Custom modification of the Blom-Singer tracheostoma valve housing.
A technique is presented for modifying the Blom-Singer tracheostoma valve housing to improve peristomal skin adherence for hands-free tracheoesophageal speech production following total laryngectomy. The finished product is thin, flexible, and maintains enhanced tear strength. The edges of a standard housing device for the Blom-Singer valve are trimmed to allow for better accommodation to the tissue surface without distortion. A punch biopsy instrument is used to cut uniform holes around the housing device to allow for permeation of the silicone mixture for better mechanical adherence of the materials.
Lemon
James C
JC
Department of Head and Neck Surgery, University of Texas M.D. Anderson Cancer Center, Houston 77030, USA.
Lewin
Jan S
JS
Martin
Jack W
JW
Chambers
Mark S
MS
D000269:Adhesives / Q000737:chemistry; D001672:Biocompatible Materials / Q000737:chemistry; D004867:Equipment Design; D006801:Humans; D018583:Pliability; D011140:Polyurethanes / Q000737:chemistry; D012826:Silicone Elastomers / Q000737:chemistry; D013071:Speech, Alaryngeal / Q000295:instrumentation*; D013314:Stress, Mechanical; D013499:Surface Properties; D014139:Tracheostomy / Q000295:instrumentation*
D000269:Adhesives; D001672:Biocompatible Materials; D011140:Polyurethanes; D012826:Silicone Elastomers