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.

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:

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:

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.