Communication After Laryngectomy: Esophageal, Tracheoesophageal, Electrolarynx, Sign Language
After larynx removal, speech is lost but communication options exist:
- Esophageal speech: Swallow air into esophagus, release to produce sound (like controlled belch)
- Tracheoesophageal speech: Puncture between trachea and esophagus; cover stoma, exhale to speak
- Electrolarynx: Handheld device vibrates against neck; user controls pitch/volume
- Sign language: Visual-gestural language
Choice depends on individual needs/preferences; many use multiple methods.
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