Voice prosthesis experience of Indian laryngectomees: Preliminary findings from a tertiary hospital in South India

Introduction: Tracheoesophageal speech is a preferred method of alaryngeal voice rehabilitation in persons with a laryngectomy. Periodic replacements, troubleshooting, and stringent care are required to successfully use this device. There is a dearth of information on the perspectives of TE speakers from developing countries regarding the use and handling of this type of pseudo-voice. The current study aims to understand patient's viewpoints regarding their restored voice. Method: The Voice Prosthesis Questionnaire (VPQ) developed by Kazi (2006) was translated into 2 regional languages with the addition of four questions and was used in this study. The questionnaire focused on aspects related to the use and care of the prosthesis device, problems faced, management strategies used, and overall satisfaction. Results: The results indicated the following issues: the cost was a major concern; high tolerance for leakage; not seeking medical advice until serious complications arose; concerns about the physical distance to laryngectomy rehabilitation centers; and absence of trained professionals near their place of stay. Further, it was interesting to note the indigenous solutions for enhanced prosthetic life and humidification of inhaled air. Conclusion: Most participants of this study were satisfied with their restored voices as they believed that the alaryngeal mode of communication improved their quality of life. There is a need to develop indigenous humidification and hands-free speech systems that are affordable and feasible for the climatic conditions of India.