Practical SLP Info©
  • Start
    • Introduction video
    • Site Map
  • The NTLS
  • Laryngectomy
    • Stories, testimonials and clinical videos
    • Laryngectomees making news (videos)
    • Changes following a laryngectomy >
      • Anatomical Changes After Laryngectomy
      • Functional Changes After Laryngectomy
      • Swallowing After Laryngectomy
      • Smelling after Laryngectomy
    • General Care >
      • Stoma Care
      • Using Suction
      • Saline Bullets
      • Bathing/Showering as a Laryngectomy
    • Tracheoesophageal Voice Prosthesis (TEP) >
      • Cleaning Your Voice Prosthesis
      • Troubleshooting Voice Prosthesis Issues
      • Voicing Tips
      • Hands Free Speech
      • Controlling Fungal Growth
      • TEPs and HME’s During Radiation Treatment
    • The Electrolarynx
    • HME & Tubes >
      • Using an HME Cassette
      • Cleaning Mucous From An HME
      • How To Apply An Adhesive Housing
      • Applying an OptiDerm Adhesive Housing
      • Larytube Use and Cleaning
      • Larybutton Use and Cleaning
    • Laryngectomy FAQs >
      • General Post-Op
      • Swallowing
      • HME's / Adhesives / Larybuttons
      • TEP's and voicing
    • Rescue Breathing for Laryngectomees and Neck Breathers
  • Radiation
    • Swallowing During Radiation Treatment
    • Preventing Trismus
    • Oral Care During Radiation Treatment
    • Nutrition During Radiation Treatment
    • When Nothing Tastes Right
    • TEPs and HMEs During Radiation
    • Frequently Asked Questions
  • Swallowing
    • Normal Swallowing
    • Dysphagia >
      • What is dysphagia
      • Common Symptoms of Dysphagia
      • Evaluating Dysphagia
    • Management of Dysphagia >
      • Overview: Diet and Intake Modifications
      • Therapy
      • Medical Management
      • VitalStim instructions
    • Trismus
    • Returning to Eating Again
    • Dietary Guidelines >
      • SOFT DIET
      • PUREED DIET
      • MOIST DIET
      • Thickening Liquids at Home
    • Therapeutic feeding
    • Swallowing exercises
  • Tracheostomy
    • Indications
    • Trach Tube Anatomy 101
    • Tracheostomy Tube Varieties >
      • Cuffed vs Cuffless Tubes
      • Types of Cuffs
      • Proper Cuff Inflation
      • Foam Cuff Inflation
      • Assessing Cuff Status
      • Fenestrated vs. Non-Fenestrated Tubes
    • Being a “Neck Breather” >
      • Physiologic/Functional Changes
    • Speaking with a Tracheostomy Tube >
      • Understanding How a Voice is Produced
      • Speaking Valves and Alternatives
    • Swallowing with a Tracheostomy
    • Suction
    • Tracheostomy Care & Decannulation
    • Tracheostomy FAQ
  • Feeding Tubes
    • Feeding Tube Guide
    • Overview
    • Why Feeding Tubes are Used
    • Types of Feeding Tubes
    • Feeding Tube Methods
    • Gastrostomy Tube Troubleshooting
    • G-Tube Removal: Preparation and Post-Removal Instructions
    • Frequently Asked Questions
  • Reflux
    • What is reflux?
    • Evaluating Reflux
    • Reflux Management
    • Medications
    • Reflux Diet: Beneficial Dietary and Lifestyle Changes
    • Reflux and Diet: So What Can I Eat?
    • More Extensive Testing/Management
    • Reflux FAQs
  • Voice
    • Voice Care
    • Evaluating Voice Disorders
    • Types of Voice Disorders
    • Managing Voice Disorders
  • Chronic Cough
    • Chronic Cough Management
    • Irritable Larynx Diagnosis
    • Management of ILS
    • Vocal Hygiene
    • Cough Cessation Protocol
    • FAQs
  • About
    • Publications
    • Meet the Staff
    • Office Locations and Hours
    • Contact
    • Informational handouts
    • Links
    • Disclaimer

Larybutton Use and Cleaning

A Larybutton can be utilized by some patients as an alternative to an adhesive housing or, in some instances, as an alternative to a Larytube.

The Larybutton is a self-retaining intrastomal device that can supply stomal support (similar to a Larytube), although is most commonly used as an alternative to the adhesive housing. The Larybutton cannot be used by all patients and the SLP staff will determine if you are an ideal candidate for this device.
Picture

Inserting a Larybutton:

If you have been prescribed a Larybutton, the SLP staff will counsel you and demonstrate proper insertion techniques. Here are some helpful tips to successful Larybutton use:
  • Although lubrication may be helpful, it may make handling of the device too difficult. It’s best to determine for yourself if lubrication is a help or a hindrance.
  • If you use a lubricant, it is important to ONLY USE A WATER SOLUABLE LUBRICANT, such as KY Jelly. NEVER use Vaseline or any other petroleum (oil-based) lubricant as this will damage the device.
  • As there should be a snug fit with the Larybutton insertion can be tricky. There are two common ways to insert, but follow the method recommended by the SLP staff.

o   Folding Method:

Picture
Take the end of the Larybutton and fold it in the center, squeezing the end as much as possible. With larger diameter tubes, you may be able to fold into quarters. With the end folded, insert into the stoma, fully past the stomal edge, and release.

o   Inversion Method:

Picture
Take the end of the Larybutton and turn it inward, essentially turning the end into itself. While holding the end in its inverted position, insert the Larybutton fully past the stomal edge and release your hold on the end. You may need to push the end out to fully release.


Watch this video demonstrating proper insertion of a Larybutton

Demonstration on how to apply Provox LaryClips


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  • Start
    • Introduction video
    • Site Map
  • The NTLS
  • Laryngectomy
    • Stories, testimonials and clinical videos
    • Laryngectomees making news (videos)
    • Changes following a laryngectomy >
      • Anatomical Changes After Laryngectomy
      • Functional Changes After Laryngectomy
      • Swallowing After Laryngectomy
      • Smelling after Laryngectomy
    • General Care >
      • Stoma Care
      • Using Suction
      • Saline Bullets
      • Bathing/Showering as a Laryngectomy
    • Tracheoesophageal Voice Prosthesis (TEP) >
      • Cleaning Your Voice Prosthesis
      • Troubleshooting Voice Prosthesis Issues
      • Voicing Tips
      • Hands Free Speech
      • Controlling Fungal Growth
      • TEPs and HME’s During Radiation Treatment
    • The Electrolarynx
    • HME & Tubes >
      • Using an HME Cassette
      • Cleaning Mucous From An HME
      • How To Apply An Adhesive Housing
      • Applying an OptiDerm Adhesive Housing
      • Larytube Use and Cleaning
      • Larybutton Use and Cleaning
    • Laryngectomy FAQs >
      • General Post-Op
      • Swallowing
      • HME's / Adhesives / Larybuttons
      • TEP's and voicing
    • Rescue Breathing for Laryngectomees and Neck Breathers
  • Radiation
    • Swallowing During Radiation Treatment
    • Preventing Trismus
    • Oral Care During Radiation Treatment
    • Nutrition During Radiation Treatment
    • When Nothing Tastes Right
    • TEPs and HMEs During Radiation
    • Frequently Asked Questions
  • Swallowing
    • Normal Swallowing
    • Dysphagia >
      • What is dysphagia
      • Common Symptoms of Dysphagia
      • Evaluating Dysphagia
    • Management of Dysphagia >
      • Overview: Diet and Intake Modifications
      • Therapy
      • Medical Management
      • VitalStim instructions
    • Trismus
    • Returning to Eating Again
    • Dietary Guidelines >
      • SOFT DIET
      • PUREED DIET
      • MOIST DIET
      • Thickening Liquids at Home
    • Therapeutic feeding
    • Swallowing exercises
  • Tracheostomy
    • Indications
    • Trach Tube Anatomy 101
    • Tracheostomy Tube Varieties >
      • Cuffed vs Cuffless Tubes
      • Types of Cuffs
      • Proper Cuff Inflation
      • Foam Cuff Inflation
      • Assessing Cuff Status
      • Fenestrated vs. Non-Fenestrated Tubes
    • Being a “Neck Breather” >
      • Physiologic/Functional Changes
    • Speaking with a Tracheostomy Tube >
      • Understanding How a Voice is Produced
      • Speaking Valves and Alternatives
    • Swallowing with a Tracheostomy
    • Suction
    • Tracheostomy Care & Decannulation
    • Tracheostomy FAQ
  • Feeding Tubes
    • Feeding Tube Guide
    • Overview
    • Why Feeding Tubes are Used
    • Types of Feeding Tubes
    • Feeding Tube Methods
    • Gastrostomy Tube Troubleshooting
    • G-Tube Removal: Preparation and Post-Removal Instructions
    • Frequently Asked Questions
  • Reflux
    • What is reflux?
    • Evaluating Reflux
    • Reflux Management
    • Medications
    • Reflux Diet: Beneficial Dietary and Lifestyle Changes
    • Reflux and Diet: So What Can I Eat?
    • More Extensive Testing/Management
    • Reflux FAQs
  • Voice
    • Voice Care
    • Evaluating Voice Disorders
    • Types of Voice Disorders
    • Managing Voice Disorders
  • Chronic Cough
    • Chronic Cough Management
    • Irritable Larynx Diagnosis
    • Management of ILS
    • Vocal Hygiene
    • Cough Cessation Protocol
    • FAQs
  • About
    • Publications
    • Meet the Staff
    • Office Locations and Hours
    • Contact
    • Informational handouts
    • Links
    • Disclaimer