After total laryngectomy, you can still speak, but you will need to use other parts of the body or instruments to assist your speech, and you will need to go through a period of training. Total laryngectomy is only the loss of laryngeal articulation, but not the inability to speak. The human vocal organs consist of three parts: the power organ, the phonatory organ, and the resonance/regulation organ. The loss of the larynx is only the loss of the phonatory organ, but the other parts, such as the lungs, the trachea, the nasopharynx, the oropharynx, and the laryngopharynx, are present, so one can still speak after a total laryngectomy. At present, patients after total laryngectomy can be assisted with esophageal phonation, artificial electronic larynx and phonation button. However, all of them need a period of training time to adapt to, and it is recommended to consult a professional doctor. In addition, after total laryngectomy, you should pay attention to regular review.