I recently replaced my 44 year old furnace. Over the years we have had several construction projects inside the home. For many years breathing the heated air from the duct work caused excessive sneezing, sinus issues, and lung irritation. . The heat smelled like dust. To maximize air quality I added a humidifier, MERV-11 filter, and UV light onto the new furnace. To further improve air quality, I had the ducts cleaned and sanitized. I took before and after pictures of the inside of each return and output duct. They were filthy before, and sparkling clean and fresh after the procedure. Now when running the system, clean sanitized air flows through my whole house. A huge difference. It will make sleeping and being indoors during the winter months far more tolerable. I use window air conditioners, and run the system in the summer to keep the house air clean and fresh on hot summer days too. It works! Great decision!
Some research suggests that cleaning heating and cooling system components (e.g., cooling coils, fans and heat exchangers) may improve the efficiency of your system, resulting in a longer operating life, as well as some energy and maintenance cost savings. However, little evidence exists that cleaning only the ducts will improve the efficiency of the system.