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June 25, 1982

Good tidings for postlaryngectomy speech

JAMA. 1982;247(24):3303-3304. doi:10.1001/jama.1982.03320490009004

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Although there have been many advances in rehabilitation of the voice following laryngectomy, the physical effort involved in speaking and the inconvenience of having to occlude the tracheostoma manually during speech has continued to disturb postlaryngectomy patients.

Now a new tracheostoma valve that opens and closes automatically, in response to expiratory airflow, and a new lowpressure voice prosthesis that generates airflow resistance similar to that of the human larynx may alleviate some of these problems.

In a presentation at the recent meeting of the American Broncho-Esophagological Association in Palm Beach, Fla, speech pathologist Eric D. Blom, PhD, and head and neck surgeon Mark I. Singer, MD, of Indianapolis, reported on the new ease of speech experinced by patients fitted with the "no-hands" Blom-Singer tracheostoma valve and the low-pressure prosthesis.

"They feel now like they're really talking," Bloom and Singer told JAMA MEDICAL NEWS. "They can tell immediately the significant reduction