Voice prostheses are one of the main vocal rehabilitation techniques following total laryngectomy. However, leakage requires frequent replacement and availability of physicians. This study explores a task delegation protocol between physicians and nurses for voice prosthesis exchange. The objective was to evaluate feasibility and impact on patient care.

After validating and implementing the protocol, we conducted a prospective study from March to October 2024 to assess its impact for nurses, physicians and patients, on a satisfaction questionnaire.

Fifty-six of the first 60 voice prosthesis replacements were successfully performed by delegated nurses. Physicians were consulted for 4 unsuccessful procedures, mainly due to difficult access to the tracheoesophageal fistula. Three patients expressed concerns about the protocol, but overall, 93% reported high satisfaction with the care received.

The success of this collaborative protocol helped reduce physician workload and highlighted the valuable role of nurses, while ensuring high-quality care for laryngectomized patients with voice prostheses.