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Nebulizer Use in Adults With Subglottic Stenosis: A Survey Study
Kristine Tanner1,2, Catherine Anderson3, Marshall E Smith2
11 Department of Communication Disorders, Brigham Young University, Provo, UT, USA.
The Annals of Otology, Rhinology, and Laryngology
|January 15, 2019
Summary
Nebulized treatments offered relief for nearly half of adults with subglottic stenosis (SGS) experiencing laryngeal symptoms like thick mucus and cough. Further research into nebulizer efficacy for SGS symptom management is warranted.
Area of Science:
- Otolaryngology
- Respiratory Medicine
- Pulmonology
Background:
- Subglottic stenosis (SGS) can cause challenging laryngeal symptoms impacting daily life.
- Effective management strategies for SGS-related laryngeal symptoms are crucial.
Purpose of the Study:
- To survey the use and perceived effects of nebulized treatments on laryngeal symptoms in adults with SGS.
- To assess the efficacy of nebulized therapies in managing secondary laryngeal symptoms associated with subglottic stenosis.
Main Methods:
- An international online survey was distributed to over 2000 members of a patient community.
- 316 adults (age 25+) with SGS completed the survey regarding nebulizer use and symptom relief.
Main Results:
- Nearly half of participants (144) had used nebulizers, with half currently using them regularly for over a year.
- Isotonic or hypertonic saline were common treatments. Symptom improvement was reported for thick mucus (69%), cough (57%), throat dryness (31%), stridor (28%), and voice (15%).
- Limitations included time, noise, and portability of nebulizer devices.
Conclusions:
- Nebulized treatments provided symptom relief for approximately half of SGS patients who tried them.
- Encouraging results suggest nebulizers can improve quality of life for individuals with SGS.
- Further research is needed on optimal nebulized treatment types and dosages for subglottic stenosis.
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