The challenges of communication after Head and Neck Cancer

As part of Challenge 440, participants are taking on the Silence Challenge to step into the shoes of people without a voice box.

Our voices are a powerful part of who we are. For some people treated for Head and Neck Cancer, speech may change but self-expression never disappears. Whether through assistive devices, speech therapy, or alternative communication methods, survivors continue to connect, share, and inspire.

Surgery or radiation can sometimes affect speech, causing hoarseness, difficulty forming words, or in some cases, the loss of vocal cords. While changes to speech can leave some people feeling frustrated, isolated or upset with the help of a speech pathologist many find innovative ways to communicate, from oesophageal speech to electrolarynx devices, apps, and sign language.

Managing speech

Speech therapy plays a transformative role in helping people regain confidence and adapt their communication.

For Joe and his family, life changed dramatically after his laryngectomy. 'His voice was central to who he was -- an academic, a jokester, and a connector.’ Joe relied on oesophageal speech and writing on paper and tablets to communicate.

Joe’s family says, ‘We needed guidance - someone to talk to, ask questions, and give us advice when we didn’t know what was coming next.’