title: Mucolytic effects of domiodol in tracheostomized patients after total laryngectomy. Double-blind, placebo-controlled, randomized pilot study with four-month follow-up.
abstract: The results obtained in a controlled clinical trial aimed at evaluating the efficacy and tolerability of a mucolytic treatment in laryngectomized patients are described. Domiodol (Mucolitico Maggioni, CAS 61869-07-6), an organic iodinated mucolytic agent, was given at the dosage of 60 mg t.i.d. to 20 patients in the post-operative period after laryngectomy (average 2 weeks in hospital and 4 months follow-up at home). A matched series of patients received a placebo during the hospital period and no treatment after discharge. The patients receiving the active treatment showed a statistically and clinically significant improvement of respiratory parameters (cough intensity, sputum quantity, sputum quality, expectoration difficulty). Such improvement was earlier and greater than that observed in the placebo-treated patients. It is concluded that a mucolytic treatment may be helpful in the post-operative treatment of laryngectomized patients with permanent tracheostomy.
authors.affiliation: Department of Otorhinolaryngology, University of Brescia, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Antonelli
authors.forename: A
authors.initials: A
authors.lastname: Carraro
authors.forename: C
authors.initials: C
authors.lastname: Donati
authors.forename: V
authors.initials: V
authors.lastname: Garrubba
mesh_terms: D000368:Aged; D001831:Body Temperature / Q000187:drug effects; D003371:Cough / Q000188:drug therapy; D004148:Dioxolanes / Q000009:adverse effects / Q000627:therapeutic use*; D004311:Double-Blind Method; D004417:Dyspnea / Q000188:drug therapy; D005100:Expectorants / Q000009:adverse effects / Q000627:therapeutic use*; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy*; D013183:Sputum / Q000166:cytology / Q000187:drug effects; D014139:Tracheostomy; D014783:Viscosity
chemical_list: D004148:Dioxolanes; D005100:Expectorants; C027858:domiodol