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01-10-2015 | Original Article

Development and first data of a customized short tracheal cannula based on digital data

Authors: Rainer Müller, Heike Meißner, Gunter Böttcher, Lutz Jatzwauk, Ludwig Kant, Matthias C. Schulz, Bernd Reitemeier

Published in: Supportive Care in Cancer | Issue 10/2015

Abstract

Purpose

At the moment, there is an inadequate margin fit of commercially available stoma buttons. The aim of the present study was to develop a customized short tracheal cannula based on digital data. Furthermore, the applied material has to be evaluated considering germ colonization and appropriate cleaning procedures.

Methods

Computed tomographies of 53 patients who underwent laryngectomy were surveyed. Based on the digital data, a customized short tracheal cannula was created and manufactured from silicone. The new cannula was incorporated in ten patients and worn for 4 weeks. A clinical examination of an otolaryngologist and subjective assessment of the patients were carried out. Furthermore, microbiological test considering germ colonization was performed.

Results

The customized short tracheal cannula could be incorporated in all patients. The clinical results showed no irritation or mucosal lesions. The subjective individual evaluation by the patients was promising. The proposals for improvement could be considered. The microbiological examination revealed a higher contamination of the silicone compared to the silver cannulas. Both chemical and mechanical decontamination showed sufficient results.

Conclusion

A workflow for development and manufacturing of a customized short tracheal cannula from digital data could be established. The cannula is compatible to standard equipment and routine cleaning procedures. Clinical studies are required to evaluate the potential benefit for patients.

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Title: Development and first data of a customized short tracheal cannula based on digital data
Authors: Rainer Müller
Heike Meißner
Gunter Böttcher
Lutz Jatzwauk
Ludwig Kant
Matthias C. Schulz
Bernd Reitemeier
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 10/2015
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-015-2682-0

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