Improving Hands-Free Speech Rehabilitation in Laryngectomized Patients with a Moldable Adhesive

Maartje Leemans, Ylenia Longobardi, Richard Dirven, Jimmie Honings, Lucia D'Alatri, Jacopo Galli, Michiel van den Brekel, Claudio Parrilla, Klaske E. van Sluis

Research output: Contribution to journalArticleAcademicpeer-review


Objective: This study aims to assess the product performance of a new moldable peristomal adhesive with corresponding heating pad designed to facilitate and improve automatic speaking valve (ASV) fixation for hands-free speech in laryngectomized patients. Methods: Twenty laryngectomized patients, all regular adhesive users with prior ASV experience, were included. Study-specific questionnaires were used for data collection at baseline and after two weeks of moldable adhesive use. The primary outcome parameters were adhesive lifetime during hands-free speech, use and duration of hands-free speech, and patient preference. Additional outcome parameters were satisfaction, comfort, fit, and usability. Results: The moldable adhesive enabled ASV fixation adequate for hands-free speech in the majority of participants. Overall, the moldable adhesive significantly increased adhesive lifetime and duration of hands-free speech compared to participants' baseline adhesives (p < 0.05), regardless of stoma depth, skin irritation, or regular use of hands-free speech at baseline. The participants who preferred the moldable adhesive (55% of participants) experienced a significant increase in the adhesive lifetime (median of 24 h, range 8–144 h) and improved comfort, fit, and ease of speech. Conclusion: The moldable adhesive's lifetime and functional aspects, including the ease of use and custom fit, are encouraging outcomes and enable more laryngectomized patients to use hands-free speech more regularly. Level of Evidence: 4 Laryngoscope, 2023.

Original languageEnglish
Early online date2023
Publication statusE-pub ahead of print - 2023


  • automatic speaking valve
  • hands-free speech
  • peristomal adhesive
  • speech rehabilitation
  • total laryngectomy

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