Abstract
Introduction To prevent or diminish pulmonary problems in laryngectomized patients, continuous
use of a heat and moisture exchanger (HME) is recommended. Therefore, automatic speaking
valves are also often combined with an HME to enable hands-free speech. In order to
keep these devices in place, most commonly, peristomal patches are used.
Objective This prospective clinical 2 × 2 crossover study aims at assessing the added value
of a new patch for HME application, the Provox StabiliBase OptiDerm (SBO). The device
combines the stable and conical base of the Provox StabiliBase with the skin-friendlier
hydrocolloid Provox OptiDerm (OD) patch.
Methods Thirty-two laryngectomized patients were included in this multicenter study. Participants
were asked to compare SBO to OD, and to the patch they normally use. The primary outcome
measure was patient preference.
Results Overall, 60% of the participants had preference for their normally used patch, 23%
preferred the SBO and 17% indicated no preference. When comparing the SBO to the OD,
43% preferred the SBO, 40% the OD and 17% had no preference.
Conclusion Most patients preferred their normally used patch and SBO was favored by a subgroup.
Provox StabiliBase OptiDerm seems to be a valuable addition to the existing patches
and further increases patients' options for HME application.
Keywords
laryngectomy - rehabilitation - patch - patient preference
