Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients

Hallers, E.J.O. ten; Marres, H.A.M.; Houwen, E.B. van der; Jansen, John A.; Rakhorst, Gerhard; Schutte, Harm K.; Kooten, Theo G. van; Loon, Jan-Paul van; Verkerke, Gijsbertus Jacob

doi:10.1002/hed.20451

Cited by 4 publications

(4 citation statements)

References 46 publications

(50 reference statements)

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“…Over the past two decades, considerable efforts have been made to improve or develop new fixation devices to allow for adequate ASV fixation and promote regular hands-free speech in laryngectomized patients with a wide variation in stoma morphology, skin condition and preferences in the type of fixation device. 17,[26][27][28][29][30] The results of this study are promising for clinical practice. This study indicates that the moldable adhesive is a valuable addition to the wide range of fixation devices already available to laryngectomized patients, as it allows durable and airtight fixation during hands-free speech.…”

Section: Discussionmentioning

confidence: 69%

“…Over the past two decades, considerable efforts have been made to improve or develop new fixation devices to allow for adequate ASV fixation and promote regular hands‐free speech in laryngectomized patients with a wide variation in stoma morphology, skin condition and preferences in the type of fixation device 17,26–30 . The results of this study are promising for clinical practice.…”

Section: Discussionmentioning

confidence: 89%

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Improving Hands‐Free Speech Rehabilitation in Laryngectomized Patients with a Moldable Adhesive

et al. 2023

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ObjectiveThis study aims to assess the product performance of a new moldable peristomal adhesive with corresponding heating pad designed to facilitate and improve automatic speaking valve (ASV) fixation for hands‐free speech in laryngectomized patients.MethodsTwenty laryngectomized patients, all regular adhesive users with prior ASV experience, were included. Study‐specific questionnaires were used for data collection at baseline and after two weeks of moldable adhesive use. The primary outcome parameters were adhesive lifetime during hands‐free speech, use and duration of hands‐free speech, and patient preference. Additional outcome parameters were satisfaction, comfort, fit, and usability.ResultsThe moldable adhesive enabled ASV fixation adequate for hands‐free speech in the majority of participants. Overall, the moldable adhesive significantly increased adhesive lifetime and duration of hands‐free speech compared to participants' baseline adhesives (p < 0.05), regardless of stoma depth, skin irritation, or regular use of hands‐free speech at baseline.The participants who preferred the moldable adhesive (55% of participants) experienced a significant increase in the adhesive lifetime (median of 24 h, range 8–144 h) and improved comfort, fit, and ease of speech.ConclusionThe moldable adhesive's lifetime and functional aspects, including the ease of use and custom fit, are encouraging outcomes and enable more laryngectomized patients to use hands‐free speech more regularly.Level of Evidence4 Laryngoscope, 2023

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 89%

Improving Hands‐Free Speech Rehabilitation in Laryngectomized Patients with a Moldable Adhesive

et al. 2023

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“…A 3D stereophotogrammetrical camera set-up (3dMDfaceÔ System, 3dMD LLC, Atlanta, GA, USA) was used to capture highly precise images of the patient's neck surface, as described earlier by our group [13]. In brief, before its use, the camera was calibrated to define the 3D area in front of the 3D camera to enable accurate and realistic surface rendering.…”

Section: Camera Set-upmentioning

confidence: 99%

“…However, stronger glues and the introduction of different types of adhesives still could not prevent adhesive loosening or air leakage and sometimes even led to progressive skin irritation [12]. Implantable devices have also been applied in several experimental settings [13], but these have not yet reached clinical application.…”

Section: Introductionmentioning

confidence: 99%

An external neck brace to support the peristomal fixation of an automatic stoma valve (ASV): 3D stereophotogrammetrical assessment

Dirven¹,

Kooijman²,

Maal³

et al. 2010

Acta Oto-Laryngologica

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Absolute mean differences at the region of the base plate between speech and non-speech conditions were most obvious while using just the FLD adhesive (4.70 mm). The use of the ENB significantly reduced the absolute mean difference to 0.58 mm (p < 0.02). The suggested set-up with a basis of the FLD adhesive combined with the solid ring extracted from the XB adhesive and the ENB showed the smallest absolute mean difference of 0.38 mm between speech and non-speech conditions (p < 0.025).

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Current World Literature

2007

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients

Abstract: The TE-TC is a new device with potential in the solution for fixation-related problems in tracheoesophageal voice rehabilitation.

Cited by 4 publications

References 46 publications

Improving Hands‐Free Speech Rehabilitation in Laryngectomized Patients with a Moldable Adhesive

Improving Hands‐Free Speech Rehabilitation in Laryngectomized Patients with a Moldable Adhesive

An external neck brace to support the peristomal fixation of an automatic stoma valve (ASV): 3D stereophotogrammetrical assessment

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