There are several alternatives for speech after a laryngectomy but none of them comes without disadvantages. Patients’ circumstances vary considerably, not least the extent of the surgery and its consequences for future speech options.
Recently there have been several computer generated speech options proposed that employ recordings of the patient’s speech before larynx removal. One of the latest is reported below
This looks like a useful addition to the options available, though as the article concedes the time and resources needed may be a problem.