Long-term compliance of laryngectomized patients with a specialized pulmonary rehabilitation device : Provox Stomafilter

Previous studies have demonstrated the positive effect of a heat and moisture exchanger (HME) on the respiratory system in patients after laryngectomy. However, patient compliance with these devices was reduced by device-related problems and troublesome combination with a voice prosthesis. Recently...

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Bibliographic Details
Published in:The Laryngoscope 1998-02, Vol.108 (2), p.257-260
Main Authors: ACKERSTAFF, A. H, HILGERS, F. J. M, BALM, A. J. M, BING TAN, I
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Female
Filtration - instrumentation
Follow-Up Studies
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Hot Temperature
Humans
Humidity
Laryngectomy - rehabilitation
Larynx, Artificial
Male
Medical sciences
Middle Aged
Patient Compliance
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Surgical Stomas
Time Factors
Citations: Items that this one cites
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Summary:Previous studies have demonstrated the positive effect of a heat and moisture exchanger (HME) on the respiratory system in patients after laryngectomy. However, patient compliance with these devices was reduced by device-related problems and troublesome combination with a voice prosthesis. Recently a more specialized device has become available. This is an HME combined with a valve for easy digital occlusion of the stoma (Provox Stomafilter; Hörby, Sweden). In the authors' initial study of this revised device, a clear improvement in short-term compliance was demonstrated. To investigate long-term compliance, 69 consecutive patients were interviewed by means of a structured questionnaire. The results show that all patients expressed their satisfaction with the valve used for digital occlusion of the stoma. Sixty-three percent of the patients reported that voicing was facilitated. Subjective intelligibility improved in 55% of the patients. Previous problems with other devices (e.g., plaster adherence, skin irritation, and handling) were clearly diminished, increasing the long-term compliance of the patients to 78%. This new HME can be considered as a beneficial pulmonary rehabilitation tool for laryngectomized patients.
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-199802000-00018