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Clinical use of a neck brace to improve hands-free speech in laryngectomized patients

Authors

  • Richard Dirven MD,

    Corresponding author
    1. Department of Otorhinolaryngology/Head and Neck Surgery, Radboud University Nijmegen Medical Centre, The Netherlands
    • Radboud University Nijmegen Medical Centre, the Netherlands, Department of Otorhinolaryngology and Head and Neck Surgery, PO Box 9101, Philips van Leijdenlaan 15, 6500 HB Nijmegen, The Netherlands
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  • Piet G. C. Kooijman PhD,

    1. Department of Revalidation/Speech Pathology, Radboud University Nijmegen Medical Centre, The Netherlands
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  • Yannick Wouters BSc,

    1. Department of Otorhinolaryngology/Head and Neck Surgery, Radboud University Nijmegen Medical Centre, The Netherlands
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  • Henri A. M. Marres MD, PhD

    1. Department of Otorhinolaryngology/Head and Neck Surgery, Radboud University Nijmegen Medical Centre, The Netherlands
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  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

Objectives/Hypothesis:

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.

Study Design:

A prospective randomized controlled clinical cross-over trial.

Methods:

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.

Results:

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.

Conclusions:

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

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