"My Voice"

Order a paperback or Kindle Edition or e-book of "My Voice: A Physician's Personal Experience with Throat Cancer," the complete 282 page story of Dr. Brook's diagnosis, treatment, and recovery from throat cancer.

Order a paperback or Kindle Edition or e-book of "The Laryngectomee Guide," the 170 page practical guide for laryngectomees. To obtain a free paperback copy fill this form and mail it to J. Harrison 11390 W. Theo W. Allis, WI 53214, or fax it to 414 227 9033. The Guide can also be requested by emailing to customersupport.us@atosmedical.com

Obtain and/or view a video presentation, a slide presentation and an instructive manual how to ventilate laryngectomees and neck breathers (free). A self examination guide for detection of primary and recurrent head and neck cancer is available.

Tuesday, August 13, 2013

Long-term use of Heat-Moisture Exchangers (HMEs) among laryngectomees: medical, social and psychological patterns

A study published in 2013 by Brook et al. evaluated the long-term use of HMEs and other accessories by laryngectomized patient and especially on the use of the Provox® Micron.

 After laryngectomy, pulmonary protection is mostly acquired by means of using a Heat and Moisture Exchanger (HME) that is placed on an airtight seal around the stoma. The effects of HMEs on tracheal climate have been well-described, and the filtration effect of an HME with electrostatic filter has been described . 
This study investigated long-term use of HMEs in laryngectomees. A questionnaire was sent to 195 laryngectomees of which 75 were returned. Over 85% of all respondents used an HME, of which 77% were compliant users (i.e. >20 hrs/day). Incidence of pulmonary illnesses (either prior of post-surgery) was about 25%. Over 90% of all respondents were heavy smokers prior to their laryngectomy. One-third of all respondents are regularly exposed to dusty environments. Compliant HME-users tend to use less external humidifiers and vaporizers, showing a better pulmonary status and less health-care costs. Regarding Quality of Life, patients using a FreeHands device tended to have the most social contacts (r=.251; p=.030).The prevalence of depression is high, pointing to an urgent need to recognize and treat psychiatric problems like depression and suicidal ideation in this patient group.

Provox® Micron HME

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