Bianco Maria Rita, Pullano Salvatore Andrea, Occhiuzzi Federico, Latella Daniele, Di Mieri Marco, Pelaia Corrado, Allegra Eugenia
Otolaryngology, Department of Health Science University of Catanzaro Catanzaro Italy.
Department of Health Science, Biomedical Applications Technologies and Sensors (BATS) Laboratory University of Catanzaro Catanzaro Italy.
OTO Open. 2024 Oct 30;8(4):e70009. doi: 10.1002/oto2.70009. eCollection 2024 Oct-Dec.
Patients who have undergone total laryngectomy (TL) are, in most cases, affected by lung disease due to smoking habits. Therefore, as part of the follow-up protocol for these patients, a spirometry test should be performed to adequately assess lung function. Current spirometers do not allow for spirometry tests in patients who breathe through a tracheostomy, as the patient cannot perform respiratory acts from the spirometer mouthpiece, which is designed to be used by mouth. We have, therefore, designed a device that allows the test to be performed through the tracheostoma. The device is made of biocompatible polymeric material, modeled using a 3-dimensional printer, reusable, and hermetically connected to the spirometer distally and to the tracheostoma proximally. The device was used on 5 patients who underwent TL and was found to be comfortable, safe, and valid for diagnostic purposes.
大多数情况下，接受全喉切除术（TL）的患者会因吸烟习惯而患有肺部疾病。因此，作为这些患者随访方案的一部分，应进行肺活量测定以充分评估肺功能。目前的肺活量计不允许对通过气管造口呼吸的患者进行肺活量测定，因为患者无法通过设计用于口部使用的肺活量计咬嘴进行呼吸动作。因此，我们设计了一种装置，该装置允许通过气管造口进行测试。该装置由生物相容性聚合物材料制成，使用三维打印机建模，可重复使用，并且在远端与肺活量计密封连接，在近端与气管造口密封连接。该装置在5例接受全喉切除术的患者中使用，发现其使用舒适、安全且对诊断有效。
