Non-adherent HME use can lead to increased mucus production and coughing (3, 4). This often results in sleeping problems, fatigue, less social contact, and overall reduced quality of life (2, 4).
Clinical research shows that heat and moisture exchangers (HMEs) have a positive impact on lung health and quality of life after a total laryngectomy, particularly when adhering to HME use 24 hours a day (3, 4).
Leo Eppink is an enthusiastic patient educator from the northeast of the Netherlands. He has been committed to helping fellow laryngectomized people for many years. His ambition is to help them improve their quality of life by offering guidance and inspiration.
By using an HME throughout the day and while he sleeps, Leo has experienced a considerable reduction in sleep disturbances such as coughing.
The benefits to your lung health from wearing an HME 24 hours a day as opposed to not having a routine are substantial.
Just as you would use an HME in the daytime for your lung health, the same benefits from HME use can be gained by wearing an HME while you sleep (3).
Provox Life™ Night HME helps reduce coughing for more restful nights (5). This HME offers excellent humidification* for improved lung health in a soft, comfortable design.
*According to device specifications.
Joakim underwent a total laryngectomy in January 2020 and was then introduced to the Provox Life™ system later in the year.
Before and after undergoing a laryngectomy, Joakim had several concerns about what life would be like.
Joakim switches to the Provox Life™ Night HME and Adhesive every night before he sleeps, and he reports coughing less and no longer experiencing skin irritation or discomfort.
1. Hilgers FJ, Ackerstaff AH, Aaronson NK, Schouwenburg PF, Van ZN. Physical and psychosocial consequences of total laryngectomy. Clin Otolaryngol Allied Sci. 1990;15(5):421-5.
2. Leemans M, van Sluis KE, Van Son R, Van den Brekel MM. Interaction of functional and participation issues on quality of life after total laryngectomy. Laryngoscope Investig Otolaryngol. 2020;5(3):453-60.
3. Bien S, Okla S, van As-Brooks CJ, Ackerstaff AH. The effect of a Heat and Moisture Exchanger (Provox HME) on pulmonary protection after total laryngectomy: a randomized controlled study. Eur Arch Otorhinolaryngol. 2010;267(3):429-35.
4. Parrilla C, Minni A, Bogaardt H, Macri GF, Battista M, Roukos R, et al. Pulmonary Rehabilitation After Total Laryngectomy: A Multicenter Time-Series Clinical Trial Evaluating the Provox XtraHME in HME-Naive Patients. Ann Otol Rhinol Laryngol. 2015;124(9):706-13.
5. Ratnayake CBB, Fles R, Tan IB, Baijens LWJ, Pilz W, Meeuwis CA, et al. Multicenter randomized crossover trial evaluating the provox luna in laryngectomized subjects. Laryngoscope. 2019;129(10):2354-60.
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