A tracheostoma valve is described for use within a tracheostoma to facilitate speech by use of a vocal prosthesis, which consists of a valve housing defining a valve cavity having an airflow passage therethrough between at least one rearward and at least one forward aperture, and a valve member. The valve member includes a fixed rear portion connected to a forward portion by a collapsible sleeve such that the forward portion is deployable from a collapsed configuration under vegetative breathing pressure wherein the air flow passage is open to an expanded configuration under speech pressure whereat the forward portion acts to restrict flow through the air flow passage.