Abstract
Surgical voice restoration following laryngectomy is commonly performed and often utilises a speaking valve through which air may be shunted to allow speech. It is possible for these valves to become dislodged and aspirated.1 We describe a cheap and effective method to prevent this. A short length of shearing elastic is threaded through the mounting hole on the side arm of the valve prior to insertion. Once successful valve placement is confirmed, the elastic is threaded around the patient's neck and loosely tied (Fig. 1). Should the valve then become displaced, it is highly unlikely that aspiration can occur. Figure 1 Demonstration of speaking valve in situ with elastic attached.
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