and long-term outcomes post-laryngectomy in order for patients to uphold a higher quality of life. often, speech-language pathologists are involved in the process of prioritizing swallowing outcomes. people receiving voice rehabilitation report best voice quality and overall quality of life when using a voice prosthesis as compared to esophageal speech or electrolarynx. furthermore, individuals going through non-surgical therapy report a higher quality of life than those having undergone a total laryngectomy. lastly, it is much more difficult for those using alaryngeal speech to vary their pitch, which particularly affects the social functioning of those speaking a tonal language.