Hands-Free Speech in Glottic Stenosis Patients

Abstract

Objective: Glottic stenosis remains a difficult disease entity to treat. Many remain tracheostomy dependent and unable to tolerate traditional speaking valves despite intervention. The inability to communicate while gesturing and using both hands is extremely limiting. We demonstrate a novel way of achieving hands free speech in this population.

Method: Four patients with glottic stenosis who were tracheostomy dependent and unable to tolerate speaking valves were identified. A special tracheostomy tube was designed to fit a hands-free laryngectomy speaking valve. After being fitted each patient was given at least 2 hours of instruction on how to use the valve.

Results: All patients were able to develop proficiency using the valve. Three of the patients continued using the valve greater then 3 months after developing proficiency. There were no complications.

Conclusion: Hands-free communication greatly enhances the quality of life of tracheostomy dependent patients. Using a tracheostomy tube specially designed to fit a laryngectomy valve. We demonstrate 4 patients with glottic stenosis able to achieve hands-free speech.