Summary: A laryngectomy operation involves removal of the larynx, which is the organ of voice production. Communication after laryngectomy, therefore, is severely impaired. Articulation is usually intact unless damage to a nerve has caused dysarthria (slurring of the speech).w8 Someone who has had a laryngectomy has various options for communication—an electronic larynx, oesophageal voice, a voice prosthesis (valve), silent articulation (mouthing words), and pen and paper.