This paper discusses voice restoration after total laryngectomy, focusing on tracheoesophageal speech, particularly the use of tracheoesophageal puncture (TEP) and voice prostheses. Total laryngectomy is an effective treatment for advanced laryngeal cancers, but it results in loss of voice, severely impacting communication and quality of life. The main methods for voice restoration include the use of esophageal speech, the electrolarynx, and tracheoesophageal speech, with the latter gaining popularity owing to its effectiveness in producing clearer speech in a relatively short period. The historical development of tracheoesophageal speech, including the use of voice prostheses such as the Provox series, is reviewed. Tracheoesophageal speech offers advantages over esophageal speech in terms of ease of acquisition and speech clarity. However, it also has potential complications such as prosthesis leakage and the need for periodic replacement. This study highlights the importance of multidisciplinary care involving ENT specialists, speech therapists, and other healthcare providers to ensure optimal outcomes for laryngectomized patients. The ongoing development of voice prostheses and techniques promises further improvement in voice rehabilitation for these patients.
