{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:48:11Z","timestamp":1775868491327,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T00:00:00Z","timestamp":1678233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>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\u2010free speech in laryngectomized patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty laryngectomized patients, all regular adhesive users with prior ASV experience, were included. Study\u2010specific 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\u2010free speech, use and duration of hands\u2010free speech, and patient preference. Additional outcome parameters were satisfaction, comfort, fit, and usability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The moldable adhesive enabled ASV fixation adequate for hands\u2010free speech in the majority of participants. Overall, the moldable adhesive significantly increased adhesive lifetime and duration of hands\u2010free speech compared to participants' baseline adhesives (<jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.05), regardless of stoma depth, skin irritation, or regular use of hands\u2010free speech at baseline.<\/jats:p><jats:p>The participants who preferred the moldable adhesive (55% of participants) experienced a significant increase in the adhesive lifetime (median of 24\u2009h, range 8\u2013144\u2009h) and improved comfort, fit, and ease of speech.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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\u2010free speech more regularly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 133:2965\u20132970, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30636","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T12:14:17Z","timestamp":1678277657000},"page":"2965-2970","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Improving Hands\u2010Free Speech Rehabilitation in Laryngectomized Patients with a Moldable Adhesive"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2976-5368","authenticated-orcid":false,"given":"Maartje","family":"Leemans","sequence":"first","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery The Netherlands Cancer Institute\u2014Antoni van Leeuwenhoek  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ylenia","family":"Longobardi","sequence":"additional","affiliation":[{"name":"UOC di Otorinolaringoiatria, Dipartimento di Scienza dell'invecchiamento, neurologiche, ortopediche e della testa\u2010collo Fondazione Policlinico Universitario A. Gemelli IRCCS  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Dirven","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery The Netherlands Cancer Institute\u2014Antoni van Leeuwenhoek  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5077-3472","authenticated-orcid":false,"given":"Jimmie","family":"Honings","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia","family":"D'Alatri","sequence":"additional","affiliation":[{"name":"UOC di Otorinolaringoiatria, Dipartimento di Scienza dell'invecchiamento, neurologiche, ortopediche e della testa\u2010collo Fondazione Policlinico Universitario A. Gemelli IRCCS  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacopo","family":"Galli","sequence":"additional","affiliation":[{"name":"UOC di Otorinolaringoiatria, Dipartimento di Scienza dell'invecchiamento, neurologiche, ortopediche e della testa\u2010collo Fondazione Policlinico Universitario A. Gemelli IRCCS  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michiel","family":"van den Brekel","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery The Netherlands Cancer Institute\u2014Antoni van Leeuwenhoek  Amsterdam The Netherlands"},{"name":"Institute of Phonetic Sciences University of Amsterdam  Amsterdam The Netherlands"},{"name":"Department of Oral and Maxillofacial Surgery Amsterdam University Medical Center (AUMC)  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5878-7668","authenticated-orcid":false,"given":"Claudio","family":"Parrilla","sequence":"additional","affiliation":[{"name":"UOC di Otorinolaringoiatria, Dipartimento di Scienza dell'invecchiamento, neurologiche, ortopediche e della testa\u2010collo Fondazione Policlinico Universitario A. 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