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It is impossible for a patients with cuffed tracheostomies to vocalise.
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False. Whilst an inflated cuff should seal off the upper airway and prevent any gas passing via the vocal cords, speech is still possible. This would require cuff deflation, above cuff vocalisation (via a subglottic suction port of the tracheostomy tube) or a fenestrated tracheostomy tube.
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