Background: About 10% of patients requiring more than 3 days of artificial breathing are expected to require tracheostomy, making it one of the most common procedures performed in the ICU. Many tracheostomized patients have difficulty swallowing, despite the fact that tracheostomy does not necessarily imply dysphagia. The patient's capacity for expressive speech is diminished once a tracheostomy is performed. Objective: Review of the literature on possible consequences of tracheostomy on swallowing and voice. Methods: PubMed, Google Scholar, and Science Direct were some of the places we explored for information about Tracheostomy, Swallowing and Voice. Between July 1992 and January 2022, however, only the latest or most comprehensive study was considered. The authors also assessed the usefulness of references taken from similar books. We haven't paid attention to non-English documents because we don't have the time or money to translate them. Unpublished articles, oral presentations, conference abstracts, and doctoral dissertations were all widely acknowledged to not constitute valid scientific research. Conclusion: Reduced laryngeal elevation is another main cause of swallowing impairment has been reported, especially with an inflated cuff, The long-held belief that tracheostomies make swallowing more difficult and increase the danger of aspiration has been disproven by a number of studies. The patient's ability to speak clearly is impaired after a tracheostomy tube is placed. Patients with tracheostomies who are otherwise healthy (i.e., have no laryngeal or pharyngeal issues) often regain their ability to speak.