A laryngectomy is the surgical removal of all or part of the larynx (voice box). This procedure is most often performed to treat cancer of the larynx but can also be done for other damage or non-functioning voice boxes. The idea of losing your natural voice can feel frightening or overwhelming. Many people go on to live full, active lives with the right support, rehabilitation, and follow-up care. ENT specialists, speech therapists, and cancer care teams support patients every step of the way. Doctify helps patients find reviewed ENT specialists if they need guidance.
What changes after a laryngectomy?
During the laryngectomy the larynx (voice box) is removed, completely or partially. After the surgery, air will no longer pass through the mouth and nose when breathing, breathing will occur through a stoma (a small opening in the neck). People learn to adapt, and routines become easier with practice.
Daily stoma care: Keeping your airway clean and safe
As mentioned above, a stoma is a small opening in the neck that will help you breath after a laryngectomy. Therefore, its care is essential for health and comfort.
- Daily care:
- Cleaning around the stoma
- Preventing mucus build-up
- Using filters or heat-moisture exchangers (HMEs) to warm and moisturise the air.
- Everyday life tips:
- Protecting the stoma from dust, water, and cold air
- Showering safely and using stoma covers.
But don’t be scared, usually, patients receive hands-on training before going home.
Speech and communication options
Don’t worry, losing your natural voice does not mean losing your ability to communicate. There are also other options available for communicating:
a. Voice prosthesis (tracheoesophageal speech)
- A small valve that creates natural-sounding speech.
- Many people find this the most intuitive option.
b. Electrolarynx
- A handheld vibrating device that produces a clear mechanical voice.
- Often used early in recovery.
c. Oesophageal speech
- Speech created by swallowing air and releasing it.
- Takes practice and specialist training.
d. Practical communication tips
- Using writing or phone apps in early stages.
- Confidence grows with practice and support.
Eating, swallowing, and getting nutrition
Swallowing muscles need time to heal. During early recovery temporary feeding tubes may be used and you will gradually return to soft foods under medical guidance. In the long-term expectations, most people return to a normal diet and people learn to manage dry mouth or altered taste if present. Swallowing therapy helps restore confidence.
Changes to smell and taste – and how to retrain them
Laryngectomy decreases the sense of smell because the surgery leaves a stoma through which the patient breathes, bypassing the nose. This interruption prevents air and odor particles from reaching the olfactory tissues in the nasal cavity. To improve the enjoyment of food and scents after a laryngectomy, use techniques like the “polite yawn” for smell, chew food more thoroughly, and experiment with different textures, temperatures, and flavors to stimulate your taste buds.
Physical recovery and healing
In the first few weeks it is normal to feel: fatigue, neck stiffness, and adaptation to new breathing patterns. It is very important to perform gentle activity and chest physiotherapy to keep lungs clear. The signs that need medical attention are: excessive mucus, bleeding, difficulty breathing, among others.
Emotional wellbeing and adjustment
We know that there is a huge emotional impact after surgery, due to the changes in voice, breathing, and daily habits. All these can feel overwhelming, it is normal feeling sad, frustrated, or anxious. For that reason, multiple support options are available such as: clinical nurse specialists, cancer support groups, psychological counselling, and online communities. Don’t worry, confidence often grows steadily over time.
Returning to work, social life, and daily activities
Many people return to their usual routines with small adjustments.
- Tips for navigating conversations when you start to speak differently:
- Speak slowly and clearly, use simple language, and avoid jargon or idioms.
- Use visuals, ask for clarification, and frequently check for understanding.
- Active listening and being mindful of nonverbal cues, like body language and tone.
- Tips for managing the stoma at work or while travelling:
- Wear comfortable clothing and maintain good hygiene.
- Stay hydrated, drink plenty of fluids but avoid fizzy drinks, and consider taking rehydration sachets for travel.
- For work, having a backup kit, planning breaks, and communicating with your manager can build confidence and a support plan.
- Safety considerations:
- Avoiding water entering the stoma while swimming or bathing.
- Staying protected in dusty environments.
Long-term follow-up and ongoing ENT support
- Regular check-ups with ENT and oncology teams.
- Monitoring for complications or prosthesis issues.
- Accessing speech therapy when speech changes or weakens.
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Conclusion
The idea of losing your natural voice can feel frightening or overwhelming, but don’t be afraid, you are not alone. Life after a laryngectomy can be full, meaningful, and independent with the right care. We encourage patients and families to ask questions, seek support, and connect with trained specialists. Doctify can help patients find experienced ENT surgeons and speech therapists for ongoing care.
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Feel free to consult an ENT specialist through Doctify for personalised advice whenever you want, we will be happy to help you! Find the best ENT surgeons in the United Kingdom or search for the best specialists globally:
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Medically Reviewed
Last reviewed on 24/11/2025
