Klaske van Sluis

108 References 7. Pulmonary issues (a) I have experienced frequent coughing during the day: 47% (b) I have experienced increased coughing while being more active: 50% (c) My HME has popped out because of coughing: 45% (d) My adhesive, tube or button has come loose because of coughing: 51% (e) I have cleaned out mucus from the stoma or HME several times a day: 89% (f) I have had mucus flare-ups during mealtime or social occasions: 69% (g) I have used a nebulizer twice or more during the day: 20% (h) I have had to change HMEs during the day because of mucus: 71% (i) My adhesive has come loose because of mucus: 52% (j) My bed sheets have been soiled by mucus: 14% (k) My clothes have been soiled by mucus: 53% (l) I have had an infection in my windpipe: 15% (m) How often I experience coughing during the day: 47% (n) How often I have mucus flare-ups during the day: 40% 8. Sleep issues (a) I have woken up during the night from coughing: 48% (b) My coughing has woken up my partner or other family members during the night: 29% (c) I have struggled to fall asleep due to coughing: 24% References [1] C. Debry, A. Dupret–Bories, N. E. Vrana, P. Hemar, P. Lavalle, and P. Schultz, “Laryngeal replacement with an artificial larynx after total laryngectomy: The possibility of restoring larynx functionality in the fu- ture,” Head & Neck , vol. 36, no. 11, pp. 1669–1673, 2014. [2] P. Boscolo–Rizzo, F. Maronato, C. Marchiori, A. Gava, and M. C. Da Mosto, “Long-term quality of life after total laryngectomy and post- operative radiotherapy versus concurrent chemoradiotherapy for laryngeal preservation,” The Laryngoscope , vol. 118, no. 2, pp. 300–306, 2008. [3] E. B. van der Houwen, T. A. van Kalkeren, W. J. Post, F. J. M. Hilgers, B. F. A. M. van der Laan, and G. J. Verkerke, “Does the patch fit the stoma? a study on peristoma geometry and patch use in laryngectomised patients,” Clinical Otolaryngology , vol. 36, no. 3, pp. 235–241, 2011.