Hi Hazim,

Some use electronic larynxes, which are apposed to the neck during usage. Some learn to use esophageal speech.

Warren

Thank you Warren Bacorro for your excellent answer. How hard it is to use devices planted in one's body to be sources of sound generation.

The best form of speech in patients of laryngectomy is Tracheoesophageal speech. This requires Tracheoesophageal puncture and voice prosthesis.

This is lung powered speech and has best acoustic outcome.

Use of electrolarynx is another option in patients who are non compliant or have associated dexterity problem.

Esophageal speech also offers a good way of communication, requires training by skilled saesh pathologist.

But still the best speech outcome is provided by TEP voice

Regarding your 2nd question about use of device planted in body...

Patients with laryngectomy who have TEP prosthesis implanted have good voice outcome. More than 95% achieve successful speech with speech therapy.

The use of voice prosthesis is simple with minimal training.

This device requires daily care and needs to be changed very 6 months to 1 year interval.

But speech outcome are excellent

Thank you very much Aseem for this useful detailed information about using electronic devices for the generation of speech sounds. Best regards.

The main available options are: esophageal speeech, external devices eg Servox electrolarynx and tracheoesophageal valves. In my experience the best outcomes are with tracheoesophageal puncture withor without the hands free option. Speech is near normal and the learning curve is very rapid.

Thank you very much, Badr dor this valuable marvellous information. Hazim.

I agree with Professor Dr Badr eldein. TE prosthesis is the ideal solution . Oesophageal speech is an alternative when phoniateric units and speech therapists are available.

Thank you very much, Ezzat for your thoughtful answer. Best regards. Hazim

There are three ways. The oldest was with his own esophageal voice like a ventriloquist. The second is with the use of electronic larynxes, The new one is by a Tracheoesophageal puncture and voice prosthesis wich can be done as a first time duringe the surgery or a secondary procedure

Thank you very much, Andres Chala for your thoughtful answer. Best regards. Hazim.

Voice rehabilitation post total laryngectomy is a very challenging task depending on the part of the world you practice.

However, there are two major methods for voice rehabilitation; non-surgical and surgical techniques.

Non-surgical involves the use of esophageal speech or the electrolarynx.

The surgical technique involves the tracheo-esophageal speech by inserting prosthesis of which there are various kinds; Neoglottis; the use of laryngeal composite tissue transplant.

The pre and postoperative supportive role of a laryngectomee association where available can not be overemphasized...

Thank you, Adeyi A. Adoga for your marvellous information in your answer. Best regards. Hazim.

Thank you Adeyi A. Adoga for your valuable insights.