Which of the following methods most resembles normal speech following a total laryngectomy?
a) Esophageal speech
b) Blom-Singer voice prosthesis
c) Lip speaking
d) Electrolarynx held at neck
Answer: b) Blom-Singer voice prosthesis
Explanation:
The Blom-Singer voice prosthesis most resembles normal speech. With esophageal speech, patients compress air into the esophagus and expel it, setting off a vibration of the pharyngeal esophageal segment. With electrolarynx, a battery-powered apparatus projects sound into the oral cavity. When the mouth forms words (articulation), the sounds from the electric larynx becomes audible words. Lip speaking is available during the immediate postoperative period. It does not resemble normal speech. pg.560
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