{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:22:12Z","timestamp":1768342932593,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T00:00:00Z","timestamp":1609804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>Permanent hands\u2010free speech with the use of an automatic speaking valve (ASV) is regarded as the optimal voice rehabilitation after total laryngectomy. Due to fixation problems, regular ASV use in patients with a laryngectomy is limited. We have developed an intratracheal fixation device (ITFD) composed of an intratracheal button augmented by hydrophilic foam around its shaft. This study evaluates the short\u2010term effectiveness and experienced comfort of this ITFD during hands\u2010free speech in 7 participants with a laryngectomy. We found that 4 of 7 participants had secure ASV fixation inside the tracheostoma during hands\u2010free speech for at least 30\u00a0minutes with the ITFD. The ITFD\u2019s comfort was perceived positively overall. The insertion was perceived as being mildly uncomfortable but not painful. This proof\u2010of\u2010concept study demonstrates the feasibility of the ITFD that might improve stomal attachment of ASVs, and it provides the basis for further development toward a prototype suitable for long\u2010term daily use.<\/jats:p>","DOI":"10.1177\/0194599820982634","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T17:56:15Z","timestamp":1610560575000},"page":"317-320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Improving Hands\u2010free Speech Rehabilitation in Patients With a Laryngectomy: Proof\u2010of\u2010Concept of an Intratracheal Fixation Device"],"prefix":"10.1002","volume":"165","author":[{"given":"Maartje","family":"Leemans","sequence":"first","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery Netherlands Cancer Institute\u2013Antoni van Leeuwenhoek Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maarten J.A.","family":"van Alphen","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery Netherlands Cancer Institute\u2013Antoni van Leeuwenhoek Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Dirven","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery Netherlands Cancer Institute\u2013Antoni van Leeuwenhoek Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gijsbertus J.","family":"Verkerke","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Groningen University Medical Center Groningen Groningen The Netherlands"},{"name":"Department of Biomechanical Engineering University of Twente Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edsko E.G.","family":"Hekman","sequence":"additional","affiliation":[{"name":"Department of Biomechanical Engineering University of Twente Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michiel W.M.","family":"van den Brekel","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery Netherlands Cancer Institute\u2013Antoni 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 Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480801901717"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480600702126"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-006-0155-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480510031515"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/0036554021000028083"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4304-y"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-004-0905-y"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480510031506"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.5402.189"},{"key":"e_1_2_8_11_1","unstructured":"Fabco.Ivalon nasal packing. 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