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

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Supportive Care in Cancer Aims and scope Submit manuscript

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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Acknowledgments

The present study was supported by the Arbeitsgemeinschaft industrieller Forschungsvereinigungen (Consortium of industrial research) “Otto von Guericke” e.V. (AiF) (KF 0107603VT7).

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of ENT, University Hospital “Carl Gustav Carus”, Technische Universität Dresden, Fetscherstr 74, 01307, Dresden, Germany

    Rainer Müller

  2. Department of Prosthetic Dentistry, University Hospital “Carl Gustav Carus”, Technische Universität Dresden, Fetscherstr 74, 01307, Dresden, Germany

    Heike Meißner & Bernd Reitemeier

  3. Firma KET Kunststoff-und Elasttechnik, Wachauer Str. 3, 01454, Radeberg, Germany

    Gunter Böttcher

  4. Department of Hospital Infection Control, University Hospital “Carl Gustav Carus”, Technische Universität Dresden, Fetscherstr 74, 01307, Dresden, Germany

    Lutz Jatzwauk

  5. Firma NRU Präzisionstechnik, Südstr. 3, 09221, Neukirchen, Germany

    Ludwig Kant

  6. Department of Oral and Maxillofacial Surgery, Medical Faculty “Carl Gustav Carus”, Technische Universität Dresden, Fetscherstr 74, 01307, Dresden, Germany

    Matthias C. Schulz

Authors
  1. Rainer Müller
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  2. Heike Meißner
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  3. Gunter Böttcher
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  4. Lutz Jatzwauk
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  5. Ludwig Kant
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  6. Matthias C. Schulz
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  7. Bernd Reitemeier
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Correspondence to Bernd Reitemeier.

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Müller, R., Meißner, H., Böttcher, G. et al. Development and first data of a customized short tracheal cannula based on digital data. Support Care Cancer 23, 3089–3093 (2015). https://doi.org/10.1007/s00520-015-2682-0

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  • DOI: https://doi.org/10.1007/s00520-015-2682-0

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