Your neck tissue is very delicate and can be damaged when you constantly change your adhesives. This is why you should make sure to do it as carefully as possible. It’s very important to get into good habits when it comes to looking after and caring for the skin around your laryngectomy stoma. If you do, you’ll be less likely to get irritated or damaged skin – and the adhesives will stick longer.
Before leaving hospital you will be shown and have practiced caring for your laryngectomy. Taking care of you laryngectomy stoma can seem daunting, as with all things this will become easier and less time consuming with practice.
It is important to get into a routine of checking your laryngectomy stoma at least three times a day. Many laryngectomees do this as part of their morning, lunchtime and bedtime routines.
You should not allow any mucus to build up either in or around your stoma or in your airway (windpipe). This could lead to coughing and may affect your breathing.
To clear mucus from your laryngectomy stoma, hold some clean tissue or gauze near to the opening in your neck, take some deep breaths and cough any mucus to the top of your airway and wipe away. The amount of mucus produced will vary from person to person.
As you are healing, your laryngectomy stoma may shrink. This is normal but it should not become too small, because that could make you short of breath. If you think your laryngectomy stoma is becoming too small, please contact your clinician promptly.
Before cleaning around your stoma you will need to remove your laryngectomy tube or larngectomy stoma button or your adhesive baseplate and HME (heat and moisture exchanger). If you use a foam cover or a laryngectomy protector this would also need to be removed.
The Provox Cleaning Towel is designed to help you clean around your laryngectomy stoma before putting your adhesive on.
Provox Skin Barrier comes in a special wipe that leaves a protective layer on your skin. Use it after cleaning your skin, but before attaching your daytime adhesive.
Provox Adhesive Remover is a wipe that will help make it easier to take off your adhesive at the end of the day. It’s important to remove your adhesive slowly and carefully, to avoid damaging your skin. The remover wipes help to do this.
When you take a shower, use Provox ShowerAid. It’s designed to keep water out of your laryngectomy stoma, while breathing as normal, so can shower worry-free.
Just make sure your adhesive has a good seal, then attach it just like you attach your HME.
If you need any advice and support on laryngectomy stoma care or product use, we offer a free nursing service in selected areas of the UK. Our nurses are highly skilled and qualified professionals who care for people living with a laryngectomy. Each nurse has extensive knowledge of laryngectomy neck care and is able to provide guidance around the devices you are using. You are visited in the comfort of your own home, and this service is discreet and confidential. Find out more about our free nursing service.