Document Detail

Development and evaluation of a novel tracheostoma button and fixation system (Provox LaryButton and LaryClip adhesive) to facilitate hands-free tracheoesophageal speech.
MedLine Citation:
PMID:  17050317     Owner:  NLM     Status:  MEDLINE    
CONCLUSION: This newly developed tracheostoma button and fixation system was appreciated by the majority of the patients in this study and led to an increased use of automatic speaking valves (ASVs). OBJECTIVE: Development and prospective clinical evaluation of a new tracheostoma button and fixation system to enhance hands-free speech in laryngectomized patients. PATIENTS AND METHODS: The Provox LaryButton and LaryClip adhesive system were prospectively evaluated in 11 patients: 10 male, 1 female; mean age 60.5 years, range 46-80 years; median follow-up since laryngectomy 4.9 years, range 9 months to 21 years. A study-specific questionnaire was used and the observation period was 3 weeks. RESULTS: Eight patients were compliant, three dropped out of the study. The LaryClip adhesive system was tried by seven of these compliant patients, and ultimately used by six. At the start of the study two patients used an ASV on a daily basis, three alternated between an ASV and regular, manually operated heat and moisture exchangers (HME), three only used a HME. At the end of the study, three used the ASV daily, five alternated between ASV and HME. Seven patients indicated that they would continue using the new system, six with clips and one with the button only.
Frans J M Hilgers; Annemieke H Ackerstaff
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  126     ISSN:  0001-6489     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-10-19     Completed Date:  2007-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1218-24     Citation Subset:  IM    
Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
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MeSH Terms
Aged, 80 and over
Middle Aged
Patient Satisfaction
Prospective Studies
Prosthesis Design
Prosthesis Fitting
Speech, Esophageal / instrumentation*
Tracheostomy / instrumentation*
Reg. No./Substance:

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