“…Additionally, voice pitch and intensity change depending on whether there has been reconstruction. In prior studies, the minimal vibration pressure for comfortable speech by tracheoesophageal fistula was approximately 30 mmHg [27,28], almost twice the value for speech by tracheojejunal fistula, which was approximately 16.2 mmHg [29]. Additionally, the average rates of expiratory flow in speech by tracheoesophageal and tracheojejunal fistula were 105.5 ml/s [27,28] and 129.6 ml/s [28], respectively.…”