Esophageal speech is a method of communication after total laryngectomy. It is produced by inflating the esophagus (food pipe) and then releasing the air pocket like a burp. With practice, the patient learns to control the release of air in order to produce several words per injection of air. The sound produced is low in pitch and loudness is sometimes a problem. It takes a great deal of practice over several months to become an effective esophageal speaker. But for the motivated patient, it may be the option of choice.