State of the art: Rehabilitation of speech and swallowing after total laryngectomy.

•Total laryngectomy remains an important oncologic and rehabilitative technique.•Dysphagia may be due to recurrence, diverticulum, stricture, or reduced propulsion.•Tracheoesophageal speech remains the optimal rehabilitation for alaryngeal voice.•TEP considerations include timing and pharyngoesophageal spasm prevention.•Future research efforts will need to focus on dynamic laryngeal reconstruction.