Hostname: page-component-6766d58669-h8lrw Total loading time: 0 Render date: 2026-05-20T01:11:18.062Z Has data issue: false hasContentIssue false
  • English
  • Français

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
Get access Rights & Permissions [Opens in a new window]

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

Information

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

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

References

Cole, P. Recordings of respiratory air temperature. J Laryngol Otol 1954;68:295–307CrossRefGoogle ScholarPubMed
Williams, R, Rankin, N, Smith, T, Galler, D, Seakins, P. Relationship between the humidity and temperature of inspired gas and the function of the airway mucosa. Crit Care Med 1996;24:1920–9CrossRefGoogle ScholarPubMed
Rosso, M, Prgomet, D, Marjanović, K, Pušeljić, S, Tićac, R, Mihaljević, I. Histopathological changes in tracheal mucosa following total laryngectomy. Coll Antropol 2016;40:123–6Google ScholarPubMed
Scheenstra, RJ, Muller, SH, Vincent, A, Sinaasappel, M, Hilgers, FJM. Influence of breathing resistance of heat and moisture exchangers on tracheal climate and breathing pattern in laryngectomized individuals. Head Neck 2010;32:1069–78CrossRefGoogle ScholarPubMed
Herranz, J, Espiño, MA, Morado, CO. Pulmonary rehabilitation after total laryngectomy: a randomized cross-over clinical trial comparing two different heat and moisture exchangers (HMEs). Eur Arch Otorhinolaryngol 2013;270:2479–84CrossRefGoogle Scholar
Retèl, VP, van den Boer, C, Steuten, LMG, Okła, S, Hilgers, FJ, van den Brekel, MW. Cost-effectiveness of heat and moisture exchangers compared to usual care for pulmonary rehabilitation after total laryngectomy in Poland. Eur Arch Otorhinolaryngol 2015;272:2381–8CrossRefGoogle ScholarPubMed
Zuur, JK, Muller, SH, de Jongh, FHC, van Zandwijk, N, Hilgers, FJM. The physiological rationale of heat and moisture exchangers in post-laryngectomy pulmonary rehabilitation: a review. Eur Arch Otorhinolaryngol 2006;263:1–8CrossRefGoogle ScholarPubMed
Ackerstaff, AH, Hilgers, FJ, Balm, AJ, Tan, IB. Long-term compliance of laryngectomized patients with a specialized pulmonary rehabilitation device: Provox Stomafilter. Laryngoscope 1998;108:257–60CrossRefGoogle ScholarPubMed
Hilgers, FJM, Dirven, R, Wouters, Y, Jacobi, I, Marres, HAM, van den Brekel, MWM. A multicenter, prospective, clinical trial evaluating a novel adhesive baseplate (Provox StabiliBase) for peristomal attachment of postlaryngectomy pulmonary and voice rehabilitation devices. Laryngoscope 2012;122:2447–53CrossRefGoogle ScholarPubMed
Provox, Luna. In: https://www.atosmedical.es/wp-content/uploads/2019/02/11014_ifu-luna_2018-05-28_original_web.pdf [21 March 2020]Google Scholar
Ackerstaff, AH, Fuller, D, Irvin, M, Maccracken, E, Gaziano, J, Stachowiak, L. Multicenter study assessing effects of heat and moisture exchanger use on respiratory symptoms and voice quality in laryngectomized individuals. Otolaryngol Head Neck Surg 2003;129:705–12CrossRefGoogle ScholarPubMed
Mayo-Yáñez, M, Cabo-Varela, I, Suanzes-Hernández, J, Calvo-Henríquez, C, Chiesa-Estomba, C, Herranz González-Botas, J. Use of double flange voice prosthesis for periprosthetic leakage in laryngectomized patients: a prospective case-crossover study. Clin Otolaryngol 2020;45:389–93CrossRefGoogle Scholar
Mayo-Yáñez, M, Cabo-Varela, I, Dovalo-Carballo, L, Calvo-Henríquez, C, Martínez-Morán, A, Herranz González-Botas, J. Provox 2® and Provox Vega® device life-time: a case-crossover study with multivariate analysis of possible influential factors and duration. Eur Arch Otorhinolaryngol 2018;275:1827–30CrossRefGoogle ScholarPubMed
Ackerstaff, AH, Hilgers, FJ, Aaronson, NK, De Boer, MF, Meeuwis, CA, Knegt, PP et al. Heat and moisture exchangers as a treatment option in the post-operative rehabilitation of laryngectomized patients. Clin Otolaryngol Allied Sci 1995;20:504–9CrossRefGoogle ScholarPubMed
Leemans, M, Sluis, KE van, Son, RJJH van, Brekel, MWM van den. Interaction of functional and participation issues on quality of life after total laryngectomy. Laryngoscope Investig Otolaryngol 2020;5:453–60CrossRefGoogle ScholarPubMed
European Quality of Life-5D. In: https://euroqol.org/ [21 March 2020]Google Scholar
Sealed Envelope Ltd. 2012. Power calculator for binary outcome superiority trial. In: https://www.sealedenvelope.com/power/binary-superiority/ [1 September 2020]Google Scholar
Macri, GF, Bogaardt, H, Parrilla, C et al. Patients’ experiences with HMEs and attachments after total laryngectomy. Clin Otolaryngol 2016;41:652–9CrossRefGoogle ScholarPubMed
Pedemonte-Sarrias, G, Villatoro-Sologaistoa, JC, Ale-Inostroza, P, López-Vilas, M, León-Vintró, X, Quer-Agustí, M. Chronic adherence to heat and moisture exchanger use in laryngectomized patients. Acta Otorrinolaringol Esp 2013;64:247–52CrossRefGoogle ScholarPubMed
Hilgers, FJ, Ackerstaff, AH, Aaronson, NK, Schouwenburg, PF, Van Zandwijk, N. Physical and psychosocial consequences of total laryngectomy. Clin Otolaryngol Allied Sci 1990;15:421–5CrossRefGoogle ScholarPubMed
Mohide, EA, Archibald, SD, Tew, M, Young, JE, Haines, T. Postlaryngectomy quality-of-life dimensions identified by patients and health care professionals. Am J Surg 1992;164:619–22CrossRefGoogle ScholarPubMed
Parrilla, C, Minni, A, Bogaardt, H, Macri, GF, Battista, M, Roukos, R et al. Pulmonary rehabilitation after total laryngectomy: a multicenter time-series clinical trial evaluating the Provox XtraHME in HME-naïve patients. Ann Otol Rhinol Laryngol 2015;124:706–13CrossRefGoogle ScholarPubMed
Ratnayake, CBB, Fles, R, Tan, IB, Baijens, LWJ, Pilz, W, Meeuwis, CA et al. Multicenter randomized crossover trial evaluating the provox luna in laryngectomized subjects. Laryngoscope 2019;129:2354–60CrossRefGoogle ScholarPubMed
Ackerstaff, AH, Hilgers, FJ, Aaronson, NK, Balm, AJ, van Zandwijk, N. Improvements in respiratory and psychosocial functioning following total laryngectomy by the use of a heat and moisture exchanger. Ann Otol Rhinol Laryngol 1993;102:878–83CrossRefGoogle ScholarPubMed