The authors have no funding, financial relationships, or conflicts of interest to disclose.
Head and Neck
Clinical use of a neck brace to improve hands-free speech in laryngectomized patients†
Article first published online: 7 MAY 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 6, pages 1267–1272, June 2012
How to Cite
Dirven, R., Kooijman, P. G. C., Wouters, Y. and Marres, H. A. M. (2012), Clinical use of a neck brace to improve hands-free speech in laryngectomized patients. The Laryngoscope, 122: 1267–1272. doi: 10.1002/lary.23299
- Issue published online: 1 JUN 2012
- Article first published online: 7 MAY 2012
- Manuscript Accepted: 22 FEB 2012
- Manuscript Revised: 28 JAN 2012
- Manuscript Received: 27 NOV 2011
- Peristomal fixation;
- hands-free valve;
- customized prosthesis;
- hands-free speech;
- external neck brace;
- Level of Evidence: 1b
Time of adherence of adhesive baseplate housings to the neck of a laryngectomized patient is one of the main problems that account for the low number of laryngectomy patients who benefit from hands-free speech. An external neck brace (ENB 1.0) was introduced to support peristomal fixation of adhesive baseplates.
A prospective randomized controlled clinical cross-over trial.
A total of 28 laryngectomy patients participated in this randomized, prospective, crossover trial. All used the Provox hands-free heat and moisture exchanger (HME) valve for 1 month: 2 weeks with an ENB and 2 weeks without.
The median lifetime of an adhesive baseplate without a brace was 52.5 minutes versus 210 minutes with a brace (P = .03). Four participants considered the ENB as “a little” bit of a welcome addition, nine as “quite a bit,” and six as “very much” (79%) to improve hands-free speech.
The ENB significantly increases the lifetime of an adhesive baseplate and therefore contributes to achieving hands-free speech for a greater number of patients with laryngectomy. Laryngoscope, 2012