1. To develop a modified TE voice prosthesis to prevent aspiration through the tracheoesophageal (TE) puncture in patients who have had a total laryngectomy and TE puncture.
2. To evaluate patient response and functional outcomes using a modified TE voice prosthesis.
3. To assess the duration of sustained effect using a modified TE voice prosthesis.
4. The primary endpoint is to document decreased aspiration through the TE puncture using a modified TE prosthesis based on history and physical examination. |