracheitis; Total laryngectomy; Heat and moisture exchangers
중심 단어: 기관염, 후두전적출, 열가습 여과기
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