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In 1997 a distribution center was established in South Boston, Virginia

Proper care of a stoma is important to help prevent potential complications, which can include: bleeding stomal stenosis peristomal skin irritation stomal crusting airway obstruction voice prosthesis dislodgement Pharyngocutaneous fistula and voice prosthesis dislodgement complications do not occur with tracheostomy and are specific for laryngectomy

Hurt RD, Sachs DP, Glover ED, et al

This is especially true among teens

Even in the cleanest home, there are constant, low-level sources of particles: microscopic dust, skin cells, pet dander, and fibers from clothes or carpets