{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:35:06Z","timestamp":1757612106275,"version":"3.44.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215125000106_sec1a\"><jats:title>Objectives<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215125000106_sec2b\"><jats:title>Methods<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215125000106_sec3c\"><jats:title>Results<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215125000106_sec4d\"><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215125000106","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T10:33:17Z","timestamp":1742985197000},"page":"635-637","source":"Crossref","is-referenced-by-count":0,"title":["Dry-powder inhaler alternatives for chronic obstructive pulmonary disease patients post total laryngectomy"],"prefix":"10.1017","volume":"139","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6683-6930","authenticated-orcid":false,"given":"Paul","family":"Koroma","sequence":"first","affiliation":[{"name":"Otolaryngology, Royal Preston Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Moors","sequence":"additional","affiliation":[{"name":"Otolaryngology, Royal Preston Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukman","family":"Saiyed","sequence":"additional","affiliation":[{"name":"Pharmacy, Royal Preston Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Mehdi","sequence":"additional","affiliation":[{"name":"Royal Preston Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,3,26]]},"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215125000106","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T08:21:25Z","timestamp":1756974085000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215125000106\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,26]]},"references-count":0,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["S0022215125000106"],"URL":"https:\/\/doi.org\/10.1017\/s0022215125000106","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"type":"print","value":"0022-2151"},{"type":"electronic","value":"1748-5460"}],"subject":[],"published":{"date-parts":[[2025,3,26]]}}}