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Multicenter randomized crossover trial evaluating the provox luna in laryngectomized subjects
Chathura B B Ratnayake1,2, Renske Fles2, I Bing Tan2,3
1University of Auckland, Auckland, New Zealand.
The Laryngoscope
|February 21, 2019
Summary
The Provox Luna system improved compliance and overnight skin recovery for laryngectomized patients using heat and moisture exchangers (HME). This nighttime HME use offers dermatological relief and enhances adherence to tracheostoma care.
Area of Science:
- Otolaryngology
- Respiratory Medicine
- Dermatology
Background:
- Tracheostoma care is essential for laryngectomized individuals.
- Adhesive heat and moisture exchangers (HME) are commonly used.
- Compliance and skin integrity can be challenging in post-laryngectomy care.
Purpose of the Study:
- To evaluate the Provox Luna system's impact on compliance.
- To assess dermatological and pulmonary outcomes with nighttime Provox Luna use.
- To compare outcomes between Provox Luna and usual tracheostoma care.
Main Methods:
- Multicenter randomized crossover trial involving 46 laryngectomized subjects.
- Participants had prior experience with HME and adhesives.
- Comparison of Provox Luna system use versus usual care during nighttime.
Main Results:
- Significantly higher compliance with Provox Luna (96%) compared to usual care (76%).
- Increased daily HME use duration during the Luna period (23.2 hours vs. 21.5 hours).
- Enhanced overnight skin improvement frequency with Provox Luna use.
Conclusions:
- The Provox Luna system improves compliance and overnight skin recovery in laryngectomized patients.
- Supplementing usual post-total laryngectomy care with Provox Luna at night is beneficial.
- The system is particularly useful for addressing compliance issues and providing dermatological relief.
Keywords:
HME complianceHeat and moisture exchangerProvox Lunaadhesivesskin irritationtotal laryngectomytracheostomaMore Related Videos
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