What is NOT a method used for alaryngeal speech after a laryngectomy?

Alaryngeal speech refers to the methods of communication used by individuals who have undergone a laryngectomy, which is the surgical removal of the larynx. Each method of alaryngeal speech provides alternative means to produce voice after such a significant surgery.

Artificial larynx, esophageal speech, and tracheoesophageal voice are all recognized techniques for achieving voice post-laryngectomy. An artificial larynx, also known as an electrolarynx, provides sound through vibrations produced by a handheld device. Esophageal speech involves the swallowing of air and then expelling it to create sound, while tracheoesophageal puncture connects the trachea to the esophagus and allows for voice production through the vibration of the esophageal wall as air is pushed through.

In contrast, pharyngeal articulation is not considered a method for alaryngeal speech. It involves modifying sounds produced in the throat and is not used specifically for individuals who have lost their larynx. Therefore, the distinction here lies in the recognition that while the other options are functional techniques for producing voice after laryngectomy, pharyngeal articulation does not fall under the methods utilized in this context.