Abstract
Total laryngectomy results in a variety of functional changes including the loss of normal laryngeal voice and alterations in swallowing physiology.1 The current literature recognizes tracheoesophageal (TE) voice restoration as the preferred alaryngeal speech alternative in most patients with total laryngectomy. The method depends on the use of a unidirectional valved prosthesis that maintains the TE puncture and also allows pulmonary air flow into the esophagus for phonation while preventing aspiration during swallowing.
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