SELF HELP

For The
LARYNGECTOMEE

By
EDMUND LAUDER
Edited By James Lauder
 At Lauder - The ElectroLarynx Company™ our most important
goal is to make available the very best speech aids and
laryngectomee products to our customers at fair prices.

Our company began when my father Col. Edmund Lauder

self-published his book, "Self Help for the Laryngectomee."
Col. Lauder was himself a Laryngectomee; thus bringing needed
experience and clarity to the project. Throughout the years, this
book has become an indispensable guide for laryngectomees
and those who care for them.

In 1990, when I was planning to print and update my father's

book, I felt I could further serve his customers by offering the
best products available today for the laryngectomee.

Our products include:

books
tapes
electrolarynges (sales and service)
voice amplifiers and
batteries.
We carry most of what you may need. What we don't carry, we
usually know where you can get it and will be happy to refer you
to a distributor.

Call us at 800-388-8642 or e-mail me at jklvoice@aol.com.

All my best,
Jim Lauder

Call for Catalog

800-388-8642
LAUDER ENTERPRISES INC. 4754 Shavano Oak, Suite 104 • San Antonio, TX 78249-4027 • www.electrolarynx.com
i
iv
 Introducing the
New Blom-Singer™
HME System
Heat and moisture exchange
for laryngectomees

We’ve Given It Just The Right Touch.

The EasyTouch™ Speech Button.
The EasyTouch™ speech button represents an innovative step forward in
HME technology—because it makes stoma occlusion simple. Users need
only press it with minimal, manual force and it closes to produce voice.

The feeling is definite. Release the EasyTouch button and it instantly

returns to its open, breathing position.

Plus, our integrated MucusShield ™ occluder provides protection to the

HumidiFilter® foam filter from mucus secretions. And it creates an air-tight
seal closure for speech.

The new Blom-Singer HME System consists of a fully assembled, daily-

CLOSED OPEN disposable HME cartridge and a Blom-Singer TruSeal® adhesive housing
(sold separately).

The new Blom-Singer HME System. Breathe healthy. Speak confidently.

Learn more about the new Blom-Singer HME System

by visiting our web site www.inhealth.com
Call us today to place an order at (800) 477-5969

080105.10 © 2010 IntHealth Technologies, A Division of Helix Medical, LLC U.S. PATENT 7,025,784

iix
© December 2007 International Healthcare Technologies, A Division of Helix Medical, LLC U.S. PATENT 7,025,784
 Introduction.....................................................................................................................................1
I. Personal Information.......................................................................................................................3
II. Your New Voice.............................................................................................................................15
III. Using An Artificial Larynx.............................................................................................................25
IV. Speech Aids and Voice Amplifiers.................................................................................................27
V. Publications and More Devices.....................................................................................................33
VI. How To Organize and Run a Laryngectomee Club.......................................................................39
VII. Useful Information for Laryngectomees.......................................................................................44
VIII. A Simple Smelling and Nose-Blowing Device.............................................................................49
IX. Making the Esophageal Voice Feminine.......................................................................................55
X. Emotional Aspects of Laryngectomees..........................................................................................59
XI. Advice To The Spouse...................................................................................................................63
XII. The Rehabilatated Laryngectomee................................................................................................69
XIII. Tracheoesophageal Puncture and Voice Prosthesis.......................................................................73
XIV. Near-Total Laryngectomy and Voice Shunt..................................................................................77
XV Speech Exercises.............................................................................................................................81
Conclusion...................................................................................................................................108

Buyers Guide...............................................................................................................................110
 Introducing the New
Blom-Singer® Dual Valve
Voice Prosthesis

primary valve
Our new dual valve Indwelling voice prosthesis uses leading-
edge design to deliver on a very simple, but powerful benefit: secondary valve
two valves are better than one!
Should the primary valve fail due to Candida (yeast)
colonization, the secondary valve is intended to remain viable
to help prevent leakage of fluids. The Dual Valve voice prostheses are offered in non-
sterile 20 Fr. indwelling packages, in five lengths:
As an added advantage, each valve is imbedded with
silver oxide, an antimicrobial agent that provides significant LENGTH 20 FR DIAMETER
protection to the device for laryngectomees who are susceptible 6mm DV2006-NS
to Candida growth. Blom-Singer voice prostheses that contain 8mm DV2008-NS
silver oxide have been proven to eliminate or reduce the need for 10mm DV2010-NS
antifungal agents, such as Nystatin™ or Mycelex®. 12mm DV2012-NS
14mm DV2014-NS
Included with the Dual Valve Voice Prosthesis is a unique
pop-through insertion system, designed to assist the clinician Call us today to place an order
in the deployment of the esophageal flange during placement. at (805) 684-9337 or visit our
website at www.inhealth.com

The Voice of Experience

Since 1978
© 2010 InHealth Technologies – 100514
LT DUAL VALVE-B

x
 (866) 425-3678.

WebWhispers

Sharing Support Worldwide

www.webwhispers.org

Dedicated to Laryngectomee Rehabilitation

Free Laryngectomee Support Via The Internet
Must have current email address to join online or request information
webwhispers.org
Comprehensive Information Library, Booklets & Newsletters
Moderated E-Mail Lists, Forums, Chat Room & Social Events
The IAL
925B Peachtree Street, Suite 316
Atlanta, GA 30309-3918
(866) 425-3678
www.theial.com
Supporting ENT needs for more than 50 years
New late09
summer
a Electronic speech aids
– SERVOX® digital
– SERVOX® PURE

a Voice amplifier
a Tracheostomy tubes
– PU tracheostomy tubes
– Silicone tubes

a Tracheostomy care
– Original Tracheofix
– Tracheal compresses
– Larynx protection bib
– Larynx rolli shirt style
– Larynx neckerchiefs

a Artificial Noses
Find your local US distributor
at www.servona.com
Servona GmbH, Troisdorf, Germany
SERVOX Quality Made in Germany Internet: www.servona.com
INNOVATION in voice restoration

SERVOX® a SOUND
– maximum intelligibility

PURE – closer to human voice

a HANDLING
– buttonless control
– easy settings

a ENDURANCE
– powerful li-ion battery
– stainless steel plate

a DESIGN
– smooth grip
– lean charging stand

a CONVENIENCE
– international power

Find your local US distributor

at www.servona.com
Servona GmbH, Troisdorf, Germany
SERVOX Quality Made in Germany Internet: www.servona.com
 Introducing...
The New Rapid Response
Special Order Voice
Prostheses Program

Now Available! Voice prostheses that meet the special needs of your patients.
√ Special Length: √ Increased Resistance:
Available in one millimeter incremental lengths for A voice prosthesis with a valve that opens less
comfort and a more precise TE puncture fit. easily. Designed to be used in patients in whom
conventional voice prostheses open intermittently
√ Large Esophageal Flange: with fluctuations in esophageal pressures
Provides a “seal” to help manage leakage around a resulting in air ingestion and/or leakage.
voice prosthesis. Also, enables a safe and convenient
downsizing from a wider diameter prosthesis to a √ TEP Occluder:
smaller diameter. Voice Prosthesis with its valve permanently
Effectiveness is dependent on an optimal prosthesis length
sealed closed.
fit that achieves a snug flange-to-flange seal against the
wall surface(s). Visit our web site www.inhealth.com
Call us for details! (805) 684-9337
√ Large Esophageal & Tracheal Flanges:
Provides a “double seal” in patients with significantly
enlarged puncture tracts and “tear-drop” or
irregularly shaped punctures.
Effectiveness is dependent on an optimal prosthesis length
fit that achieves a snug flange-to-flange seal against the
wall surface(s).

Offered in non-sterile 16 Fr. & 20 Fr. Indwelling packages by prescription only.

© 2010 InHealthTechnologies–100503
The IAL
925B Peachtree Street, Suite 316
Atlanta, GA 30309-3918
(866) 425-3678
www.theial.com
The IAL
925B Peachtree Street, Suite 316
Atlanta, GA 30309-3918
(866) 425-3678
www.theial.com
Self-adhering
Reusable
Washable

Introducing...
The New Blom-Singer®
Scar Management Gel Sheet
New medical-grade silicone-based products designed to improve the
appearance of keloids and hypertrophic scars, which are raised,
red and sometimes itchy and/or painful scars resulting
from surgery or trauma to the skin.

Visit our web site www.inhealth.com

Call us for details! (805) 684-9337

© January 2010 InHealth Technologies

090902.03
 WebWhispers

Sharing Support Worldwide

www.webwhispers.org

Dedicated to Laryngectomee Rehabilitation

Free Laryngectomee Support Via The Internet
Must have current email address to join online or request information
webwhispers.org
Comprehensive Information Library, Booklets & Newsletters
Moderated E-Mail Lists, Forums, Chat Room & Social Events
More than 50 years innovation in voice restauration

SERVOX® digital Electrolarynx a Easy to find YOUR voice

a Easy and individual

settings, with intonation

a Easy battery control

a Easy charging and a lot

of accessories

a Reliable and long-lasting

Find your local US distributor

at www.servona.com

Servona GmbH, Troisdorf, Germany

Fine quality, made in Germany Internet: www.servona.com
4754 Shavano Oak, Suite 104
San Antonio TX 78249
 WebWhispers

Sharing Support Worldwide

www.webwhispers.org

Dedicated to Laryngectomee Rehabilitation

Free Laryngectomee Support Via The Internet
Must have current email address to join online or request information
webwhispers.org
Comprehensive Information Library, Booklets & Newsletters
Moderated E-Mail Lists, Forums, Chat Room & Social Events
REHABILITATION AFTER
LARYNGECTOMY AND TRACHEOTOMY

As producer and distributor of medical devices, we have been dealing with

the health care and the medical attendance of laryngectomy and tracheoto-
my patients since 1992. Our objectives are the health care and comprehen-
sive attendance as per the needs of our patients. The customer satisfaction
is our top priority.

Our product overview:

 Tracheal cannulas and accessories
 Cannula Cleaning and Care
 Tracheostoma Cleaning and Care
 Tracheostoma Protection
 Emergency Aids

w. f a h l .de
ANDREAS FAHL ww
MEDIZINTECHNIK-VERTRIEB GMBH
August-Horch-Straße 4a · 51149 Köln · Phone +49(0)22 03 / 29 80-0
Fax + 49(0)22 03/29 80-100 · Germany · mail vertrieb@fahl.de · www.fahl.de
support
InHealth Speakers Club
Are you a member of our Speakers Club?
Become a member of our Speakers Club so that you can stay up-to-date on the latest product
offerings and information from InHealth. Just some of the benefits you will receive are:
• Automatically receive our newest catalog.
• Regular email updates on the release of new products and services.
• Member-only product specials and promotions.
• Complimentary 1-year membership to MedicAlert® upon joining.*
• Free membership, there is absolutely no fee to join.
*The first year, your MedicAlert® membership is free. Then after spending $300 on Blom-Singer/InHealth merchandise within
12 months of joining the Speakers Club, InHealth will renew your MedicAlert® membership for another 12 months, at no
charge! Note: there is no obligation to purchase merchandise to be a member of the Speakers Club; membership is only
available to customers residing in the USA, Virgin Islands and Puerto Rico.

To Join
Please send us your complete contact information by one of the following methods:
• Email: speakersclub@inhealth.com
• Fax: (805) 684-8594 • Toll-free Fax (888) 371-1530
• Post: Speakers Club
InHealth Technologies
1110 Mark Avenue
Carpinteria, CA 93013-2918

Please complete the following information to join the InHealth Speakers Club. The Speakers Club contact list is
confidential; your personal information will never be shared or sold.

Name (please print)

Address

City State Zip Code

Telephone (area code) Fax (area code)
E-mail

060410
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Thanks to the laryngectomee commu-

nity for your patronage over the past 20
years. It has been my privilege to serve
you as individuals as well as helping to
support your organizations including,
especially, the IAL and WebWhispers.
I look forward to the next 20.
Jim Lauder
 Freedom of speech,
what’s it worth if
you can’t exercise it?

Since launching the first Provox® voice prosthesis, Atos Medical has
helped patients all over the world regain their right to speak. Now
we are introducing our most innovative voice prosthesis ever...
Provox® Vega™ with SmartInserter™

The Provox Vega Voice Prosthesis with innovative placement de-

vice, the SmartInserter, offers optimized air flow in three sizes; 17
Fr, 20 Fr and 22.5 Fr. A recent survey indicated that 92% of pa-
tients preferred the Provox Vega over their previous prosthesis.*

Talk to your clinician today to find out how to exercise your new
level of freedom of speech.
© Atos Medical Inc, 201008 MC0523_US

www.atosmedical.us
1-800-217-0025
11390 W. Theo Trecker Way, West Allis, WI 53214
* Survey data on fi le.
Insurance coverage, payment, co-payments, deductibles and some restrictions apply
depending on the individual’s policy and medical need. Rx required. It´s so easy!
Atos Medical products and expertise are developed in close cooperation with leading institutions,
doctors, researchers, speech language pathologists and patients from all over the world. All our
claims and arguments rest on the results of clinical studies. Atos Medical started the research and
development on the first Provox voice prosthesis in 1987. Throughout the years, we have worked
hard to develop Provox as the leading voice and pulmonary rehabilitation system on the market.
We continue to allocate substantial resources for product development and training programs for
Ear, Nose and Throat specialties. Atos Medical, leading the way in ENT.
Provox® Heat Moisture Exchanger...
the 24/7 HME 12
11 1
Atos Medical presents:
Provox® XtraHME™ 10 2

Welcome two new family members

8 4
XtraMoist™ HME comes even closer to mimicking normal
nasal function. Humidification is improved and good ariflow
7 5
6
is maintained for easy breathing. XtraMoist is recommended
for patients who have recently undergone a total laryngec-
tomy, and for those already accustomed to using an HME.

XtraFlow™ HME delivers superior airflow. XtraFlow is

great to use when exercising, adapting to using an HME, Call to request your free sample today.
and for those that prefer lower resistance breathing. 1-800-217-0025

XtraHME™ acts as an effective artificial nose. Many expe- HME (artificial nose) Selection Guide
rience the following benefits from using an HME: Bacteria,
Antimicrobial
HME Airflow Humidification virus, dust 24/7 hygroscopic
• Reduced mucus production Cassette Resistance and pollen capabilities
properties
filtration
• Reduced coughing
Normal Low Better
• Improved pulmonary function

©Atos Medical Inc. ML0048 v082010

HiFlow Lower Good
• Improved speech
XtraMoist Low Best
• Hygienic stoma occlusion
XtraFlow Lowest Better
Micron Low Better
Provox FreeHands HME cassette is not to be worn at night unless used with an HME cap. FreeHands Low Good
Insurance coverage, payment, co-payments, deductibles and some restrictions apply depending
on the individual’s policy and medical need.

www.atosmedical.us
 UltraVoice Plus II
UltraVoice Plus II is the first artificial larynx to provide natural speech prosody. This means your
speech will not have the robotic sound usually associated with the electrolarynx.

UltraVoice Plus II does this automatically by using a computer chip which analyzes your speech as
you talk and provides a natural sounding voice.

UltraVoice Plus II is the loudest artificial larynx ever made. Your voice will be heard across a
crowded noisy restaurant, if you want it to be. Or you can make it a soft clear natural whisper.

Components Engineered with Precision

UltraVoice Plus II has 3 components:

1) Oral Unit
2) Control Unit Oral Unit
3) Charger

Collar
Oral Unit Microphone

The Oral Unit contains a loud speaker, a control

circuit and rechargeable batteries all fitted neatly
into an upper denture or retainer.

Control Unit
The control unit contains a high speed battery
powered computer which samples your speech and Control
controls the prosody (how the voice pitch goes up Unit
and down) to add naturalness to the sound. Also,
it contains a loud speaker and amplifier which can
be used to make the UltraVoice Plus II louder than
any other speech aid.

Charger UltraVoice, Ltd

90 South Newtown Street Road
UltraVoice Plus II comes with a convenient charg- Suite 14
ing unit which recharges the oral unit and control
unit overnight. Also it provides a convenient stor-
Newtown Square, PA 19073
age site while the unit is not being used.
1-800-721-4848
www.ultravoice.com
 Since 1972 - Friendly, helpful, caring assistance to laryngectomees & others with voice
problems - and to speech pathologists, therapists, physicians, families & caregivers.

We offer you an unequaled choice of laryngectomee products:

Most major brands of electronic artificial larynges & supplies:
batteries, chargers, oral adapters, tubes, Servox 9 V. adapters
and holster carriers, C-R cords & many EL replacement parts.
Cooper-Rand intra-oral artificial larynx - with adaptations to
provide speech for people who are trached, laryngectomized,
using ventilators, have paralyzed vocal cords, etc. but have
limited or no use of their hands or arms.
The country's widest selection of quality tracheostoma filters, covers
and cravats in many colors, shower collars & DiAnna’s
NeckLaces for the ladies in black, white & colors. Our Stoma
Cover Starter Kit offers a selection of the basic covers at a
savings. Or ask us for a free sample pack of the foam stick-on filters
and a free Breathe-Easy filter. And we have a free sample of a very
handy pair of plastic tweezers. Let us know what you’d like to try.
And books for laryngectomees and speech pathologists.
Our catalog is on line or ask us to mail you a FREE copy and/or a CD with detailed product
information to help you make choices. We offer a large selection because there is no one
“best”instrument or stoma cover, only the one that is best suited to a specific user’s needs and
preferences! As both a manufacturer & supplier, we can give expert advice on comparative
features, operation, maintenance, care and repair. Write, phone, fax or e-mail us. Our staff will
be happy to help you. If we don't have what you need we'll try to direct you a company that does!

Speech Pathologists, Laryngectomee Clubs: Ask about

discounts and about In-Services and meeting Demos
8688 Tyler Boulevard
Mentor, OH 44060-4348
We accept American Express, Discover, MasterCard & Visa.
CALL 800-255-3408
We no longer handle Medicare, but Lauder 440-255-9082
Enterprises and other companies sell many of FAX 440-255-2250
our products and can take your order and file e: info@luminaud.com
Medicare claims for you. Let us refer you. www.luminaud.com
 PERSONAL PORTABLE VOICE AMPLIFIERS
FOR EASIER, SURER, LESS FRUSTRATING COMMUNICATION!!!!
Personal voice amplifiers and mics in several types and sizes for esophageal or TEP
speakers and artificial larynx users who want more volume. Also for anyone with vocal
nodules, Parkinson’s, MS, ALS, etc. who wants a louder voice with less tiring effort in any
setting. And a great help to people with no voice problem who want to be heard without
shouting or voice strain when speaking in noisy areas or to a large or wide-spread group.

The small, lightweight Spokeman (7 oz. w/batteries) gives a nice volume boost
for 1 to 1 or small group conversation. Cleaver carry case allows it to be worn
or carried many different ways. Longlasting rechargeable HiMH AAA batteries.
The ChatterVox comes mounted on a waistband, weighs 1 lb., 2 oz. including
its 6 AA HiMH batteries which will last for several years. Adjusts from 1 to 1
conversation up to reaching an attentive group of as many as 75 or 100.

The Voicette can be set on a table, worn over the shoulder or hung on a peg or
the side of a wheelchair. 2 lbs., 7"x7"x3" Has a NiMH battery pack that usually
gives a week or more of service on one charge. Talk to 1 person or up to 100
nearby. In a durable black, leather case. Like the other amplifiers, it has many
choices in microphones. Adaptable for use by most quadriplegics.

Some of our microphone choices. See our web page or catalog or CD for details on all our
amplifiers & mics, including larger but still
carryable amps for those who need to
reach bigger groups or wider & noisier
areas. Can amplify music, allow voice overs
and two people can use them at once.

ALSO
Voice Magnifier telephone attachment to amplify outgoing soft voices.
Special switches for very limited but controlled movement capability
Signal & message devices for quick, basic communication.
Products to analyze & treat of swallowing disorders, including two sizes
of the Thermo-Stim oral motor stimulator, a special version of the
Voicette with a stethoscopic mic to listen to & record swallowing sounds, and Kapi-Cups.

CONTACT US FOR FULL INFORMATION ON ALL THESE PRODUCTS

 The ™ Electrolarynx is the only
instrument available with natural intonation.
With its simplicity and ease of use, you can truly
express your feelings and emotions once again.

Single Pressure-Sensitive Button, for Natural

Expression
Wide Frequency Range, Allowing for Masculine
or Feminine Voice Adjustment
Light Weight, Small Size and Extremely Durable
9v Battery Operation Means No Custom
Mail-Order Batteries
2 Years of "Drop & Soak" Coverage with an additional
Proudly Made in the USA
3 Year Limited Warranty Protection*
Medicare Allowable in All 50 States and Now Assisting
With Private Insurance
Included Accessories:
You may qualify for a
FREE device!
Call Today for Details

9v Battery
Charger Batteries

Specifications Subject to Change Without Notice

Copyright © 2010 Griffin Laboratories, All Rights Reserved.
*Must return warranty registration card
 SolaTone Electronic Speech Aid

Easy to use Single-Tone Button Activation

Light Weight, Small Size and Extremely Durable
Wide Frequency Range Allows for Masculine
or Feminine Voice
9v Battery Operation Means No Custom
Mail-Order Batteries

Proudlyy M
Made
ade in the USA

Electrolarynx Holder

Regain the Freedom to Use Your Hands for the

More Important Things in Life.

Works With Both the and

SolaTone Speech Aids

Additional Accessories Available:

Specifications Subject to Change Without Notice

Copyright © 2010 Griffin Laboratories, All Rights Reserved.
 :DLVWEDQG©$PSOL½HU

Designed to Give the Laryngectomee

Sound Possible
the Best Sou

Great for Pe
Personal Conversations and
Small Groups
Group

Conveniently Straps Around Your Waist

Convenient

Lightweight, Portable, and Easy to Use

Lightweight

Powerful 7-watt
7-w Speaker

Includes Everything You Need!

Call Us or Visit Our Website Today!

Discreet
Discreet Noise
Noise-Canceling
ise
e-C
-Can
ance
celiling
ng M
Microphone
icrophone

Specifications Subject to Change Without Notice

Copyright © 2010 Griffin Laboratories, All Rights Reserved.
 The BoomVox(TM) Wireless Amplifier is perfect for the Laryngectomee who
wants to add an extra boost to their voice. No matter what speech method
you use, the BoomVox(TM) Wireless Amplifier will ensure that you are heard.

Great Volume Range for Home Use

and Large Groups
Powerful 15-watt Speaker Powered
by AC or Built-In Battery
Excellent Wireless Range With Great
Sound Quality
Convenient AUX Audio Input

Includes Everything You Need!

Call Us or Visit Our Website Today!

Discreet Noise-Canceling Microphone

Specifications Subject to Change Without Notice

Copyright © 2010 Griffin Laboratories, All Rights Reserved.
 New book chronicles physician’s journey as a
throat cancer survivor who learns to speak again.

“My Voice” - A physician’s personal experience with

throat cancer by Georgetown University Professor
Dr. Itzhak Brook offers a personal look as a doctor
who becomes a patient.

This book captures three years of the authors’ life that followed
throat cancer diagnosis and tells his personal story of facing and
dealing with medical and surgical treatments and adjusting to
life afterwards. As a physician with lifelong experience in caring
for patients, the author shares his insights and perspective on
these events as he experiences for the first time the effects
of severe illness through the eyes of a patient. He endures the
consequences of radiation, repeated surgeries, and prolonged
hospitalizations. He confronts medical errors in his care,
discrimination following loss of his vocal cords, and struggle to
regain his ability to speak again and find a new meaning to his
life. The author shares his fears, anxieties, frustrations, failures,
Dr. Itzhak Brook and ultimate adaptation and adjustment to life with continuous
uncertainty about the future.
email: ib6@georgetown.edu
phone: (202) 744-8211
Readers of this book will gain insight into the mind of a patient
with a life threatening illness such as cancer. This book can assist
readers in dealing with trying times in their own lives and shed
insight into the struggles that patients with cancer of the head
and neck face and how to overcome them. Through the author’s
insights, health care professionals can become more aware of
what their patients actually experience, and patients who face
similar hardships may find out how to cope with them.

Chapters of the book are available at: http://dribrook.blogspot.com/

Printed copy of the book can be obtained at https://www.createspace.com/900004368

and at Amazon at http://amzn.to/cAMVzm. An e-book version of the book is available at http://bit.ly/9ZWznP.
SERVOX® digital
Electrolarynx

More than 50 years innovation in voice restoration

Easy and individual

settings, with intonation
Easy to find YOUR voice

Easy battery control

Easy charging and a lot
of accessories

Reliable and long-lasting

Your local US distributor:

PC-data-transferset:
for individual intonation
Lauder - The ElectroLarynx Co™
4754 Shavano Oak, Suite 104
San Antonio, TX 78249-4027
Tel: 800-388-8642
fax 210-492-1584
info@ElectroLarynx.com

Servona GmbH, Troisdorf, Germany

Fine quality, made in Germany Internet: www.servona.com