SpeakFree Heat and Moisture Exchanger (HME)

Inclusion Criteria: * Participants who have undergone a total laryngectomy who have and use a voice prosthesis as their primary form of communication for at least 3 months prior to study enrollment. * Participants must have had at least 2 voice prosthesis management visits from a speech pathologist at the University of Miami prior to study enrollment. * Participants must have fully healed suture lines. * Participants must demonstrate fluent tracheoesophageal speech (i.e., maximum phonation time of at least 5 seconds during 3 consecutive trials) * Current HME use for a minimum of 1 month * Participants willing to complete the survey and provide a signed Informed Consent Form * Males and non-pregnant females over the age of 18 Exclusion Criteria: * Participants who do not have a voice prosthesis. * Participants who have dysarthria. * Participants who are currently receiving treatment for head and neck cancer. * Participants who have an underlying neurologic condition potentially impacting speech.