Worldwide, multicenter study of peristomal geometry and morphology in laryngectomees and its clinical effects

Kalkeren, T.A. van; Houwen, E.B. van der; Duits, Mari Anne E; Hilgers, Frans J. M.; Hebe, Ana; Mostafa, Badr Eldin; Lawson, Georges; Martínez, Z. Nelly; Woisard, Virginie; Marioni, Gino; Ruske, Dean; Schultz, P.; Post, Wendy J.; Verkerke, Gijsbertus Jacob; Laan, Bernard F. A. M. van der

doi:10.1002/hed.21595

Cited by 5 publications

(6 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The latter, by means of incision of the SCM, is being carried out in some institutions. However, as we have shown in our clinical study, the use of this procedure has only very limited effect 14 . Alteration of the patch design should be preferred over alteration of the patient’s anatomy and should at least be pursued before considering the drastic alternative.…”

Section: Discussionmentioning

confidence: 84%

“…The applied surgical techniques, patient history and their influence on patch use and (peri)stoma geometry were presented in our clinical study 14 …”

Section: Methodsmentioning

confidence: 99%

“…In the clinical study, we investigated the influence of the surgical procedure on the shape and size of the (peri)stoma 14 . This study showed that the surgical approach where the sternocleidomastoid is incised to decrease the stoma depth is of very limited effect on the depth of the stoma and therefore on the improvement of patch fit 14 . It also showed that the number of removed tracheal rings is of no influence of the stoma depth.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Does the patch fit the stoma? A study on peristoma geometry and patch use in laryngectomised patients

Houwen¹,

Kalkeren

Post

et al. 2011

Clinical Otolaryngology

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 84%

“…The applied surgical techniques, patient history and their influence on patch use and (peri)stoma geometry were presented in our clinical study 14 …”

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Does the patch fit the stoma? A study on peristoma geometry and patch use in laryngectomised patients

Houwen¹,

Kalkeren

Post

et al. 2011

Clinical Otolaryngology

View full text Add to dashboard Cite

show abstract

“…Worldwide this idea is supported at several centres. van Kalkeren et al 11 compared stoma geometry in 83 patients. Twenty-seven underwent cleavage of the SCM and 56 did not.…”

Section: Comparisons With Other Studiesmentioning

confidence: 99%

Three‐dimensional stereophotogrammetrical analysis of peristomal fixation of adhesive base plates during hands‐free speech among laryngectomised patients related to tracheostoma volumes

Dirven¹,

Wouters²,

Vreeken

et al. 2012

Clinical Otolaryngology

View full text Add to dashboard Cite

Longer lifetime of the adhesive baseplate in patients with smaller volume outcomes suggests that a more accurate fit between baseplate and stoma leads to better fixation. This should be taken into account when shaping a stoma during laryngectomy. On the other hand, a more custom-made patch that has a more accurate fit could increase the lifetime of fixation. We believe that our three-dimensional volumetric data can contribute to the development of such an adhesive.

show abstract

“…Van Kalkeren et al, 8 in a multi-center study on a population of Dutch laryngectomees, compared the measurements of two groups (with and without SCM division) and no significantly shallower stomata were found in the group where an incision of the SCM was made. In our opinion, the results of this study may be affected by the fact that the authors only took the measurement in the stationary position, whereas the real impact of these muscles on the peristomal area only becomes evident when rotating the head.…”

Section: Discussionmentioning

confidence: 99%

Myotomy of sternocleidomastoid muscle as a secondary procedure in laryngectomized patients

et al. 2019

View full text Add to dashboard Cite

Background The application of specific devices to seal the tracheal stoma in laryngectomized patients is critical for optimal pulmonary and phonatory rehabilitation. Indeed, an excessive stomal depth is one of the main causes of rehabilitation failure. In this context, division of the sternal heads of the sternocleidomastoid muscle (SCM) is a common technique, usually performed during the laryngectomy. Methods We perform a myotomy of the sternal head of the SCM in deep and narrow tracheal stoma as a secondary procedure under local anesthesia, and here we describe the surgical steps of this procedure. Results The medium depth of the stoma is reduced, and no procedure‐specific complications have been observed. Postoperative morphological features show a flattening of the peristomal area, and all patients have begun regular use of appropriate patches and filters. Conclusions Secondary section of SCM is a safe, simple, and effective procedure in total laryngectomies with deep and narrow stoma.

show abstract

Worldwide, multicenter study of peristomal geometry and morphology in laryngectomees and its clinical effects

Abstract: The number of removed tracheal rings during laryngectomy does not seem to influence stoma depth. However, this study does not demonstrate that cleaving the sternocleidomastoid muscle (SCM) at the time of a laryngectomy will result in a geometrically flatter stoma.

Cited by 5 publications

References 23 publications

Does the patch fit the stoma? A study on peristoma geometry and patch use in laryngectomised patients

Does the patch fit the stoma? A study on peristoma geometry and patch use in laryngectomised patients

Three‐dimensional stereophotogrammetrical analysis of peristomal fixation of adhesive base plates during hands‐free speech among laryngectomised patients related to tracheostoma volumes

Myotomy of sternocleidomastoid muscle as a secondary procedure in laryngectomized patients

Contact Info

Product

Resources

About