Increased Tracheostoma Valve Seal Duration in Patients With Recessed or Irregular Stomas Using a Modified Application Method The effectiveness of using a skin barrier product in the application of tracheostoma valves to the peristomal skin of laryngectomized patients was investigated. Three patients who expressed a desire to use the tracheostoma valve but had experienced limited or unsuccessful use due to seal failure resulting from stoma irregularities and/or ... Clinical Focus
Clinical Focus  |   February 01, 1996
Increased Tracheostoma Valve Seal Duration in Patients With Recessed or Irregular Stomas Using a Modified Application Method
 
Author Affiliations & Notes
  • Claudia J. Canady
    University of Utah, Salt Lake City
  • J. Ann Martinez
    Salt Lake City, UT
  • Contact author: Claudia J. Canady, Department of Communication Disorders, 1201 Behavioral Science Building, University of Utah, Salt Lake City, UT 84112
Article Information
Clinical Focus
Clinical Focus   |   February 01, 1996
Increased Tracheostoma Valve Seal Duration in Patients With Recessed or Irregular Stomas Using a Modified Application Method
American Journal of Speech-Language Pathology, February 1996, Vol. 5, 31-36. doi:10.1044/1058-0360.0501.31
History: Received July 1, 1994 , Accepted June 16, 1995
 
American Journal of Speech-Language Pathology, February 1996, Vol. 5, 31-36. doi:10.1044/1058-0360.0501.31
History: Received July 1, 1994; Accepted June 16, 1995

The effectiveness of using a skin barrier product in the application of tracheostoma valves to the peristomal skin of laryngectomized patients was investigated. Three patients who expressed a desire to use the tracheostoma valve but had experienced limited or unsuccessful use due to seal failure resulting from stoma irregularities and/or recessed stomas served as case study subjects. Each subject received six applications, three using the manufacturer's prescribed method and three with the procedure modified by use of a skin barrier product. The modified application method included an additional layer of a skin barrier product with an airway hole applied to the peristomal skin under the housing. Results of the study indicated that the addition of a skin barrier product in the application of the tracheostoma valve housing in subjects with recessed or irregular stomas dramatically increased mean seal duration. Subject A showed an increase from 1 hour 8 minutes to 9 hours 26 minutes, subject B's mean seal duration increased from 21 minutes to 3 hours 45 minutes, and subject C was able to change from 11 minutes to 8 hours 22 minutes with the modified technique.

Acknowledgments
The authors wish to express appreciation to L. Dixon Paul of the Veteran’s Administration Medical Center, Salt Lake City, UT, for his help in planning and referring subjects for this study.
Order a Subscription
Pay Per View
Entire American Journal of Speech-Language Pathology content & archive
24-hour access
This Article
24-hour access