Vol 16: 2020:67-69

Introducing the Speaking Valve: Letter to Editor

Alireza Aghaz

DOI: 10.22122/jrrs.v1i1.3571


Patients with a tracheostomy for any reason usually do not have speech or swallowing. Lack of communication and swallowing problems negatively affect all aspects of the patient's life. By attaching a speaking valve on the tracheostomy tube, patient's speech, swallowing, and cough can be facilitated, and aspiration would reduce. The use of a speaking valve also restores patient's sense of smell and taste, and usually facilitate decannulation process. In developed countries, most physicians and clinicians are familiar with and prescribe speaking valves, but Iranian medical community is still unfamiliar with the speaking valve and its benefits. At present, this tool is not available in Iran for patients and even medical staff, and is not practical. It seems that by conducting clinical studies, advertising, and holding training workshops for clinicians, the level of awareness of medical community and patients about the use of speaking valves and its benefits can be increased.


Speaking valve; Tracheostomy

Full Text:



Alidad A, Aghaz A, Hemmati E, Jadidi H, Aghazadeh K. Prevalence of tracheostomy and its indications in Iran: A systematic review and meta-analysis. Tanaffos 2019; 18(4): 285-93.

Shikani AH, Miller AC, Elamin EM. experimental assessment and future applications of the shikani tracheostomy speaking valve. Am J Speech Lang Pathol 2015; 24(4): 733-8.

Gross RD, Eibling DE. Passy-Muir valve/decannulation. In: Carrau R, Murry T, editors. Comprehensive management of swallowing disorders. San Diego, CA: Plural Publishing; 2006: 255-62.

Shikani AH, French J, Siebens AA. New unidirectional airflow ball tracheostomy speaking valve. Otolaryngol Head Neck Surg 2000; 123(1 Pt 1): 103-7.

O'Connor LR, Morris NR, Paratz J. Physiological and clinical outcomes associated with use of one-way speaking valves on tracheostomised patients: A systematic review. Heart Lung 2019; 48(4): 356-64.

Elpern EH, Borkgren OM, Bacon M, Gerstung C, Skrzynski M. Effect of the Passy-Muir tracheostomy speaking valve on pulmonary aspiration in adults. Heart Lung 2000; 29(4): 287-93.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.