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Elements of Clinical Training with the Electrolarynx

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Clinical Care and Rehabilitation in Head and Neck Cancer

Abstract

The electromechanical device commonly known as an electrolarynx (EL) is a popular primary or backup mode of postlaryngectomy alaryngeal communication. Learning to efficiently and successfully use an EL requires the acquisition of several skills, including (1) appropriate placement of the device, (2) control of voice activation, (3) over-articulation and modulation of speech rate, and (4) awareness of paralinguistic behaviors. Mastering such skills can increase comprehensibility and, in turn, the potential for communicative success with the EL. Design features vary among commercially available devices, mostly in the type and degree of pitch modulation they offer. To optimize the ability of newer devices to modulate pitch, users may need specific practice directed toward enhancement of the suprasegmental aspects of their EL speech. This chapter addresses reviews of current EL features and outlines how speech-language pathologists (SLP) can provide valuable training and insight for laryngectomees seeking to use this popular method of postlaryngectomy communication.

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Notes

  1. 1.

    The HandsFree™ Electrolarynx Holder (Griffin Labs, Temecula, CA) is worn around the neck and activated with a chin press; it is not appropriate for all users, however, as optimal use may occur only within a specific and limited area of the user’s neck space.

  2. 2.

    There are videos online (e.g., https://www.youtube.com/watch?v=iV3rP%2D%2DrcTA) that demonstrate this process.

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Authors and Affiliations

  1. Department of Speech-Language Pathology, Seton Hall University, South Orange, NJ, USA

    Kathleen F. Nagle

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  1. Kathleen F. Nagle
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Correspondence to Kathleen F. Nagle .

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Editors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery and School of Communication Sciences & Disorders , Western University, London, ON, Canada

    Philip C. Doyle

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Nagle, K.F. (2019). Elements of Clinical Training with the Electrolarynx. In: Doyle, P. (eds) Clinical Care and Rehabilitation in Head and Neck Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-04702-3_9

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