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An electrolarynx, akin to a megaphone or Mr. [Microphone], only it is held to a blowhole in the throat after the larynx has been removed due to diseases like Cancer. The resulting "voice" is very buzzy, throaty, and monotone - but [it's all you] got at that point. What's sadder is that a lot of the people in this situation smoked a truckload of [cigarettes] along the way, and they usually look somewhat "weathered", "leathery", or "rugged" to add a visual scare with the auditory one.
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