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Improving heat and moisture exchanger therapy with a hydrogel base adhesive in laryngectomised patients: an open, randomised, crossover trial

Published online by Cambridge University Press:  07 January 2022

M Mayo-Yáñez Open the ORCID record for M Mayo-Yáñez [Opens in a new window] ,
V Balboa-Barreiro ,
J R Lechien ,
C Calvo-Henríquez ,
C Chiesa-Estomba ,
J Herranz González-Botas  and
I Cabo-Varela
M Mayo-Yáñez*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Spain Clinical Research in Medicine, Spain Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies Study Group, Paris, France
V Balboa-Barreiro
Affiliation:
Support Investigation Unit, Complexo Hospitalario Universitario A Coruña, Spain
J R Lechien
Affiliation:
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies Study Group, Paris, France Human Anatomy and Experimental Oncology Department, Faculty of Medicine, Research Institute for Health Sciences and Technology, University of Mons, Belgium Otorhinolaryngology and Head and Neck Surgery Department, Elsan Hospital, Paris, France
C Calvo-Henríquez
Affiliation:
Clinical Research in Medicine, Spain Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies Study Group, Paris, France Department of Otorhinolaryngology – Head and Neck Surgery, Complexo Hospitalario Universitario Santiago de Compostela, Spain
C Chiesa-Estomba
Affiliation:
Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies Study Group, Paris, France Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Universitario Donostia, Spain
J Herranz González-Botas
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Spain School of Medicine and Odontology, International Center for Doctorate and Advanced Studies, Universidade de Santiago de Compostela, Spain
I Cabo-Varela
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Spain
*
Author for correspondence: Dr M Mayo-Yáñez, Department of Otorhinolaryngology – Head and Neck Surgery, Complexo Hospitalario Universitario A Coruña, As Xubias s/n, A Coruña 15006, Spain E-mail: miguelmmy@gmail.com
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Abstract

Objective

This study aimed to assess individual preference, symptoms and compliance between habitual use of Provox XtraFlow and the combination of Provox XtraFlow during the day and Provox Luna during the night for heat and moisture exchanger therapy in laryngectomised patients.

Method

This was an open, randomised, crossover trial for 25 days. After this first study period and a 5-day wash-out period, treatments were switched for another 25 days.

Results

A total of 28 patients were enrolled. Differences were found (p = 0.009) in the incidence of dermatological problems with XtraFlow (46.4 per cent) versus Provox Luna (14.3 per cent), as well as in the need to abandon the use of adhesives (46.4 per cent vs 10.7 per cent; p = 0.003). A total of 60.7 per cent of the patients preferred the Provox Luna system as their preference for heat and moisture exchanger therapy.

Conclusion

The Provox Luna system is a viable additive to heat and moisture exchanger therapy, especially in the setting of compliance concerns and in patients who desire dermatological relief overnight.

Keywords

LaryngectomyTracheostomyHydrogelsSurgical StomasSpeech
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 10 , October 2022 , pp. 917 - 924
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr M Mayo-Yáñez takes responsibility for the integrity of the content of the paper

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