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A voice prosthesis is the most common way to restore speech after surgery.


After surgery to remove the whole of your voice box (total laryngectomy), you are no longer able to speak in the normal way. But there are different ways you can communicate and learn to speak again.


The voice prosthesis is a valve that allows you to make sounds by pushing air from your lungs through the valve and up into your mouth. You have to cover your stoma with your fingers so that the air goes through the valve and not out of the stoma.

Once you can use this type of voice prosthesis, you might be able to use other types of valve which are hands free. They automatically close the stoma when you are using your speaking valve. So you won't have to put your hand up to cover the hole when you want to say anything. But hands free valves are not suitable for everyone.

Using a voice prosthesis takes practice. Your speech therapist will help you.

After a while, the muscles deep in your throat grow stronger and vibrate more easily as the air passes through. When you have got used to it, you might be surprised at how well you can be understood.

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