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Do not base your order on the picture presented.
Features of the Luminaud Romet Laryngectomy Filter:
Medium weight cotton knit in dicky style with ribbed neckband. Romets meaure about 8-1/2" x 11" after machine washing. Fits neck size up to 16-1/2".
Medex SKU: LMN-38020
Manufactured In: Italy