Tracheoesophageal (TE) speech is now the most common method of voice r
ehabilitation after total laryngectomy. The speech intelligibility of
laryngectomees who use TE speech as their primary mode of communicatio
n was evaluated by 20 ''naive'' listeners. Two speech intelligibility
tests were administered using phonetically balanced rhyming words or l
ists of spondee words. The overall intelligibility for the group of la
ryngectomees was 76%, with a wide range of variability among the indiv
idual TE speakers. We concluded that TE speech is significantly less i
ntelligible to naive listeners than normal laryngeal speech; further r
efinement of voice rehabilitation for laryngectomees is needed.