Live well in different situations after a total laryngectomy
Provox HMEs are designed to work in different situations, depending on the time of day and what you’re doing.
HMEs for different situations
Below you can read introductions to the different Provox products you might want to use for different activities and why they’re suitable.
The best HME for everyday use
We recommend Provox XtraMoist. It keeps the air humid and is comfortable to breathe through. This helps keep coughing and mucus to a minimum.
The best HME for being active
We recommend using Provox XtraFlow. It makes breathing easier when you’re physically active, while keeping the air you breathe humid.
Going out
Provox Micron HME is specially designed to protect you when you’re out and about, either around lots of people or if the air isn’t particularly clean. If there are lots of people around, it can help protect you from bacteria and viruses, especially during the flu season. When you’re working in the garden, it can filter out pollen.
*Please note: Please note that Provox Micron HME filtration capacity may vary depending on the size, shape and speed of airborne particles. Since pathogens can get into the human body in other ways, Provox Micron HME can never guarantee complete protection. Please read the instructions for guidance.
Improving your sleep
If you struggle to get a good night’s sleep, you can rest assured you’re not the only one. Bad sleep is a common problem.
“Getting a proper rest means everything to me. I can do what I want to do and enjoy it more the next day, when I take care of my lungs the night before.”*
- Leo, 49.
*Any patient testimonials in this article give accounts of individual responses to treatment. The accounts are genuine, typical, and documented, but the response that other individuals have to the treatment could be different as responses to the treatment can and do vary.
The quality of your sleep may be affected after having had a laryngectomy. We all know that a good night gives you the energy you need to do the things you love the following day. But not all of us are able to get enough rest. Your nights might be interrupted by coughing or having to wake up to clear away mucus, for instance.
The Provox Luna HME and adhesive are designed for sleep and may help you get better rest overnight by increasing the humidification and improve your lung health.
Meet Rob!
We’re excited to introduce you to Rob, a fellow Canadian and Atos user. Click to watch how Atos products are making a difference in his life.
How Rob Uses a HME 24/7
Why Rob Switched to XtraMoist HME
Rob Works Hard, Plays Hard - and Breathes Easy
References
Bien, S., Okla, S., van As-Brooks, C. J., & Ackerstaff, A. H. (2010). The effect of a Heat and Moisture Exchanger (Provox HME) on pulmonary protection after total laryngectomy: a randomized controlled study. Eur. Arch. Otorhinolaryngol, 267(3), 429-435. https://doi.org/10.1007/s00405-009-1018-4 [doi] (Not in File)
Hilgers, F. J., Ackerstaff, A. H., Aaronson, N. K., Schouwenburg, P. F., & Van, Z. N. (1990). Physical and psychosocial consequences of total laryngectomy. Clin. Otolaryngol. Allied Sci, 15(5), 421- 425. http://www.ncbi.nlm.nih.gov/pubmed/2282704 (Not in File)
Leemans, M., van Sluis, K. E., Van Son, R., & Van den Brekel, M. M. (2020). Interaction of functional and participation issues on quality of life after total laryngectomy. Laryngoscope Investig Otolaryngol, 5(3), 453-460. https://doi.org/10.1002/lio2.381
Macri, G. F., Bogaardt, H., Parrilla, C., Minni, A., D'Alatri, L., de Vincentiis, M., Greco, A., & Paludetti, G. (2016). Patients' experiences with HMEs and attachments after total laryngectomy. Clin Otolaryngol, 41(6), 652-659. https://doi.org/10.1111/coa.12578
Mercke, U. (1975). The influence of varying air humidity on mucociliary activity. Acta Otolaryngol, 79(1-2), 133-139. https://www.ncbi.nlm.nih.gov/pubmed/1146532
Parrilla, C., Minni, A., Bogaardt, H., Macri, G. F., Battista, M., Roukos, R., Pandolfini, M., Ruoppolo, G., Paludetti, G., D'Alatri, L., & de, V. M. (2015). Pulmonary Rehabilitation After Total Laryngectomy: A Multicenter Time-Series Clinical Trial Evaluating the Provox XtraHME in HME-Naive Patients. Ann. Otol. Rhinol Laryngol, 124(9), 706-713. https://doi.org/0003489415579219 [pii];10.1177/0003489415579219 [doi] (Not in File)
Ratnayake, C. B. B., Fles, R., Tan, I. B., Baijens, L. W. J., Pilz, W., Meeuwis, C. A., Janssen-van Det, P. H. E., van Son, R., & Van den Brekel, M. W. M. (2019). Multicenter randomized crossover trial evaluating the provox luna in laryngectomized subjects. Laryngoscope, 129(10), 2354-2360. https://doi.org/10.1002/lary.27839
Toremalm, N. G., Mercke, U., & Reimer, A. (1975). The mucociliary activity of the upper respiratory tract. Rhinology, 13(3), 113-120. http://www.ncbi.nlm.nih.gov/pubmed/1224134 (Not in File)
van den Boer, C., van Harten, M. C., Hilgers, F. J., van den Brekel, M. W., & Retel, V. P. (2014). Incidence of severe tracheobronchitis and pneumonia in laryngectomized patients: a retrospective clinical study and a European-wide survey among head and neck surgeons. Eur. Arch. Otorhinolaryngol, 271(12), 3297-3303. https://doi.org/10.1007/s00405-014-2927- 4 [doi] (Not in File)
van den Boer, C., Vas Nunes, J. H., Muller, S. H., van, d. N., V, van den Brekel, M. W., & Hilgers, F. J. (2014). Water Uptake Performance of Hygroscopic Heat and Moisture Exchangers after 24- Hour Tracheostoma Application. Otolaryngol. Head Neck Surg, 150(6), 999-1004. https://doi.org/0194599814527420 [pii];10.1177/0194599814527420 [doi] (Not in File)
Quantitative ReD Associates research, 2019
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