Comparative Study Between Peristomal Patches in Patients with Definitive Tracheostomy

Abstract

Introduction To prevent or diminish pulmonary problems in laryngectomized patients, continuous use of a heat and moisture exchanger (HME) is recommended. Therefore, automatic speaking valves are also often combined with an HME to enable hands-free speech. In order to keep these devices in place, most commonly, peristomal patches are used. Objective This prospective clinical 2 × 2 crossover study aims at assessing the added value of a new patch for HME application, the Provox StabiliBase OptiDerm (SBO). The device combines the stable and conical base of the Provox StabiliBase with the skin-friendlier hydrocolloid Provox OptiDerm (OD) patch. Methods Thirty-two laryngectomized patients were included in this multicenter study. Participants were asked to compare SBO to OD, and to the patch they normally use. The primary outcome measure was patient preference. Results Overall, 60% of the participants had preference for their normally used patch, 23% preferred the SBO and 17% indicated no preference. When comparing the SBO to the OD, 43% preferred the SBO, 40% the OD and 17% had no preference. Conclusion Most patients preferred their normally used patch and SBO was favored by a subgroup. Provox StabiliBase OptiDerm seems to be a valuable addition to the existing patches and further increases patients' options for HME application.

Optimizing Pulmonary Outcomes After Total Laryngectomy: Crossover Study on New Heat and Moisture Exchangers

“…5,[9][10][11][22][23][24][25][26][27][28][29] Currently available HMEs do not yet provide levels of humidification identical to those provided by the nose, and further improvements are needed. Problems associated with available adhesives, such as skin irritation, 30,31 poor seal, and different shapes and morphologies of tracheostomas, 8,32,33 have been described as additional reasons for reduced adherence.…”

Improving Hands‐free Speech Rehabilitation in Patients With a Laryngectomy: Proof‐of‐Concept of an Intratracheal Fixation Device

“…Furthermore, this ITFD can serve as an alternative fixation method to overcome disadvantages of current peristomal and intratracheal fixation methods, such as skin irritation, air leakage, and inadequate tracheostoma fit. 1,2,4,8,[11][12][13][14][15][16]…”