Electrolarynx - Cancer Voice Box

- 01.14

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An electrolarynx, sometimes referred to as a "throat back", is a medical device about the size of a small electric razor used to produce clearer speech by those people who have lost their voicebox, usually due to cancer of the larynx. The most common device is a handheld, battery-operated device placed under the mandible which produces vibrations to allow speech. Earlier non-electric devices were called mechanical larynxes. Along with developing esophageal voice, robotic voice or undergoing a surgical procedure, the electrolarynx serves as a mode of speech recovery for laryngectomy patients.


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Overview

Initially, the pneumatic mechanical larynx was developed in the 1920s by Western Electric. It did not run on electricity, and was flawed in that it produced a weak voice. Electrolarynxes were introduced in the 1940s, at a time when esophageal voice was being promoted as the best course in speech recovery; however, since that technique is difficult to master, the electrolarynx became quite popular. Since then, many medical procedures, such as the tracheo-oesophageal puncture, were created to enable speech without continued dependence on a handheld device.

The use of an electrolarynx can cause some social issues including difficulty ordering a drink in a noisy pub, and, when answering a telephone, the caller responds "Is this a computer that I'm speaking to?" One user states:

People are really very kind once they realize what the situation is. I may go into a restaurant once, and if I go back there a year later, and it's the same woman at the front desk, she'll say, 'Where have you been? We haven't seen you for a while.' So, I feel like a movie star...
I'm really very blessed in my life. I am happier now, without my voice, than I've ever been with my voice. It's a small price to pay for being alive and enjoying life. So I am very happy where I am now.

Traditional electrolarynxes produce a monotone buzz that the user articulates into speech sounds, resulting in the characteristic "robotlike" voice quality. However, in the 1990s, research and commercial multi-tone devices began to be developed, including discrete-tone devices using multiple-position switches or multiple buttons; as well as variable-tone devices controlled by single pressure-sensitive buttons, trackballs, gyroscopes, or even electrical detection of the movement of neck muscles. In addition to allowing speakers of non-tonal languages such as English to have a more natural speaking voice, some of these devices have allowed speakers of tonal languages such as Mandarin Chinese to speak more intelligibly.


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Fictional users

  • Ned Gerblansky on South Park.
  • Stemroach (David Bradley) on Ideal.
  • Electrolarynx Guy (Jack Axelrod) on My Name Is Earl.
  • WWE wrestler Kane, for his first two years in the company (1998-99).
  • The Smoking Family from Chewin' The Fat.
  • Charlie in Mad Max.
  • Zimos from Saints Row The Third.
  • The tobacco company representative in episode 3 of The Games.
  • Sawyer the Cleaner from Black Lagoon.
  • The sales representative for the fictional company "Hamilton's Water Breaks" appearing in episode 3 of I'm Alan Partridge. The title character comments that he "sounds like the girl in The Exorcist".
  • Agents of "Leviathan" on Agent Carter.
  • Emilio Sanchez, one of the residents of the Lawrence Hilton Jacobs housing project on The PJs.
  • Smokie Martling, a parody of Jackie Martling from The Howard Stern Show.
  • Komtuan, the crime lord from the film Ong-Bak: Muay Thai Warrior, notable as a speaker of a tonal language being understood despite using a traditional monotone electrolarynx.
  • Gray Baker in Dead Again.

Source of the article : Wikipedia



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