Glossary

The words you are likely to hear from your care team, explained in plain language.

Adhesive
A thin patch that sticks to the skin around the stoma and holds the HME in place. Also called a baseplate.
Chemotherapy
A cancer treatment that uses one or more anti-cancer drugs.
Electrolarynx
A small electronic device held against the neck or cheek, or used with a tube in the mouth. It makes a sound that you shape into words. Also called an artificial larynx.
Epiglottis
The flap that covers and protects your airway when you swallow. It is removed in a total laryngectomy.
Esophageal speech
A way of speaking without a device. You swallow small amounts of air into the food pipe and bring them back up to make sound.
Esophagus
The food pipe. It connects your throat to your stomach.
Heat and moisture exchanger (HME)
A small cassette with a foam core treated with a salt solution. It catches heat and moisture when you breathe out and returns them to your lungs when you breathe in. Often called your “new nose”.
HMEF
An HME that also filters bacteria, viruses, dust and pollen.
Indwelling voice prosthesis
A voice prosthesis that is fitted and changed by your clinician.
Laryngeal cancer
Cancer that forms in the tissues of the larynx.
Laryngectomee
A person who has had a total laryngectomy.
Laryngectomy tube
A soft silicone tube worn inside the stoma to keep it open. The HME attaches to it.
Larynx
The voice box. An organ in the throat that sits on top of the windpipe and holds the vocal cords.
Mucus plug
Mucus that has become thick, crusty and hard to cough out. It makes breathing difficult and can be dangerous.
Neck breather
Anyone who breathes through an opening in the neck rather than through the nose and mouth.
Non-indwelling voice prosthesis
A voice prosthesis that you learn to remove and replace yourself.
Occlude
To block the stoma, usually with a finger, so that air goes through the voice prosthesis when you speak.
Pharynx
The throat. The muscular tube that connects your mouth and nose to the food pipe.
Radiotherapy
A cancer treatment that uses beams of intense energy to kill cancer cells. Also called radiation therapy.
Speech therapist
A specialist who treats problems with speaking and swallowing. Also called a speech-language pathologist (SLP) or, more generally, your clinician.
Stoma
The permanent opening at the base of the neck that you breathe through after a laryngectomy. Also called a tracheostoma.
Stoma button
A short, soft silicone button worn inside the stoma to keep it open. The HME attaches to it.
Total laryngectomy
An operation to remove the larynx and epiglottis, often done for advanced cancer of the larynx.
Trachea
The windpipe. It runs from below the larynx to the top of the lungs.
Tracheoesophageal (TE) puncture
A small opening made by the surgeon between the windpipe and the food pipe, where the voice prosthesis sits.
Voice prosthesis
A small plastic device with a one-way valve, placed in the wall between the windpipe and the food pipe. It lets you speak by sending air from your lungs into the food pipe. Sometimes called a TEP.

Get in touch

Would you like a neck breather bracelet, or to share your own story of life after a laryngectomy? Write to us.

contact@neckbreather.org