J S Lewin1, J Lemon, J K Bishop-Leone, S Leyk, J W Martin, A M Gillenwater. 1. Department of Head and Neck Surgery, The University of Texas, M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Box 69, Houston, Texas 77030, USA. jlewin@mdanderson.org
Abstract
BACKGROUND: Tracheostoma breathing valves permit hands-free tracheoesophageal (TE) speech production; however, few laryngectomees routinely use them because of problems with attachment. METHODS: We retrospectively reviewed the charts of 45 TE speakers to determine the success rate and factors associated with successful breathing valve use based on attachment. All patients attempted to use a tracheostoma breathing valve with either a standard or customized peristomal housing, or a standard or customized Barton button. Device selection was based on inspection of the patient's neck and peristomal contour. Six to eight consecutive hours of attachment defined success. RESULTS: Overall, 9% of subjects succeeded with any peristomal attachment as compared to 68% with either a standard (57%) or customized (85%) Barton button. Smooth stomal contour, a contiguous stomal lip, and correct button length were important for successful Barton button use. CONCLUSIONS: Standard or customized Barton buttons offer excellent alternatives to peristomal housing attachments for hands-free TE speech in select patients. Copyright 2000 John Wiley & Sons, Inc. Head Neck 22: 142-148, 2000.
BACKGROUND: Tracheostoma breathing valves permit hands-free tracheoesophageal (TE) speech production; however, few laryngectomees routinely use them because of problems with attachment. METHODS: We retrospectively reviewed the charts of 45 TE speakers to determine the success rate and factors associated with successful breathing valve use based on attachment. All patients attempted to use a tracheostoma breathing valve with either a standard or customized peristomal housing, or a standard or customized Barton button. Device selection was based on inspection of the patient's neck and peristomal contour. Six to eight consecutive hours of attachment defined success. RESULTS: Overall, 9% of subjects succeeded with any peristomal attachment as compared to 68% with either a standard (57%) or customized (85%) Barton button. Smooth stomal contour, a contiguous stomal lip, and correct button length were important for successful Barton button use. CONCLUSIONS: Standard or customized Barton buttons offer excellent alternatives to peristomal housing attachments for hands-free TE speech in select patients. Copyright 2000 John Wiley & Sons, Inc. Head Neck 22: 142-148, 2000.
Authors: Rainer Müller; Heike Meißner; Gunter Böttcher; Lutz Jatzwauk; Ludwig Kant; Matthias C Schulz; Bernd Reitemeier Journal: Support Care Cancer Date: 2015-03-13 Impact factor: 3.603
Authors: Mauricio A Moreno; Jan S Lewin; Katherine A Hutcheson; Julie K Bishop Leone; Denise A Barringer; Gregory P Reece Journal: Head Neck Date: 2010-12 Impact factor: 3.147